Page 41 of 49 FirstFirst ... 313940414243 ... LastLast
Results 401 to 410 of 490

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

  1. #401
    Global Moderator
    Moderator
    Helix's Avatar
    Join Date
    Jul 2011
    Last Seen
    Today @ 06:18 AM
    Gender
    Lean
    Independent
    Posts
    35,469

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

    Quote Originally Posted by ObamacareFail View Post
    A bit less possible. post obamacare.
    and before it. wage stagnation is nothing new.

    Productivity and wages.jpg

  2. #402
    Quantum sufficit

    Threegoofs's Avatar
    Join Date
    Mar 2013
    Location
    The birthplace of Italian Beef
    Last Seen
    Today @ 01:23 AM
    Gender
    Lean
    Undisclosed
    Posts
    25,276

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

    Quote Originally Posted by ObamacareFail View Post
    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.
    Just simply not true.

    At least in the real world we all live in, as opposed to the fake ACA disaster land you imagine yourself in.
    Many Trump supporters have lots of problems, and those deplorables are bringing those problems to us. They’re racists. They’re misogynists. They’re islamophobic. They're xenophobes and homophobes. And some, I assume, are good people.

  3. #403
    Sage

    Join Date
    Nov 2009
    Last Seen
    07-26-17 @ 08:41 AM
    Gender
    Lean
    Slightly Liberal
    Posts
    8,125

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

    Quote Originally Posted by Helix View Post
    and before it. wage stagnation is nothing new.

    Productivity and wages.jpg
    As Mark Twain said: There are lies, damned lies and then statistics.

    So we understand this meme about average hourly compensation. Have you ever actually thought about it for a second. Do you know a teacher, firefighter, union electrician, accountant working at the same job for 20 years to get no raises for 20 years.

    The truth of the matter the reality is that people who have had stable careers in just about anything fared much better than the above chart suggests.

    Then you have many displaced workers. Thanks to American greed we traded cheaper shirts and higher corporate profits for manufacturing jobs here.

    So we have an economy where most people are not effected by the above, while many are faring materially worse and wish they would have done as the chart suggests.

  4. #404
    Professor
    finebead's Avatar
    Join Date
    Dec 2009
    Location
    Houston
    Last Seen
    Yesterday @ 03:43 PM
    Gender
    Lean
    Independent
    Posts
    1,522

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

    Quote Originally Posted by ObamacareFail View Post
    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.
    In the financial crisis, were many of the actions taken by Wall ST. banks really fraudulent criminal acts, or were they just "mistakes in judgement"? Was it criminal or just dumb? Can it be PROVEN in a court of law that it was criminal?

    Similarly, was a test or procedure that was done "necessary" or just padding the bill? Is it fraud or just simple waste? Try to prove that in a court of law.

    Medicare spending, left unchecked and growing much faster than the general rate of inflation for decades, will break the nation. What is your other plan to bring spending in line with what the nation can afford?

    If the provider cannot treat the patient for the amount provided by medicare, maybe the problem is that the provider is inefficient and needs to change their process, like Cleveland Clinic has already done.

    While these retail clinics are generally working to successfully solve
    the value equation by providing cost-effective care for common conditions,
    some traditional, trailblazing provider organizations are working
    the other end of the spectrum. They are contracting with payers and
    employers to treat complex conditions for entire populations
    , sometimes
    without regard to the geographic location of patients.

    For example, the Cleveland Clinic has entered into a deal with
    Lowe’s® to treat all of its complex heart patients. By bundling all
    costs for the surgery under one negotiated price and offering expertise
    that lowers the odds of complications, Cleveland Clinic is able
    to deliver on the value-based promise: Better care at reduced costs.

    In fact, the provider is able to deliver a level of savings that makes it
    possible to cost-effectively fly patients, as well as family members,
    into Cleveland from locations across the country—instead of allowing
    a less experienced, and therefore less cost effective, local specialist
    to treat them.


