Catastrophic medical insurance

[Supposn]

Medicare's contracted rates do not pay providers fairly for their services. If a doctor had to rely solely on Medicare payments, they would be out of business.

Trump Diva, when medical service or product providers accept a Medicare patient and payment from Medicare, they’ve agreed to accept Medicare’s price schedules as the full prices. No one is required to accept Medicare patients, (beyond whatever legal and/or professional duties are required of them).

Respectfully, Supposn

 

[Supposn]

That's an idea I never heard before. Sounds good to me. Who came up with that?

Aloysious, the concepts of high-deductible insurance policies or insurers contracting with re-insurers or insurance “pools” to “lay off” a proportion of their risks they cannot financially “cover”, are familiar concepts within the insurance industry. "Bookies" do it when they're hollding too much bets on a long-shot.

Respectfully, Supposn

 

[Life is Golden]

Aloysious, the concepts of high-deductible insurance policies or insurers contracting with re-insurers or insurance “pools” to “lay off” a proportion of their risks they cannot financially “cover”, are familiar concepts within the insurance industry. "Bookies" do it when they're hollding too much bets on a long-shot.

Respectfully, Supposn

Can you state in a sentence or two what you are proposing? I'm not clear on it.

 

[Supposn]

Catastrophic annual medical expenses on behalf of individual insured patients is unusually much greater expense on behalf of an individual, that exceed what’s more generally required for other patients’ annual care; (i.e. far exceeds what an insurer expects to generally pay within a year on behalf of an individual patient).

Prohibiting or otherwise effectively denying insurers the right to refuse higher-risk applicants with undesirable medical conditions, significantly increases the financial risks, the expected costs, and consequentially the prices of those insurance plans.

Individuals’ catastrophic medical expenses per capita are expected to occur more frequently among those with prior undesirable medical conditions when they applied for medical insurance.

Federal insurance of catastrophic medical expenditures on behalf of all patients that’s not a cost to their insurers, would significantly increase the affordability and sustainability of ANY medical insurance plan and it would particularly reduce the increased costs and prices due to any pre-existing medical conditions of those persons insured.

Respectfully, Supposn

 

[Supposn]

Can you state in a sentence or two what you are proposing? I'm not clear on it.

Trump Diva, sorry, not in two sentences.

It’s proposed when a patient’s annual medical expenditures reach the “catastrophic amount”, the federal government should assume the medical insurance of that patient for no less than that day, the previous 365 days and the following 365 days. Federal assumption of the patients’ medical expenses shall continue beyond that until the medical expenditures on behalf of the patient do not exceed 15% of the catastrophic amount within a 365 days duration.

Catastrophic medical insurance should be patient’s entitlement regardless if the patient, (who’s a legal USA resident), was or was not previously insured.
The legally defined “catastrophic amount” should be annually adjusted to retain its purchasing power. Medicare is an example of price schedules for authorized medical goods and services.

Respectfully, Supposn

 

[Supposn]

I originally posted this topic last year within a different group. The link from which I quote is from a NY Times article dated July 3, 2018 and was linked the next day within an MSN web site. The article's title is entitled “Obamacare Is Proving Hard to Kill”, by Reed Abelson.
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Originally Posted by Supposn
Individuals’ Catastrophic Medical costs:

Federal insurance for catastrophic medical costs on behalf of individuals:

Excerpted from Congressman Paul Ryan’s website. He forwarded a transcript concerning his positions of regarding USA’s healthcare policies; Racine [WI] Journal News, Mark Schaaf, July 7, 20217.
“Republicans have proposed the federal and state governments subsidize the cost of care for people in the individual market with catastrophic illnesses, Ryan said. He believes that will make it easier to insure people in those high-risk pools at a more affordable price”.

Paul Ryan’s advocating federal insuring catastrophic medical costs of individuals. That’s a concept that both sides of the political aisle could agree upon.
I’m a proponent for federal acceptance of fiscal responsibility for catastrophic medical condition regardless if patients were or were not previously insured. Hospitals must be reimbursed for those extraordinary expenditures.
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Excerpted from:
https://www.nytimes.com/2018/07/03/health/obamacare-insurance-rates.html
https://www.msn.com/en-us/news/us/ob...cid=spartanntp

“...In Minnesota, which created a reinsurance program to help pay for customers’ expensive medical conditions, carriers are actually seeking lower premiums. A midlevel policy in Minneapolis is priced at $302 a month. ...”.

 

[Gonzomin]

Complete crock of shit

First of all, the purpose of Medicare Advantage is because your vaunted Medicare doesn't cover everything. It has holes. People pay for Medicare D
Advantage out of their own pockets.

Your entire thesis falls apart because you began with a flawed premise


Sent from my iPad using Tapatalk

Hole? Medicare pays 80 percent, just like it always has.

 

[Supposn]

Medicare's contracted rates do not pay providers fairly for their services. If a doctor had to rely solely on Medicare payments, they would be out of business.

Life is Golden, Medical services providers are not required, they chose to accept Medicare patients and agreed to accept Medicare’s rates. They are free to opt out of the system whenever they choose to do so. Apparently, it’s to their perceived advantages not to do so.

Respectfully, Supposn