Quote
Originally posted by: pjstrohQuote
Originally posted by: drmilled
pj- I believe you missed the point of my question- the money that is used to fund the subsidies, just where and how were these funds generated?
No, I answered your question. The previous system required Medicare to pay artifically high prices to hostpitals and insurance companies. That corporate welfare has been removed and pays for about half of the total cost of the new law...including the subsidies for the poor.
I have to interject on this statement. I know for a fact (as far as dialysis patients go anyway) that medicare pays THE LEAST AMOUNT possible to Fresinius for medicaid patients. I have been going there for 3+ yrs now and I've gotten to know everyone there, even some of the higher ups.
Their payments go as folows; people with private insurance, they make a profit on(there aren't a whole lot of people in this category). Medicare patients they usually make a few bucks on as long as they don't need anything extra(extra treatments, epigen or whatever). Medicaid patients they're lucky to break even but usually lose a few bucks on them.My clinic has about 60-75% people on medicaid, almost all are in this category are here illegally.
That the govt is expanding medcaid kinda pisses me off because that means a boatload of people of people that shouldn't even be here will swell the medicaid roles further. I have sympathy for them of course but it pisses me off to think folks that LIVE HERE may be overlooked and not to mention this country has a huge debt problem. I know what dialysis treatments cost and I know what transplants cost, they're mpre than twenty bucks. I read the medicaid roles are expected to gain nine million new people, I wonder who all that will include?
This stuffs not an opinion either, it's fact.
Respectfully,J
EDIT TO ADD: I just reread and noticed the comment on artficially high prices to hospitals, again I don't think this is true, for instance I'm pretty sure a kidney transplant is 125K no matter who pays. Also, if medicaid/medicare patinets were so profitable, why aren't the hospitals filled to capacity with them? I've had to switch and now have medicare as my primary insurance(SUCKS, total PITA!!) and they don't hardly pay shit, thankfully I still have my other insurance as secondary and they pick up what medicare doesn't pay. This is also fact.