    It’s a win-win-win for patients, employers and the hospital,” said
    Michael McMillan, Cleveland Clinic’s executive director of market and
    network services. “The patient has no out-of-pocket responsibility, employers
    have a better long-term financial result, and we get patients
    .”8
    Similarly, Wal-Mart® instituted a program that flies patients and family
    members to six premier providers
    , including the Cleveland Clinic,
    Virginia Mason Medical Center in Seattle, and Scott & White Memorial
    Hospital in Temple, Texas, for heart, spine, and transplant surgery.
    http://www.infor.com/content/whitepa...sed-world.pdf/

    It is not stealing. It is about incenting providers to change the way they operate, to lower cost and still deliver high quality care. Why do you think we should spend a half trillion dollars more than we need to in order to obtain quality health care when there is clearly a better way, shown by Cleveland Clinic, who apparently is taking business away from many local hospitals by being smarter, more aggressive in cutting cost, and by monitoring quality.

    I'm focused, and I'm the only one posting supporting documentation that demonstrates my position. You are merely stating personal opinions while wanting to hold onto the old system that will break the nation.

    Everyone says we need to cut govt. spending, why not do it where you can cut spending without cutting services, by becoming more efficient (and by the way, a huge bipartisan majority in the house has already voted to phase in value based pricing for medicare)?

    Or don't you agree that unchecked medicare growth will break the nation if costs are not brought under control?
    Last edited by finebead; 04-04-15 at 09:50 AM.

  5. #405
    Global Moderator
    Moderator
    Helix's Avatar
    Join Date
    Jul 2011
    Last Seen
    Today @ 06:18 AM
    Gender
    Lean
    Independent
    Posts
    35,469

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

    Quote Originally Posted by washunut View Post
    As Mark Twain said: There are lies, damned lies and then statistics.

    So we understand this meme about average hourly compensation. Have you ever actually thought about it for a second. Do you know a teacher, firefighter, union electrician, accountant working at the same job for 20 years to get no raises for 20 years.

    The truth of the matter the reality is that people who have had stable careers in just about anything fared much better than the above chart suggests.

    Then you have many displaced workers. Thanks to American greed we traded cheaper shirts and higher corporate profits for manufacturing jobs here.

    So we have an economy where most people are not effected by the above, while many are faring materially worse and wish they would have done as the chart suggests.
    if we want to go with anecdotal evidence, then no, i don't know too many people whose salaries have significantly outpaced inflation. before the union was gutted by the state government, my parents received good raises working as teachers, but that has been addressed in recent years by eliminating collective bargaining. construction in my state has a common wage that they are trying to repeal, as well. i work in biotech, and my own wage has kept up with inflation, but hasn't exceeded it by much. i'm currently searching for another job in my area that will hopefully give me better upward mobility.

  6. #406
    Sage

    Join Date
    Nov 2009
    Last Seen
    07-26-17 @ 08:41 AM
    Gender
    Lean
    Slightly Liberal
    Posts
    8,125

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

    Quote Originally Posted by Helix View Post
    if we want to go with anecdotal evidence, then no, i don't know too many people whose salaries have significantly outpaced inflation. before the union was gutted by the state government, my parents received good raises working as teachers, but that has been addressed in recent years by eliminating collective bargaining. construction in my state has a common wage that they are trying to repeal, as well. i work in biotech, and my own wage has kept up with inflation, but hasn't exceeded it by much. i'm currently searching for another job in my area that will hopefully give me better upward mobility.
    Is your chart inflation adjusted?

  7. #407
    Global Moderator
    Moderator
    Helix's Avatar
    Join Date
    Jul 2011
    Last Seen
    Today @ 06:18 AM
    Gender
    Lean
    Independent
    Posts
    35,469

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

    Quote Originally Posted by washunut View Post
    Is your chart inflation adjusted?
    here's a little more on this :

    For most workers, real wages have barely budged for decades | Pew Research Center

  8. #408
    Professor
    finebead's Avatar
    Join Date
    Dec 2009
    Location
    Houston
    Last Seen
    Yesterday @ 03:43 PM
    Gender
    Lean
    Independent
    Posts
    1,522

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

    Quote Originally Posted by ObamacareFail View Post
    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.
    I guess you don't read the documentation, but the "doc fix" is in the house bill, Sport. see post 390.

    The current “doc fix” patch, approved last March, expires at the end of the month. Without finalized congressional action, doctors will see a 21 percent drop in payments for Medicare patients beginning April 1.
    Bipartisan Medicare 'Doc Fix' Bill Passes in the House - US News

    And they are making the doc fix permanent.

