If there is any truth to this at all, it is the scariest thing I have yet heard about Obamacare

[Ought Six]

You Tube

[sandyd]

There are already weird things insurance companies do that make the hospital keep the patient but not pay for it...sometimes documenting a 'variance' of why the person wasn't discharged when the flow sheet expected will get some of the care paid for.

Be nice if that was mentioned so you all understand the crazy stuff already in place.

[leistb]

Originally Posted by Ought Six

If there is any truth to this at all, it is the scariest thing I have yet heard about Obamacare

It is indeed true. The fact that these panels were part of the stimulus bill has been mentioned on numerous threads in this forum. They're who Palin references in her (in)famous death panel remarks.

Again, nobody with voting power bothered to read either bill and have doomed us to a terrific mess. Power and control -never about care and compassion. After listening to his recounting of the fines involved, I'm surprised the 46% number of physicians leaving the profession is so low.

[Ought Six]

I think most people knew there would be panels that decided what procedures were covered and what ones were not in the basic plan. But fedgov bureaucrats dictating precisely what procedures the doctor must follow on a per-patient basis in realtime has, as far as I remember, never been discussed here before.

[leistb]

Originally Posted by Ought Six

I think most people knew there would be panels that decided what procedures were covered and what ones were not in the basic plan. But fedgov bureaucrats dictating precisely what procedures the doctor must follow on a per-patient basis in realtime has, as far as I remember, never been discussed here before.

The funding for the conversion of medical records (funded in the stimulus bill) to electronic format was precisely what this was for.

It may not have been discussed here before. I'm getting older and who the hell knows what I've read and where I've read it?

[sandyd]

After listening to his recounting of the fines involved, I'm surprised the 46% number of physicians leaving the profession is so low.

If the fines are actually real and apply, it will be 100%. I would bet it won't happen.

I hope they can do it per-patient and not across the board. Right now, when they set expectations of how care goes, do to anything different and get paid requires paperwork to explain the variance. Then they have the option to not pay for what you needed and usually got (cuz how do we not do what needs to be done once you are in a hospital?)....

Did you know when you got in for a surgery, they approve a certain number of days in the hospital and if you are there longer, for any reason, the hospital may not be paid?

Doing it per-patient might actually mean they say "Okay, do the heart surgery" on the diabetic and they know and approve the length of stay you end up needing....rather than basing the length on some avg that does not take other health factors into the decision.

Hopefully, the gov itself will put on training to let docs and hospitals know what's what and then as it is applied, people will figure it out and even work to change anything too wrong with it.

I hate to tell you all but it wasn't perfect before.

[Ought Six]

lb:

"I'm getting older and who the hell knows what I've read and where I've read it?"

You are not alone.