Post Reply to Back Room

This is not a vent board or any other kind of therapy. Before you hit the POST button, ask yourself if your contribution will add to the level of discussion going on.

Important notes on articles:

Handle:
Password:
Subject:

Message:

HTTP Link (optional):

Poster's Email (optional):

 


Post being replied to

I'm 100% with you. Single payer is the only answer at this by dulac89

point

The insurance companies at this point are corrupt and beholden to profits. From a state legislative level, just when you think things they are telling the legislators and policies they are enacting could not get more comical, they do.

That being said, the health insurance companies are so ridiculously powerful at this point that I don't see any possible exit strategy. They own the legislators, they own state and federal regulatory agencies, and physicians are stuck holding the bag

We have an issue going on right now with CMS over Medicaid Managed Care reimbursements. In the past, when this particular policy was enacted in other states, within 12 months CMS shot it down (while the insurance companies pocketed the difference in the meantime). In Virginia, CMS approved it, despite federal law actually clarifying even more than before that it is illegal. Shortly after, that person left CMS for a lucrative job with Anthem. Her replacement...delayed review for a year, then took a lucrative job with the health plans. So for 2 year the health insurance companies are pocketing (through decreased reimbursements...this is above an beyond their normal profits) between $25 and $75 on nearly every patient that comes to an ER.