    Obamacare does NOT STEAL money from medicare, it just slows its rate of growth, it is still projected to spend almost twice as much in 2020 as it did in 2009.

    The bill doesn't take money out of the current Medicare budget but, rather, it attempts to slow the program's future growth, curtailing just over $500 billion in anticipated spending increases over the next 10 years. Medicare spending will still increase, however. The nonpartisan Congressional Budget Office projects Medicare spending will reach $929 billion in 2020, up from $499 billion in actual spending in 2009.
    Did President Barack Obama "steal" $500 billion from Medicare? | PolitiFact

    But I guess that's not good enough for you, you'd prefer we spend even more in 2020, and increase the deficit even more. You're really making a pathetic conservative, just for the sake of trying to take a shot at Obama. I suppose hate has no limits for some...
    Last edited by finebead; 04-04-15 at 10:11 AM.

  9. #409
    Guru
    Greenbeard's Avatar
    Join Date
    Aug 2013
    Location
    Cambridge, MA
    Last Seen
    Today @ 03:57 AM
    Gender
    Lean
    Slightly Liberal
    Posts
    4,870

    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.
    Sounds like you're not quite getting the significance of what's going on right now. Value-based payment isn't some trick to get out of paying the tab, it's intended to fundamentally improve the way care itself is delivered. And the health sector is getting the message.

    Here's the American Hospital Association explaining how this change in payment approach demands a new, better approach to caring for patients:
    Myriad factors are driving hospitals and care systems to address the nonmedical determinants of population health. Most notably, the Affordable Care Act implicitly and explicitly promotes a population health management approach to care delivery. Not only does this legislation expand health insurance to a majority of the United States population, it compels hospitals to address the socioeconomic, behavioral and environmental factors that affect people before hospital admission and after discharge. The ACA is accelerating the shift of reimbursement models from fee-for-service to value-based, a structure that promotes better health outcomes, improved quality of care, illness prevention and coordination across the continuum of care. Care systems are now being held accountable for the health of their patient population and are responsible for implementing health improvement strategies to address community health needs. Adopting a population-based approach to care that encompasses the spectrum of determinants of health is essential for care systems to thrive in the ACA era.
    Just last week the LA Times took at look at the construction of one of the newest hospitals, asking "how do you build a hospital for the era of Obamacare?"

    The Affordable Care Act, passed in 2010, embraces the idea of reducing costly hospital visits by keeping people healthy, with checkups and inexpensive preventive treatments. Hospitals, according to this approach, should not be the centerpiece of a medical system, but rather the solution of last resort.
    Under changes outlined by the Affordable Care Act, hospitals and doctors' payments are based more on keeping patients healthy. For instance, providers are paid a lump sum to take care of a patient over a period of time, so they profit when they prevent patients from getting sick, avoiding expensive care.

    In a sign of the growing shift away from the traditional fee-for-service model, federal officials announced in January that Medicare, the government's biggest health insurance program, would handle half its payments based on quality of care by 2018.

    Ghaly views the MLK campus as a set of concentric circles, with the hospital in the center. The facilities around the hospital are buffers sparing people the experience of spending a night amid blood-filled tubes and beeping monitors.

    If you end up hospitalized, he says, "you have to be too sick for outpatient services, too sick for the preventative services, too sick for the community-based services."

    "We want the hospital to be ... high-quality, safe and patient-centered," he says. "But, truly, we want no one to go."
    The health system is becoming a system. And, surprise, it turns out getting people care in the most appropriate and cost-effective setting is both better for them and saves money.

  10. #410
    Sage

    ObamacareFail's Avatar
    Join Date
    Mar 2014
    Location
    Earth
    Last Seen
    Yesterday @ 08:38 PM
    Gender
    Lean
    Conservative
    Posts
    13,739

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

    Quote Originally Posted by Threegoofs View Post
    Just simply not true.

    At least in the real world we all live in, as opposed to the fake ACA disaster land you imagine yourself in.
    Denying all of the bad effects of obamacare into perpetuity is not going to make you or the democrat party come off as credible.

Page 41 of 49 FirstFirst ... 313940414243 ... LastLast

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •