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Romney was dead on his assessment, and the author of the article is being misled by the so called "expert".  The Medicare-doctor fix issue has not been modified and IS included in the projected "savings" of Medicare touted by this administration.  It amounts to about 25-30% reductions in what is already substandard reimbursement for procedures. Monies are being shifted from Medicare to pay for the Obamacare plan.  When you look at the new "enforcement" policies and how much this administration has supposedly saved in Medicare fraud this year, it appears nice, until you see the full story.  Some offices have gone as long as 6-8 weeks with no remittance from Medicare.  These delayed remittances are blamed on faulty billing issues or faulty bill submissions, all secondary to mandatory changes by CMS.  We have never seen one of these CMS mandates go thru without a problem, they always delay remittance of what is owed.

Recently there is a court case in NJ where a physcian is being persecuted for "overbilling".  Many experts were called to testify and NONE of them can agree on the proper codes to be used, despite taped recordings of the visits.  This doctor however has spent over $100,000 defending himself in this trial where he is being charged for misbilling a total of $37 over 5 visits.  This is the type of enforcement by the government thugs which is being implemented by this administration.

Medicare and Medicaid reductions in what they are paying continue to escalate.  This month we were informed of a new payment schedule for a test which is being back dated to Sept 1st.  The new schedule does not allow us to even pay for the cost of the testing, and we will lose an estimate $3-4K per year on these tests if we continue to offer them.  No one can provide new modern testing in this situation.

No system has ever been able to control some cost escalation as long as newer technologies are implemented. There is no incentive to implement newer technologies when you cannot even recover your base costs for these tests.

Romney was correct.  Medicare providers, will in the near future, be extremely difficult to locate. Unless the government decides to employ all physicians and provide them a retirement/benefits program, you can look for physicians to remove themselves from the provider list and allow those who think they can survive in it to flourish. Since physicians are barred from collective bargaining, there is no Union to represent their interests to the current administration so don't look for any help.

It is not fear to provide the truth to the voters.  This issue is very real and has been downplayed to this point, but there is strong evidence to support that many of the older physicians who can afford to do so, will stop accepting these plans in the near future.

It is not overspending to pay for the actual cost of the test that is being performed.  No wonder you have no real business sense if you think that a company can provide services and take a loss and then continue to provide those services.

 Obama refused to address the physician fee fix after making a promise to the AMA for their approval of the Obamacare plan.  Phsycians by the drove warned the AMA of what would happen, but they went ahead because they trusted this administration.  After they got the AMA nod, they forgot their promise.  Physicians left the AMA in droves and it is unlikely that the AMA will ever recover from this debacle.  As it is they represent less than 10% of the practicing physicians in the country.

I read your ridiculous reply about how someone was complaining about the government cutting back, and my reply to you is that they can cut back all they want, however they are idiots if they think that physician offices can stay in business if they are paying less than the costs.  This is what we are seeing.  Today we were notified of a 53% cut in a common procedure code effective Jan 1....really?  When was the last time one of your companies that buys your services informed you that effective Jan 1st, you would only be paid 50% of what you are being paid now for the same service?

You don't have a clue how the medical business works, and yet you feel like you can make an educated analysis of it?

More proof that the Left thinks they know what is best for everyone but themselves.

Originally Posted by Chuck Farley:

Now that's the biggest joke I've hear all day!  Your dad had a business.  You are a joke.

__________________________

 

no chuckles, you are the joke... you add nothing to the forums. you add nothing to life... you're a burden on your poor mother. you're an embarrassment to your father. and an all around pitiful human. full of hatred, lies, and bigotry! you prove it with every post!

Originally Posted by teyates:

I read your ridiculous reply about how someone was complaining about the government cutting back, and my reply to you is that they can cut back all they want, however they are idiots if they think that physician offices can stay in business if they are paying less than the costs.  This is what we are seeing.  Today we were notified of a 53% cut in a common procedure code effective Jan 1....really?  When was the last time one of your companies that buys your services informed you that effective Jan 1st, you would only be paid 50% of what you are being paid now for the same service?

You don't have a clue how the medical business works, and yet you feel like you can make an educated analysis of it?

More proof that the Left thinks they know what is best for everyone but themselves.

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instead of being in a position where you could educate and inform, you put yourself above everyone else. you're too good to have to live by the same rules as the common man, you're in the medical field. you're highly educated and you want everyone to know it. if they don't' think the same as you, they're beneath you! keep up the whining/crying. you wingnuts have cried "wolf" so much, the wolf could steal the whole flock and not one person would even look. you've done it to yourself. you built that, with your own arrogance!

Now it is true that the law envisions reductions in Medicare. And some of that money will help pay for the rest of the law. And there are problems in some places with doctors not being willing to accept Medicare patients. But those two things aren't actually connected.

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Looks like more of that "wording side-stepping" that the gimmethats love to do. Yeah Romney, you're right about what you say, you just didn't say it right. In other words, you didn't twist it to protect them and hide what they're doing.

 

If you want to reduce waste, increase choice and competition

The Romney and Wyden-Ryan plans for Medicare reform do far more to get at the problem of waste, by using the tried-and-true methods of choice and competition. The plans use competitive bidding to challenge insurers, and traditional Medicare, to pay doctors whatever they want to pay, while providing a Medicare benefit package at the best possible price.

A similar method is already used in the Medicare prescription-drug program, or Part D, which has, remarkably, come in more than 30 percent under Congressional Budget Office projections for its fiscal cost. This year, the program actually reduced premiums, relative to 2011: something that almost never happens in government health-care programs.

Instead of a politically-motivated, one-size-fits-all, across-the-board fee cut, the Romney approach allows competing insurers to negotiate with hospitals and doctors to gain the optimal combination of access and price. Under a competitive bidding system, insurers are likely to pay primary care physicians more, while bearing more scrutiny upon the wasteful, costly procedures that drive Medicare spending higher.

The key to putting Medicare on a fiscally sustainable path isn’t to take a sledgehammer to the program, as Obamacare does, and ration care from 

above, but to make structural improvements that give seniors and their doctors the bottom-up incentive to avoid wasteful spending.

So far, many media reports have displayed confusion about these concepts. But if we have an honest debate between who should control Medicare’s health dollars—bureaucrats or seniors—I have a feeling as to which side will win.

 

http://www.forbes.com/sites/ar...ors-out-of-medicare/

Originally Posted by yoda:
Originally Posted by Chuck Farley:

Now that's the biggest joke I've hear all day!  Your dad had a business.  You are a joke.

__________________________

 

no chuckles, you are the joke... you add nothing to the forums. you add nothing to life... you're a burden on your poor mother. you're an embarrassment to your father. and an all around pitiful human. full of hatred, lies, and bigotry! you prove it with every post!

The only thing you measure up to was your mom's cup size.

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