Health Care Reform Sticks It to Connecticut Children

[Post Quartermaster]

Some are of the impression preventive care and maternity are retroactive to the date of the law. This is why GR & Time pulled maternity shortly after Obamacrap became law.

Of course since HHS has no clue what is in the bill or how it works, it might be retroactive to the beginning of the Bush tax cuts.

My impression for the reasoning behind dropping maternity was an MLR issue....and since MLR is going to be measured on the entire block starting 1/2011, maternity had to go......

.....further along the maternity lines, I got the impression (from a HCR seminar by our Blues here) that delivery charges were not part of the "essential benefits package" (of course prenatal care and complications are), so basically everyone in the individual market is going to be stuck with that global OB fee that is what, ~$2.5k-$4k or so on avg. here? Hope & change, eh?




@ AllenChicago, it is a local carrier here in SC, but I think the carrier's phone jockey's are giving me bad info on this....

 

[IndividualHealthGuy]

This especially burns me when I go specifically to see the doctor and get pawned off on the nurse. Does the doctor still get full reimbursement for that visit?

Yes, the carrier pays the same amount whether it is the doc or the NP that sees you. The office has a provider agreement in place that dictates how much the service is worth, not how much the provider is worth.

The NP usually bills under the doc's provider number anyway, as they are a salaried employee.

 

[Crabcake Johnny]

Sounds like a bait and switch scam. If I'm seeing the nurse practitioner I should be charged less.

 

[somarco]

If I'm seeing the nurse practitioner I should be charged less.

Then at least ask her to flash you.

 

[Norwayguy]

Then at least ask her to flash you.

Not a great idea with all NPs...not only are some men but at least the one at my Drs office is Butt ugly.

 

[Alston]

Just wait till the doctors start dropping out like rats abandoning a sinking ship..

There may be fewer people who go to medical school, but doctors might have more problems than insurance agents are.

If you have been successful in insurance, you can probably sell something else or operate some other business. I'm not so sure how prepared the average doctor is to do something besides healing the sick.

 

[somarco]

Med schools grads are mostly abandoning primary care in favor of specialties. PCP's are going to become more scarce just as the demand for them increases.

 

[Newby]

There may be fewer people who go to medical school, but doctors might have more problems than insurance agents are.

If you have been successful in insurance, you can probably sell something else or operate some other business. I'm not so sure how prepared the average doctor is to do something besides healing the sick.

There would be a lot more dentists, vetranarians, eye doctors and cosmetic docs. This will drive down the cost of these practices and everyone in the country will be walking around with perfect vision, bleached teeth, boob jobs and dogs that get better medical care than we do.

 

[Alston]

My video on how this health care reform mandate is hurting kids: