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  • lonesome_polecatt lonesome_polecatt Aug 5, 2014 5:20 PM Flag

    Remember when Craig said this was going to happen and the worshipers called him names and made fun of him?

    What do the worshipers have to say now?

    The Daily Caller

    Doctors Begin To Refuse Obamacare Patients

    2:13 PM 08/04/2014

    Obamacare plans have shrunk payments to physicians so much that some doctors say they won’t be able to afford to accept Obamacare coverage, NPR reports.

    Many of the eight million sign-ups in Obamacare exchanges nationwide already face more limited choices for physicians and hospitals than those in the private insurance market. But with low physician reimbursement rates, the problem could get even worse.

    For a typical quick patient visit, Dr. Doug Gerard, a Connecticut internist, told NPR a private insurer would pay $100 while Medicare would pay around $80. But Obamacare plans are more likely to pay closer to $80, which Gerard says is unsustainable for his practice.

    “I cannot accept a plan [in which] potentially commercial-type reimbursement rates were now going to be reimbursed at Medicare rates,” Dr. Gerard told NPR. ”You have to maintain a certain mix in private practice between the low reimbursers and the high reimbursers to be able to keep the lights on.”

    Narrow networks have become a hallmark of many Obamacare exchange plans, as one of few options left to insurance companies that allows them to save money by lowering reimbursement rates and covering fewer providers. In the health-care law’s first year, 70 percent of all Obamacare plan networks were either narrow or ultra-narrow, according to an analysis from consulting firm McKinsey.

    But doctors are feeling even more financial pressure due to the changes and many believe there’s a risk that Obamacare insurance will go the way of Medicaid, where patients still struggle to find a doctor after low reimbursement rates led many physicians to stop accepting it.

    “I don’t think most physicians know what they’re being reimbursed,” Gerard said. “Only when they start seeing some of those rates come through will they realize how low the rates are they agreed to.”

    If Obamacare coverage continues on its current track, exchange customers could face a lower level of care than those who buy coverage in the private market.

    “I think it could lead potentially to this kind of distinction that there are these different tiers of quality of care,” Connecticut Obamacare chief Kevin Counihan told NPR. ”That’s been something, at least in our state, that we’re trying to work against. And the carriers are, as well.”

    The problem is especially bad for private practices like Gerard’s, where physicians’ income is directly tied to reimbursements. But hospitals — especially top-tier ones that treat the most difficult diseases — are also increasingly rejecting the low reimbursement rates. The nation’s best cancer treatment centers are often covered by very few exchange plans in their states; if Obamacare customers end up with a difficult-to-treat cancer, they’re likely to face a lower quality of care right off the bat.

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    • Not one worshiper has addressed the fact that doctors are fleeing Obamacare. It doesn't surprise me. It's what they do when presented with facts. Beside that's why they are worshipers. They worship.

    • OBAMACARE LOSES SOME OF ITS CAMPAIGN PUNCH FOR REPUBLICANS

      MICHAEL A. MEMOLI + LISA MASCARO | LA Times | August 3, 2014

      SIX MONTHS AGO, A HOUSE REPUBLICAN CAMPAIGN OFFICIAL LISTED THE TOP THREE ISSUES THAT WOULD PROPEL THE PARTY'S CANDIDATES TO VICTORY IN THE MIDTERM ELECTION: "OBAMACARE, OBAMACARE, OBAMACARE."

      It was a strategy that worked well in 2010, when GOP electoral gains were fueled primarily by a high-profile campaign to repeal the newly passed Affordable Care Act.

      But now, months removed from the political storm that resulted from the botched rollout of the law and as more Americans begin receiving healthcare under the program, many Republicans have a more nuanced view of its importance.

      House Republicans are broadening their once-singular focus on the healthcare law and headed into an extended summer break without delivering on their promise to advance an alternative.

      FOR MUCH OF THE SUMMER, IN FACT, THE ISSUE HAS RECEDED AS BOTH A TOPIC OF DAILY ASSAULTS IN CONGRESS AND ON THE CAMPAIGN TRAIL. The once-common House votes to repeal Obamacare have been replaced by a probe into improper Internal Revenue Service targeting, hearings into treatment delays for veterans and a Republican push to sue or even impeach President Obama on allegations of overstepping his constitutional bounds.

      Republicans "are not finding as much traction" on Obamacare as they'd like among voters, according to Democratic strategist Stanley Greenberg. New polling from his firm found that voters in the states that will determine control of the Senate were evenly split between whether to implement and fix the health law or repeal and replace it.

      Perhaps the most obvious sign of the shift has been what is seen, or not, in television advertising in key states. The percentage of broadcast television ads focused on Obamacare dipped in the spring, according to a study conducted by Kantar Media/CMAG, a nonpartisan media-tracking firm, for the Cook Political Report. The study found, however, that the percentage of Obamacare ads rose again in July.

      "Back in 2010, Republicans were quite upfront about their plans to hang Obamacare around the necks of Democratic incumbents," wrote Elizabeth Wilner, a senior vice president for Kantar. "They're still running with the issue. They're just not necessarily promoting it."

      Republican strategists and congressional aides predict Obamacare will again be a major topic of discussion this fall, particularly as the next enrollment period approaches for 2015 coverage.

      "Voters don't like Obamacare," said Liesl Hickey, executive director of the National Republican Congressional Committee. "That has not changed in any district that we have seen."

      But, she added, "Our challengers and incumbents are going to be talking about a lot of other things, too."

      REPUBLICANS ARE ALL BUT CERTAIN NOT TO MAKE GOOD ON A JANUARY PROMISE BY THEN-HOUSE MAJORITY LEADER ERIC CANTOR OF VIRGINIA TO DEVELOP AND VOTE ON A REPUBLICAN PLAN TO REPLACE THE PRESIDENT'S SIGNATURE LEGISLATIVE ACCOMPLISHMENT.

      The No. 2 Republican, who was defeated in a May primary, was hopeful he could find consensus among his fractious rank and file. House Speaker John A. Boehner of Ohio insisted those discussions continue, though an alternate plan is "not there yet."

      Instead, Republican leaders voted last week to initiate a lawsuit against Obama — ironically for failing to fully implement the health law they want to repeal. Boehner says the suit will focus on Obama's executive decision to delay for about one year an implementation deadline set under the law.

      But SOME DEMOCRATS INSIST THAT PUBLIC APPROVAL FOR OBAMACARE IS GROWING, AND SOME CANDIDATES HAVE EVEN BEGUN TO TOUT THE LAW. A CAMPAIGN AD FROM A "SUPER PAC" SUPPORTING ALASKA SEN. MARK BEGICH FEATURED A CANCER SURVIVOR THANKING HIM FOR MAKING SURE SHE COULD GET INSURANCE. "HE FOUGHT THE INSURANCE COMPANIES, SO THAT WE NO LONGER HAVE TO," THE WOMAN, LISA KELLER, SAYS IN THE SPOT.

      "I THINK THAT THIS HAS LARGELY BEEN REMOVED AS A POLITICAL ISSUE, AND I THINK THAT'S WHY REPUBLICANS ARE SCRAMBLING TO FIGURE OUT AN ALTERNATIVE WEDGE ISSUE FOR THE FALL, WHETHER IT BE [THE 2012 TERRORIST ATTACK IN] BENGHAZI OR THE VA," SAID SEN. CHRISTOPHER S. MURPHY (D-CONN.), WHO HAS LED AN EFFORT IN THE SENATE TO PROMOTE THE LAW'S BENEFITS. "I THINK IT'S REMARKABLE THAT ALL OF OUR INCUMBENTS ARE RUNNING TOWARD, NOT AWAY FROM, THE AFFORDABLE CARE ACT." ….

      Sentiment: Strong Buy

    • STUDY: STATES EMBRACING OBAMACARE SEE BIGGEST DROPS IN UNINSURED

      By STEPHANIE ARMOUR | Wall Street Journal | 8/5/2014

      Some STATES THAT EXPANDED MEDICAID UNDER THE AFFORDABLE CARE ACT AND SET UP ALL OR PART OF THEIR OWN INSURANCE EXCHANGES HAVE SEEN A MARKED DROP IN THE NUMBER OF UNINSURED ADULTS.

      THE UNINSURED RATES IN STATES THAT OPTED TO EXPAND MEDICAID, A HEALTH PROGRAM PRIMARILY FOR LOW-INCOME RESIDENTS, AND SET UP THEIR OWN EXCHANGES DECLINED MORE IN THE FIRST HALF OF 2014 THAN IN THE STATES THAT DIDN’T TAKE THAT APPROACH, according to a study released Tuesday by Gallup. The survey was based on a random sample of adults through June 30.

      Arkansas saw the percentage of uninsured drop from 22.5% in 2013 to 12.4% through midyear 2014, according to the survey. Kentucky followed, with its percentage of uninsured dropping from 20.4% to 11.9% during the same time span.

      The other states with the largest drop in the percentage of uninsured were Delaware, Washington, Colorado, West Virginia, Oregon, California, New Mexico and Connecticut.

      A Supreme Court ruling on the health law let states opt out of the Medicaid expansion. Twenty one states opted not to move forward with expanding the health program, according to the Kaiser Family Foundation.

      THE UNINSURED RATE DECLINED 4 POINTS IN THE 21 STATES THAT EXPANDED MEDICAID AND SET UP THEIR OWN EXCHANGE, COMPARED WITH A 2.2-POINT DROP ACROSS THE 29 STATES THAT IMPLEMENTED ONLY ONE OR NEITHER OF THOSE STEPS, ACCORDING TO THE SURVEY. States that expanded Medicaid and set up their own exchanges had a lower uninsured rate to begin with.

      NATIONALLY, 17.3% OF U.S. ADULTS REPORTED BEING WITHOUT HEALTH INSURANCE IN 2013, A RATE THAT HAD SLOWLY INCREASED FROM 14.8% IN 2008. THE UNINSURED RATE PEAKED AT 18% IN THE THIRD QUARTER OF 2013 AND HAS SINCE DECLINED TO 13.4% IN THE SECOND QUARTER OF 2014, THE LOWEST QUARTERLY RATE IN MORE THAN SIX YEARS, ACCORDING TO THE STUDY.

      Results of the study are based on interviews conducted Jan. 2 to Dec. 29, 2013 with 178,068 adults, and then interviews with 88,678 adults Jan. 2 to June 30, 2014. According to Gallup, the margins of error for most states were around plus-or-minus one to two percentage points, but ranged up to plus-or-minus five points for the smallest states in the 2014 data.

      Sentiment: Strong Buy

    • teachers are starting back to work and are in shock to find out the cost of obamacare. they though it would be cheaper. have a family member in this profession and she cant believe obama lied to her. its going to be ugly for democrats in November.

      • 3 Replies to aceofbasefanatic
      • OBAMACARE'S NEWLY INSURED BOOST HOSPITAL PROFITS

        By Elliot Jager | Newsmax | 05 Aug 2014

        Hospitals are profiting from additional business resulting from the Affordable Care Act while employers and insurers are being hit by additional costs, The Wall Street Journal reported.

        PREVIOUSLY UNINSURED PATIENTS ARE MAKING MORE VISITS TO EMERGENCY ROOMS, SEEKING MATERNITY CARE AND HAVING LONG-POSTPONED OPERATIONS.

        ONE COMPANY ATTRIBUTED A THIRD TO ONE-HALF OF ITS PROFIT GAINS TO OBAMACARE, THE REST TO OTHER FACTORS INCLUDING MORE PEOPLE ENTERING THE JOB MARKET, THE JOURNAL REPORTED.

        HOSPITAL COMPANIES REPORT PATIENT VOLUME UP, UNINSURED ADMISSIONS DOWN, AND OVERALL PROFITS RISING.

        HCA HOLDINGS INC., THE LARGEST PUBLICLY TRADED HOSPITAL COMPANY, SAID ITS SECOND-QUARTER REVENUE ROSE 9.2 PERCENT, THE JOURNAL REPORTED.

        Other winners include companies that supply hospitals. ...

        Sentiment: Strong Buy

      • OBAMACARE: DESPITE YOU, IT'S WORKING

        Apparently Pennsylvania is going to have to wait for the next governor to join an American revolution in health coverage

        Philidelphia Daily News | AUGUST 5, 2014

        WASHINGTON, D.C. -- Arkansas and Kentucky lead all other states in the sharpest reductions in their uninsured rate among adult residents since the healthcare law's requirement to have insurance took effect at the beginning of the year. Delaware, Washington, and Colorado round out the top five. All 10 states that report the largest declines in uninsured rates expanded Medicaid and established a state-based marketplace exchange or state-federal partnership.

        OF COURSE, PENNSYLVANIA UNDER CORBETT DID NOT DO EITHER OF THOSE THINGS, SO NOW, FOR THE FIRST TIME IN MY ADULT LIFE, WE GET TO BE ENVIOUS OF DELAWARE. HERE'S MORE FROM GALLUP:

        As Gallup previously reported, the states that chose to expand Medicaid and set up their own health exchanges had a lower uninsured rate to begin with: 16.1% compared with 18.7% for the remaining states -- a difference of 2.6 percentage points. The already notable gap between the two groups of states widened through the first quarter to 4.3 points, as states that have implemented these core mechanisms of the Affordable Care Act reduced their uninsured rates three times more than states that did not implement these core mechanisms.

        IN PENNSYLVANIA, THAT GAP AMOUNTS TO HUNDREDS OF THOUSANDS OF PEOPLE -- MEMBERS OF OUR COMMUNITY WHO AREN'T GETTING THE MEDICAL CARE THEY NEED OR WHO CAN'T SLEEP AT NIGHT BECAUSE OF FEAR OVER MEDICAL BANKRUPTCY. CORBETT COULD HAVE IMPROVED THEIR LIVES WITH THE STROKE OF A PEN, BUT IT WAS MORE IMPORTANT TO MAKE SURE HE DIDN'T HAVE A TEA PARTY PRIMARY CHALLENGER, I GUESS.

        I'M FASCINATED TO SEE HOW THE GOP STRATEGY OF RUNNING AGAINST OBAMACARE THIS FALL WILL WORK OUT FOR THEM. WHERE'S THE BEEF? MILLIONS OF THE UNINSURED ARE COVERED. PREMIUMS DID NOT RISE FOR EVERYONE ELSE. YEAH, THE WEBSITE DIDN'T WORK...AT FIRST. THAT'S LIKE SAYING THE 2004 WORLD CHAMPION BOSTON RED SOX STINK BECAUSE THEY LOST THE FIRST THREE GAMES OF THAT SERIES TO THE YANKEES. WE'RE BASICALLY DOWN TO PEOPLE HATING ON "OBAMACARE" BECAUSE THEY CAN'T STAND "OBAMA"...

        Maybe that will be enough.

        Sentiment: Strong Buy

      • Where in this great country do teachers have to get their own health insurance? What does she teach, Auto Mechanics? haha

    • If you have to get Insurance through the ACA website, you pick your plan, you pick your Insurance company, you check to see if your doctors are in the network. It's like an HMO. If you can only afford a cheap plan you just have to look harder for a Doc in your network. It's better than nothing. Don't try to bury Obamacare yet. Doctors and Insurance companies go hand in hand to pick your pocket and believe me they will continue to do so while complaining the whole time.

 
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