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Medicare Beneficiary's Part of Waste, Fraud and Abuse
posted at August 21, 2012 9:46 AM EDT
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Posts: 1923
First: November 27, 2011 Last: May 18, 2013 |
From OMB 09/2011: The President’s Plan for Economic Growth and Deficit Reduction -Living Within Our Means and Investing in the Future "Reduce Medicare coverage of bad debts. For most eligible provider types, Medicare currently generally reimburses 70 percent of bad debts resulting from beneficiaries’ non-payment of deductibles and copayments after providers have made reasonable efforts to collect the unpaid amounts. Similar to the Fiscal Commission, this proposal will align Medicare policy more closely with private sector standards by reducing bad debt payments to 25 percent for all eligible providers over three years starting in 2013. This proposal will save approximately $20 billion over 10 years." Wonder if that means we will go after these beneficiaries for these bad debts that OUR Medicare benefits are paying for - the government goes after those who owe the government taxes, federal student loans, etc.- why not these? |
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Re: Medicare Beneficiary's Part of Waste, Fraud and Abuse
posted at August 24, 2012 8:59 AM EDT
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Posts: 12532
First: February 29, 2008 Last: May 17, 2013 |
So what exactly does the ACA do to Medicare spending? The ACA trims $428 billion in waste, fraud and abuse. No cuts to benefits, just increased efficiency and fraud protections, and Medicare Advantage payments to private insurance corporations are balanced out to the same levels as Medicare proper. The savings will add another 8-10 years of solvency to Medicare WITHOUT TOUCHING BENEFITS. ACCORDING TO THE CBO. That's all. Put another way, let's say you spend $100 on food today, and you plan to spend $200 on food tomorrow because you're having guests for dinner. In the interim, you opt to spend only $150 on food tomorrow because you clipped some coupons. You're still spending 50 percent more money tomorrow, so it's not a "cut" in spending. Instead, you've decided to simply save money that you didn't need to otherwise spend. Make sense? If so, explain it to your Republican friends because they don't seem to get it. The savings will add another 8-10 years of solvency to Medicare without touching benefits, while, according to the CBO, Medicare spending is expected to nearly double by 2020. Meanwhile, Medicare Advantage premiums are down and enrollment is up, according to HHS -- hardly indicative of a plan that's suffering due to the ACA. The Republicans, including Mitt Romney, are vocally against these obviously positive changes to the system, and they've vowed to repeal Obamacare and all of the Medicare provisions within, including the streamlined savings, the preventative care coverage, and they'll re-open the donut hole, leaving retirees with potentially thousands of dollars in out-of-pocket medical expenses every year. But if a would-be President Romney repealed Obamacare, the system would be insolvent by 2016 and he'd be forced to reduce spending on the program with likely cuts to benefits anyway. At the same time, the Romney camp is positioning itself as the true savior of the program -- a claim that's absurd on its face and exactly the opposite of their true intentions. |
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Re: Medicare Beneficiary's Part of Waste, Fraud and Abuse
posted at August 24, 2012 10:09 AM EDT
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Posts: 1923
First: November 27, 2011 Last: May 18, 2013 |
In Response to Re: Medicare Beneficiary's Part of Waste, Fraud and Abuse: So what exactly does the ACA do to Medicare spending? The ACA trims $428 billion in waste, fraud and abuse. No cuts to benefits, just increased efficiency and fraud protections, and Medicare Advantage payments to private insurance corporations are balanced out to the same levels as Medicare proper. If you think cuts to providers - doctors, specialist, hospitals, DME providers, nursing homes, is not going to affect beneficiaries - I have a bridge to sell you in the desert. Medical providers are going to be under great stress to keep down cost - that means really thinking about what test and procedures might be used to diagnosis, treat, cure, etc. Medicare Advantage providers continue to get bonuses for keeping down cost. A hord of baby boomers going onto Medicare everyday - and projected cost is going to be cut but we are giving even more benefits? Somehow that math just doesn't seem to work for me. The CBO has to work with statistical data where they factor in just what the law is suppose to do - with legislators doing their part of the equation too.. As with the SRG doc fix, you can't plan for the time when congress will have to make changes because Medicare has gone over the projected rise as a percentage of GDP (IPAB suggested remedies). What do they do? Recommend more cuts to the reimbusement rate? Pray tell what if it is an election year? We'll end up with a sequestration of Medicare cuts - cuts in what? Money - There is a direct correlation between Medicare money and beneficiaries. |