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

  1. #411
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Greenbeard View Post
    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:


    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 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.



    man o man you have a lot of cool aid in you....

    When discussing Obamacare it is important to ignore anything the government says about it, it was after all crafted in "tortured language" to deliberately deceive "stupid voters", the CBO, and the Supreme court.
    '
    Looks like you are one of them and I doubt you are a Supreme court justice
    "Small people talk about people, average people talk about events, great people talk about ideas" Eleanor Roosevelt

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

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


    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.


    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...
    I would prefer that the government would reimburse me for every dollar plus interest that I was forced to pay into medicare...and I would opt out of signing up for it. It is just another government program that has been a failure from the start. Since that is not going to happen, I prefer that the government does not run doctors out of the medicare system as they are doing now. I am not impressed with:

    "The legislation gives physicians a 0.5 percent bump each year through 2019. After that, payment rates would remain flat through 2025."

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

    Quote Originally Posted by finebead View Post
    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.


    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?
    And there ladies and gentlemen we have the dirty little dark sercret of Obamacare. From the beginning health economists have been saying Obamacare is not sustainable, and that costs were bound to rise dramatically when it was implemented, growing over a five to seven year period after introduction.

    Obama has to bring those costs down, "efficiencies" in service will be the fist target, and small, independent clinics will be hit first.

    Prepare for more legislative arm twisting as your government determines what is adequate treatment. This is just the beginning.

    We have been through this.......
    "Small people talk about people, average people talk about events, great people talk about ideas" Eleanor Roosevelt

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

    Quote Originally Posted by ObamacareFail View Post
    I would prefer that the government would reimburse me for every dollar plus interest that I was forced to pay into medicare...and I would opt out of signing up for it. It is just another government program that has been a failure from the start. Since that is not going to happen, I prefer that the government does not run doctors out of the medicare system as they are doing now. I am not impressed with:

    "The legislation gives physicians a 0.5 percent bump each year through 2019. After that, payment rates would remain flat through 2025."
    If the reimbursement gets too low, congress will enact a new "doc fix". They have done it every year, now we won't have to do a 21% increase over the legal rate to keep them in every year.

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    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.


    Wow...

    After watching and listening for six years I find that post remarkable in it's level of self denial and "Bagdad Bob" propaganda.

    From here, smugly entrenched in one of the best health care systems in the world, every prediction the "right" has made about this dog's breakfast has been true.

    Every claim, every one, made by its proponents must be weighed through a sieve if five things: "you can keep your plan", it was deliberately written in"tortured language", is designed to fool the "stupid voter" and it had to be amended 22 times before being implemented AND it had to be held back until AFTER the election or Obama would not be a two term disaster.

    So "fake" disaster is an outright lie.

    It also has to be weighed against the fact Republicans have been saying much the same thing Canadian health economists, who clearly know a **** load more than Obama's people, and those Canadian health economics tend to be socialists.

    In the end, what is being imagined is not the horror of having the worst health care plan on the planet, nor the rising costs that have yet to even impact, but rather that everything is fine, the emperor has clothes and a conscience and an iota of honesty.

    When most of the word, left AND right, is on the same page and you are not, it's technicolor dream time.
    "Small people talk about people, average people talk about events, great people talk about ideas" Eleanor Roosevelt

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

    Quote Originally Posted by ObamacareFail View Post
    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
    I hope for America's sake they keep thinking that way. Hillary is quite beatable and very damaged. Get her in a one-on-one with Jeb Bush and she'll be toast.
    A Canadian conservative is one who believes in limited government and that the government should stay out of our wallets and out of our bedrooms.

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

    Quote Originally Posted by Fearandloathing View Post
    And there ladies and gentlemen we have the dirty little dark sercret of Obamacare. From the beginning health economists have been saying Obamacare is not sustainable, and that costs were bound to rise dramatically when it was implemented, growing over a five to seven year period after introduction.

    Obama has to bring those costs down, "efficiencies" in service will be the fist target, and small, independent clinics will be hit first.

    Prepare for more legislative arm twisting as your government determines what is adequate treatment. This is just the beginning.

    We have been through this.......
    And your other plan was..........

    Everyone wants to cut govt. spending, just nobody wants the cut to affect THEM.

    Cleveland Clinic is leading the way in reorganizing how healthcare gets delivered, and it CAN be more efficient and still high quality.

    My high school friend who became an MD needed a heart valve repaired, he did his research and he chose Cleveland Clinic, flew from Louisiana and he was very happy with the outcome. Houston is closer and the medical center here has renowned heart specialists (Dr. Denton Cooley did the first heart transplant in the US at St. Luke's/Houston in 1968), but for quality and cost, he chose to go to CC. That says an awful lot to me.

  8. #418
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    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.
    Doctors and hospitals still have a steady revenue stream, they have a cashflow under value-based payment. But they're also incentivized to re-think the organization of care delivery, the appropriateness of the care setting, and focus on the longitudinal health of their patients (not just the immediate problem presenting on a given day). Because that kind of deliberate, long-term strategic thinking about the health of their patients becomes essential to their long-term revenue.

    Anyway, it isn't just Medicare--change is sweeping the industry. Looking just at accountable care organizations, they're blooming.

    More and more of them are forming all over the country:

    Total Public and Private Accountable Care Organizations, 2011 to January 2015


    More and more people are directly impacted by them (and millions more are indirectly):

    Number of ACO Covered Lives, 2011 to January 2015


    And more and more health insurers (beyond Medicare) are helping to support them:

    Number of Payers Participating in Accountable Care, 2011 to January 2015

  9. #419
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by Fearandloathing View Post
    man o man you have a lot of cool aid in you....

    When discussing Obamacare it is important to ignore anything the government says about it, it was after all crafted in "tortured language" to deliberately deceive "stupid voters", the CBO, and the Supreme court.
    '
    Looks like you are one of them and I doubt you are a Supreme court justice
    I don't know what this has to do with the post you quoted. Unless you're under the impression the AHA is "the government" and not a trade association representing the nation's hospitals.

    Regardless, the ongoing transformation of health care delivery is very real and readily apparent at this point. The shift toward smarter care is impacting the design of new hospital complexes, it's affecting the choices existing hospitals are making, and finally getting everyone rowing in the direction of better care and slower cost growth.

  10. #420
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    Re: U.S. companies hoard record amount of cash

    Quote Originally Posted by finebead View Post
    And your other plan was..........

    Everyone wants to cut govt. spending, just nobody wants the cut to affect THEM.

    Cleveland Clinic is leading the way in reorganizing how healthcare gets delivered, and it CAN be more efficient and still high quality.

    My high school friend who became an MD needed a heart valve repaired, he did his research and he chose Cleveland Clinic, flew from Louisiana and he was very happy with the outcome. Houston is closer and the medical center here has renowned heart specialists (Dr. Denton Cooley did the first heart transplant in the US at St. Luke's/Houston in 1968), but for quality and cost, he chose to go to CC. That says an awful lot to me.

    Why the **** would I have a plan for dog ****? I do not care about individual stories or petty complaints.

    Your "health plan" is garbage. These things you are now in hysteria about were forecast, we told you this would happen. I have posted hundreds of posts saying this very thing. if I knew, the dumb ****s you support who drafted this waste of pulp should have known and been honest about in the first place.

    Instead it was hidden, you were LIED TO, and now the government is trying to use back door regulations to patch work quilt a solution to a problem that is not solvable in that system.

    You have the worst system on the planet. Your "friend's" story is one of millions about to happen.



    Pay attention:

    You have been lied to.
    "Small people talk about people, average people talk about events, great people talk about ideas" Eleanor Roosevelt

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