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Thread: U.S. companies hoard record amount of cash

  1. #391
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by finebead View Post
    He didn't rob anything, he will demand that hospitals become more efficient and stop "ripping off" the taxpayer by abusing the medicare system. Do you think Medicare is administered in the most efficient way? Of course not, doctors and hospitals order tests so they can keep their test facilities utilization up, despite its impact on our national debt. Some of them are nothing more than thieves. They are enriching themselves while sinking the nation, I have seen it with my own parents care, and many others have their own stories of waste in medicare. This must be eradicated.

    Obamacare envisions the move from "fee for service" which allows the rip offs, to outcome based or "value based" payments. You will get a set amount of money to treat a condition. You can run all the tests you think you need, but you are whittling down your own profits. Do you think testing will go down? You bet.

    Cleveland Clinic has been working on this for years now and they are recognized for their innovation and effectiveness in treating patients at a low cost level. It CAN be done. The hospitals need to innovate, and they won't without the financial incentive.

    Dr. Cosgrove runs Cleveland Clinic:
    Translation: Doctors and hospitals who treat medicare patients will now be re-imbursed at a rate less then it actually costs to treat them. Efficiency does not have a damn thing to do with it.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by ObamacareFail View Post
    Translation: Doctors and hospitals who treat medicare patients will now be re-imbursed at a rate less then it actually costs to treat them. Efficiency does not have a damn thing to do with it.
    So you think every doctor and provider taking care of seniors on medicare is totally honest and does not run unnecessary tests nor perform inadvisable procedures?

    In my own family, I have seen this waste. My father had pneumonia and recovered. He went home and was on oxygen. The dr. told him to try and decrease the time spent on oxygen per day in order to return to a normal life. Dad did that, then he called the home oxygen people to come pick up their equipment. A few weeks later he called again and was told "Why worry about it, its not costing you anything." They came and picked up the equipment 2 months after the first phone call.

    My aunt was in the hospital dying from congestive heart failure, she was in a coma. My mother was acting as her guardian and authorizing the care. The dr. told my mother my aunt needed a tracheotomy, my mother took the dr. at his word, the procedure was done, and my aunt expired 2 days later. Totally unnecessary, just padding the bill.

    I know everyone else has multiple stories. We must stop the waste. Cleveland Clinic shows that it can be done. We may not like everything about it, but we MUST find a healthcare system that is effective, and that we can AFFORD! Otherwise medicare and medicaid will break the nation. Why do you want to just keep throwing money at the problem in the same old failed manner that we have been (failed in the sense that the growth rate of expenses will break the nation)?

  3. #393
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by finebead View Post
    So you think every doctor and provider taking care of seniors on medicare is totally honest and does not run unnecessary tests nor perform inadvisable procedures?

    In my own family, I have seen this waste. My father had pneumonia and recovered. He went home and was on oxygen. The dr. told him to try and decrease the time spent on oxygen per day in order to return to a normal life. Dad did that, then he called the home oxygen people to come pick up their equipment. A few weeks later he called again and was told "Why worry about it, its not costing you anything." They came and picked up the equipment 2 months after the first phone call.

    My aunt was in the hospital dying from congestive heart failure, she was in a coma. My mother was acting as her guardian and authorizing the care. The dr. told my mother my aunt needed a tracheotomy, my mother took the dr. at his word, the procedure was done, and my aunt expired 2 days later. Totally unnecessary, just padding the bill.

    I know everyone else has multiple stories. We must stop the waste. Cleveland Clinic shows that it can be done. We may not like everything about it, but we MUST find a healthcare system that is effective, and that we can AFFORD! Otherwise medicare and medicaid will break the nation. Why do you want to just keep throwing money at the problem in the same old failed manner that we have been (failed in the sense that the growth rate of expenses will break the nation)?
    That's not what we were given.

    In fact the Democrats and the Obama administration pulled the largest Bait and switch scam in American.

    A scam that would have wound up at the center of a major Federal Trade Commission investigation if it was done by a private insurance company.

    Obama and the Democrats had NO idea what was going to " affordable " and what wasnt and by accounts should have known that they're product wasn't going to live up to their claims.

    Now, thanks to a bunch of dishonest Politicians the American consumer is mandated to purchase a product and their is absolutely no recourse for the consumer if that product continues to increase in price.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Fenton View Post
    That's not what we were given.

    In fact the Democrats and the Obama administration pulled the largest Bait and switch scam in American.

    A scam that would have wound up at the center of a major Federal Trade Commission investigation if it was done by a private insurance company.

    Obama and the Democrats had NO idea what was going to " affordable " and what wasnt and by accounts should have known that they're product wasn't going to live up to their claims.

    Now, thanks to a bunch of dishonest Politicians the American consumer is mandated to purchase a product and their is absolutely no recourse for the consumer if that product continues to increase in price.
    The point here is about medicare moving to outcome based reimbursement instead of fee for service, which is a component of the ACA (see post 389). It is being implemented with bipartisan support in the House, see post 390. It is designed to reduce cost without downgrading care. Cleveland Clinic is working toward this goal and is succeeding. The inflation in health care must be slowed or medicare/medicaid will break the country. I think this is a good move to bring us a healthcare system we can afford, and one that is still effective.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by CanadaJohn View Post
    Considering the employer mandate for the ACA is still in limbo and the Republicans have taken over Congress and may take over the White House in a couple of years, it's not surprising that businesses would hold onto their liquid assets until they see how these things shake out.
    However the democrats are still doing the "Bagdad Bob" act. Obamacare has led them to losing control of the house of reps and the senate, the majority of state governships, the majority of state legislatures, they have lost the gerrymandering advantage, yet their thoughts are:

    All is well here...Hillary will be coronated, and will only have to run against Jeb Bush, and Obama is handing out amnesty to illegal immigrants like candy, and that will cause a change in demographics that will put us back in power forever

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Dragonfly View Post
    1) one time bonuses for employees
    2) cut prices and see if sales increase and even more profits are made
    3) give out raises
    4) provide more benefits to employees
    5) provide an actual and HONEST cost of living increase to employees
    6) close down the business after no longer making a profit.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by finebead View Post
    So you think every doctor and provider taking care of seniors on medicare is totally honest and does not run unnecessary tests nor perform inadvisable procedures?

    In my own family, I have seen this waste. My father had pneumonia and recovered. He went home and was on oxygen. The dr. told him to try and decrease the time spent on oxygen per day in order to return to a normal life. Dad did that, then he called the home oxygen people to come pick up their equipment. A few weeks later he called again and was told "Why worry about it, its not costing you anything." They came and picked up the equipment 2 months after the first phone call.

    My aunt was in the hospital dying from congestive heart failure, she was in a coma. My mother was acting as her guardian and authorizing the care. The dr. told my mother my aunt needed a tracheotomy, my mother took the dr. at his word, the procedure was done, and my aunt expired 2 days later. Totally unnecessary, just padding the bill.

    I know everyone else has multiple stories. We must stop the waste. Cleveland Clinic shows that it can be done. We may not like everything about it, but we MUST find a healthcare system that is effective, and that we can AFFORD! Otherwise medicare and medicaid will break the nation. Why do you want to just keep throwing money at the problem in the same old failed manner that we have been (failed in the sense that the growth rate of expenses will break the nation)?
    Nice try, however, it is also a pathetic attempt at deflection. I am talking about the government reimbursing legitimate costs for treating medicare patients. You are bringing up examples of medicare fraud. The government does go after medicare fraud. If you had personal experience with such, you should have reported it. Reimbursing doctors who treat medicare patients at a rate less then it costs to treat them is a new concept. It is a result of the Obama Administration pulling half a trillion in funding from medicare to help finance obamacare. Do stay focused.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Helix View Post
    yeah, like maybe give workers some job security and slightly higher wages.
    A bit less possible. post obamacare.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by ObamacareFail View Post
    Translation: Doctors and hospitals who treat medicare patients will now be re-imbursed at a rate less then it actually costs to treat them. Efficiency does not have a damn thing to do with it.
    It has been that way for a long time. Each year congress passes a separate law that reimburses the docs and hospitals beyond the medicare reimbursements. The only reason I imagine they do it is to keep the medicare program from seeming as financially troubled as it really is. I've discussed this with a couple of my doctors. That is what they believe is going on. They view it as a pain in the rear end but they do get at least reasonably reimbursed in the end.

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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by finebead View Post
    The point here is about medicare moving to outcome based reimbursement instead of fee for service, which is a component of the ACA (see post 389). It is being implemented with bipartisan support in the House, see post 390. It is designed to reduce cost without downgrading care. Cleveland Clinic is working toward this goal and is succeeding. The inflation in health care must be slowed or medicare/medicaid will break the country. I think this is a good move to bring us a healthcare system we can afford, and one that is still effective.
    We are not just talking about big corporate hospitals like the Cleveland Clinic, Sport. Most medicare patients don't go there. We are talking about the average medicare patient who makes a routine appointment with an average doctor who treats medicare patients usually at his own practice. He/she is now being reimbursed at a rate less then it costs to actually treat them. He/she is billing for service provided and cannot wait around for "outcome based reimbursement". He has to pay the light bill, business taxes, nurses, rent, supplies, etc. The result is that a significant number of doctors are now foregoing taking on new medicare patients. This is quickly leading to a shortage of medicare doctors.

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