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Thread: Patients Pay Before Seeing Doctor as Deductibles Spread

  1. #211
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Summerwind View Post
    Yeah, right... like they're all just one step away from razor thin margins. Hype much?
    A doctor who accepts medicare assignment and by Superfly's implications, charges all patients at the medicare rates is operating at razor thin margins.

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by reinoe View Post
    A doctor who accepts medicare assignment and by Superfly's implications, charges all patients at the medicare rates is operating at razor thin margins.
    Pfft.
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Gimmesometruth View Post
    The story goes that prior to Medicare, doctors drove Buicks. After Medicare, doctors drove Mercedes.
    Doesn't surprise me. Not enough oversight, and too easy to bilk agencies like Medicare and Medicaid. There's honestly not enough oversight in the medical industry at all. I'm sorry, but do people really think it costs $800 for an aspirin? That is ridiculous. Reasons like that are why we are having to go to a universal health care system. Because the bastards have priced medical care out of the common person's hands. It's priced out of middle class hands, so of course it's going to be priced out of lower class.

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by reinoe View Post
    A doctor who accepts medicare assignment and by Superfly's implications, charges all patients at the medicare rates is operating at razor thin margins.
    I don't buy it. Sorry. Let's use this as an example. My primary doctor sees a patient every 15 minutes, for 8 hours a day. That's 32 patients a day. If she only saw Medicaid/Medicare/Tricare patients, at $115 a visit, she'd make $3,680 a day, or $110,400 a month, or $1.2 million a year. That's just for Medicaid/Medicare/Tricare. I'm certain she charges tiered rates for different insurances, cash pays, etc. Now I don't know what her office visit is, but my doctor before her charged $220 a visit in a tiny little hick town. I live in a coastal community where everything costs more, so who knows what she charges. But let's use my original amount. That's over a million dollars a year. Depending on what state you live in, your average medical malpractice rates are going to run you anywhere from $10,000 to $50,000 a year (unless you live in a really high cost state). She's still going to clear over $1.1 million a year. That's hardly a razor thin margin.
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Superfly View Post
    I don't buy it. Sorry. Let's use this as an example. My primary doctor sees a patient every 15 minutes, for 8 hours a day. That's 32 patients a day. If she only saw Medicaid/Medicare/Tricare patients, at $115 a visit, she'd make $3,680 a day, or $110,400 a month, or $1.2 million a year. That's just for Medicaid/Medicare/Tricare. I'm certain she charges tiered rates for different insurances, cash pays, etc. Now I don't know what her office visit is, but my doctor before her charged $220 a visit in a tiny little hick town. I live in a coastal community where everything costs more, so who knows what she charges. But let's use my original amount. That's over a million dollars a year. Depending on what state you live in, your average medical malpractice rates are going to run you anywhere from $10,000 to $50,000 a year (unless you live in a really high cost state). She's still going to clear over $1.1 million a year. That's hardly a razor thin margin.
    I think you're wrong there. I'm looking at one of my mom's Medicare Summaries. Her last visit with her primary care doctor? The doctor billed Medicare $129.00. This for a standard, established patient office visit. Medicare adjusted that amount down to $53.96 and paid $42.31. (Her supplement will pick up the difference of $11 and change.)

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by MaggieD View Post
    I think you're wrong there. I'm looking at one of my mom's Medicare Summaries. Her last visit with her primary care doctor? The doctor billed Medicare $129.00. This for a standard, established patient office visit. Medicare adjusted that amount down to $53.96 and paid $42.31. (Her supplement will pick up the difference of $11 and change.)
    Well that's still a lot of money, though. That's basically half the cost of the doctor bill that I talked about so that's still $600,000 a year. That's if they only charge $54 a visit, and that's not a lot. Like I said, my old family doctor in Alabama charged $220 a visit, but I don't know if that's regular insurance, cash price or government price.
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Superfly View Post
    Doesn't surprise me. Not enough oversight, and too easy to bilk agencies like Medicare and Medicaid. There's honestly not enough oversight in the medical industry at all. I'm sorry, but do people really think it costs $800 for an aspirin? That is ridiculous. Reasons like that are why we are having to go to a universal health care system. Because the bastards have priced medical care out of the common person's hands. It's priced out of middle class hands, so of course it's going to be priced out of lower class.

    You shouldn't have to be worried about losing your house just to have your appendix taken out.
    Um, you are conflating what hospitals charge with what doctors charge. The point of my comment was to emphasize that doctors complaints about not being paid enough when accepting Medicare/Medicaid payments is historically unfounded.
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Summerwind View Post
    He didn't say there were plans to change, he said his mom was forced to change. That statement is impossible to have anything to do with ACA. It's more drama hype from drama queens. Just pointing it out.
    It's pretty funny isn't it? This whole thread is about blaming every fault of our entire HC system on Obamacare and it hasn't even taken effect yet.

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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Superfly View Post
    Well that's still a lot of money, though. That's basically half the cost of the doctor bill that I talked about so that's still $600,000 a year. That's if they only charge $54 a visit, and that's not a lot. Like I said, my old family doctor in Alabama charged $220 a visit, but I don't know if that's regular insurance, cash price or government price.
    That could be what he billed to the insurance company. The way the game works is this: If the visit actually cost $54, then you bill four times what you expect to get, and then settle for a 25% payment. If you only bill $54, expecting to get the whole thing, then you'll only get $13 and change and go out of business. That's why health care providers need people who specialize in prying money out of the government and insurance companies.
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    Re: Patients Pay Before Seeing Doctor as Deductibles Spread

    Quote Originally Posted by Gimmesometruth View Post
    Um, you are conflating what hospitals charge with what doctors charge. The point of my comment was to emphasize that doctors complaints about not being paid enough when accepting Medicare/Medicaid payments is historically unfounded.
    I am agreeing with you. They make a lot of money off of Medicare/Medicaid. I just mentioned the $800 aspirin because the whole process is messed up. That's why the ACA was even needed. The whole system is broken.
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    After years of condemning Bill Clinton for being a rapist, Republicans apparently changed their minds about the whole thing and elected one of their own.
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    Fox News knows their audience. Nuance and facts aren't why they tune in.

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