Thread: Obamacare Thread
12-06-2013, 03:16 PM
You can sign up but you can't pay. It's like picking out a new suit but you can't take it home due to the fact the store does not have a cash register!
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12-06-2013, 05:02 PM
- Join Date
- Jun 2008
Emails: Obama administration misled Congress, decided to delay website in August
The Obama administration knew in advance that Obamacare’s online small business (SHOP) exchanges would not be ready by deadline and agreed to delay part of the website as early as August, according to emails obtained by House Energy and Commerce Committee investigators.
The Committee accused Obama administration officials of misleading Congress about the website’s progress.
Centers for Medicare and Medicaid Services (CMS) officials and Obamacare website contractor CGI Federal secretly agreed that the SHOP program would have to be delayed more than a month before the administration told the American public that the program would still be ready on time.
CMS and CGI Federal agreed on August 13 that SHOP would not be ready and would have to be delayed until November 15. The administration then waited a month before announcing on September 26 that “The SHOP Marketplace for Federally-facilitated Marketplace states opens Oct. 1, 2013, when small employers can start the application process and get an overview of available plans and premiums in their area. All functions for SHOP will be available in November and if employers and employees enroll by Dec. 15, 2013, coverage will begin Jan. 1, 2014.”
The administration’s announcement came just one week before employers were set to begin using SHOP. On November 27, President Obama finally delayed the glitch-ridden SHOP exchanges by one year.
The emails paint a picture of an administration desperate to avoid public embarrassment and unwilling to delay launch deadlines, despite glaring flaws with the website.
“I’ve escalated your concerns regarding the SHOP Employee application not being completed until 10/15/13,” CMS official Jo-Ann Webber emailed on July 26, indicating that the administration knew that SHOP would not be completed until more than two weeks after its scheduled launch date.
“I am not recommending delay of the employer application” fellow CMS official Dean Mohs replied to Webber.
“Guys, this is absolutely urgent and I need an answer on this today. If this is late we have to public[ly] announce we are late with a deliverable which means Marilyn Tavenner and the Secretary will have to announce,” CMS official Monique Outerbridge said on August 6.
Nevertheless, CGI Federal presented its plan to roll out SHOP on deadline, and CMS official Henry Chao asked, “Can we sign this [plan] in blood?”
12-07-2013, 03:04 AM
- Join Date
- Jun 2008
You’re Too Old for MRI under Obama Care
...We arrived for our dual appointments - there was nobody in the waiting room so we waited just a few minutes before we were taken to the same examining room. The nurse came, very polite, took our information on her laptop and left, and we waited and waited. Finally, mom’s favorite smiling doctor showed up with his laptop in tow.
He told us his office was one hundred percent compliant with the ObamaCare electronic patient portals. We could not have cared less about his electronic compliance. Without touching her, he made mom walk back and forth to see what her right-leaning gait looked like. He determined that she needed a rolling walker because she probably had a mini stroke at some point when the gait commenced. He was not going to order an MRI because she is too old and ObamaCare will not approve payment.
He did not touch her on the previous visit either when she fell but had not broken anything; she was in severe pain and covered in ugly, deep bruises. He did not order any x-rays then because she did not seem to be in terrible pain, he said. Mom is stoic and put up a good front in the doctor’s office; she lingered in bed for three months, healing from the awful fall she took outside in the grass.
I complained of a terrible earache and a sinus infection. From three feet away, without touching me, he shined a flashlight into my throat, typed something into his laptop and told us that he will order our meds into the system which is connected directly to the pharmacy. We paid for the visit and drove to the nearest apothecary.
The prescriptions were not there just as I had feared. The doctor’s office had closed for the day and the pharmacist could not call to check where in cyberspace was the order trapped for meds that we both needed right away. On the positive side, at least the meds are available for now, rationing in pharmaceuticals has not begun yet...
...For people 65 and older, doctors who will accept Medicare and Medicaid will be harder to find and specialists even harder. These patients will be forced into a second class medical care akin to what I’ve witnessed growing up under socialist nationalized health care.
When more and more people will be forced into Medicaid and Medicare, costs will escalate and so will taxes to support care for 30 million more patients who were previously without insurance.
Because there are no eligibility requirements in place, Illegal aliens and those seeking asylum with a certain religious bent will receive free care ahead of the line based on age, increasing wait time and reducing the amount of money available for the treatment of American citizens.
The Independent Payment Advisory Board (IPAB) will have to cut costs by approving or disallowing medical services based on how expensive they are, the age of the patient, and utility to society. Rationing will become an important factor in the quality, quantity, and expedience of our medical care.
If IPAB denies treatment, there is no appeal because IPAB is only accountable to President Obama. The courts or Congress cannot override that decision. At least under private health care insurance, if you are denied treatment, you have an appeal process in place to defend your ability to have treatment paid by your insurance plan.
If Medicare denies medical care, the patient is not allowed to pay cash to a Medicare-contracted doctor, hospital, or other health provider. Under such circumstances, a patient can seek care from an independent doctor or hospitals, which are harder and harder to find, or look for treatment outside of the United States.
It is foreseeable that by 2015, most private plans will be gone, replaced by a single-payer IRS/HHS government-run insurance.
12-07-2013, 03:14 AM
- Join Date
- Jun 2008
Planned Parenthood Launches Door-to-Door ObamaCare Push
12-07-2013, 03:41 AM
Financial incentives were started a couple years ago by Medicare to encourage eRX usage by doctors. Less paper prescriptions, less chance of forgeries, alterations, photocopies and fraud. No need to decipher the doctor's handwriting. Some prescriptions are not allowed to be sent this way.
Of course the doctor's offices are still messing up the prescriptions with drugs and strengths that do not exist and unable to understand directions. Medical offices are always sending the scripts to the wrong pharmacy.
Don't ask me how I know, I just know.
Last edited by RobJohnson; 12-07-2013 at 03:46 AM.
12-08-2013, 12:54 AM
- Join Date
- Jun 2008
You know that "Cadillac Tax" on what used to be normal, good health insurance? The casualties are a-comin.
University must destroy health plans to stay compliant
The University of Minnesota had to make its healthcare plans worse in order to avoid Obamacare-related penalties.
The Affordable Care Act levels an excise tax on high-value health coverage plans, and UM would have to pay $48 million with its existing plans. Instead, the university is lowering the quality of its coverage.
“The Office of Human Resources announced in a July email that it was making changes to the UPlan, the employee healthcare program, including adding a deductible and increasing copays for primary and specialty care,” according to the Minnesota Daily. “The email said the cost increases were necessary to help the University avoid a $48 million excise tax in 2018.”
UM employees weren’t pleased with that deal, noted Campus Reform. But after UM offered a three percent salary increase, the union reluctantly agreed.
“This isn’t the deal the table committee wanted; it is better than what the University management committee had been proposing and better than what most other employee groups received,” said the union in a statement.
The deal has not yet been approved by UM’s Board of Regents, however.
UM did not immediately respond to a request for comment.
12-08-2013, 05:39 PM
- Join Date
- Jun 2008
December 6, 2013 12:00 AM
Obamacare’s Architects Are Plugging Their Ears
In 1970, the eccentric but insightful economist Albert Hirschman published a book called Exit, Voice, and Loyalty. It explored how people respond when a private firm’s or a government agency’s performance is deteriorating.
Some people choose to leave, buying another product or service or leaving the government’s jurisdiction. Others use their voice, complaining about defects or lobbying for change.
Hirschman tended to deplore exit and exalt voice, and urged firms and governments to nurture loyalty so consumers and citizens would stick around and improve things....
...Central to the goal of Obamacare’s architects — universal health insurance — was preventing the possibility of exit. Its individual mandate meant everyone had to sign up for insurance.
The Supreme Court created a big exit door when it ruled unconstitutional, by a 7–2 margin, Obamacare’s attempt to coerce states into expanding their Medicaid programs. Many states declined to make the change.
Obamacare’s proprietors have also punched big exit holes in its structure. The employer mandate was suspended for a year. Labor unions and other political cronies of the administration received waivers and exemptions.
And it’s not clear that even the supposedly fixed website will enable people to actually get health insurance. The part of the website that processes applications isn’t working correctly, and the part of the website that will process subsidy payments to insurers hasn’t even been built.
If Obamacare’s architects were keen on preventing exit, they blithely ignored voice. The legislation was unpopular when it was proposed, while it was passed, and in the months and years afterwards....
The architects of Obamacare also had to deal with loyalty.
Polls have consistently shown that about 80 percent of Americans are satisfied with their health insurance and doctors. They have chosen each at one point or another and were not eager to change absent some serious aggravation.
There was discontent in the late 1990s when health-maintenance organizations limited options. But the move for restrictive legislation — voice — fizzled when aggravated consumers switched to different policies — exit — while those satisfied with HMOs stuck with them — loyalty.
Recognizing this, President Obama assured Americans dozens of times that if they liked their insurance and their doctors they could keep them.
Unfortunately, that assurance was always intended to be false....
Obamacare’s architects worked stealthily to prevent exit from the kind of insurance policies they think people should have. The president’s credibility has been shredded and some serious liberals, such as the Brookings Institution’s William Galston, worry that big-government policies generally will be discredited......
12-08-2013, 06:09 PM
- Join Date
- Jun 2008
And from California, where the (working) website, Covered California, is giving out the personal information of all its browsers.....
Police state: County censors government employee who dares criticize Obamacare
A California county has banned a veteran employee from criticizing the Patient Protection and Affordable Care Act because a coworker who overheard the criticism was offended.
The employee is Norina Mooney, who has logged some 20 years of work experience with Santa Clara County, the epicenter of Silicon Valley.
According to Mooney’s attorneys with the Pacific Justice Institute, she made some water-cooler talk with a fellow employee about the high number people who have had their insurance policies canceled under Obamacare.
Later, a supervisor called Mooney into a private meeting and allegedly dressed her down for the attempt at chitchat because an unidentified person had overheard the small talk and been offended.
In the future, the supervisor said, Mooney must exit the government building should she have anything adverse about Obamacare or otherwise political to say.
Mooney’s attorneys noted that this edict is an odd one considering Mooney’s claim that the office environment is replete with pro-Obama paraphernalia. She noted that her coworkers openly wore Obama campaign attire to work at election time as well.
The longtime employee currently works for the child support enforcement division, which doesn’t involve the promotion or implementation of the controversial heath insurance legislation.
Pacific Justice Institute president Brad Dacus noted the obvious, numerous concerns with the way Mooney was treated.
“Just when we thought the disastrous ObamaCare rollout couldn’t get much worse, the county of Santa Clara is compounding those problems by claiming that criticism is off-limits,” Dacus said. “Liberals and conservatives alike should be able to agree that this type of censorship is chilling and unconstitutional.”
Mooney’s attorneys have sent a letter to Santa Clara County officials demanding answers and seeking an affirmation of public employees’ rights to comment on matters of public concern. Several weeks have passed with no response.
They are now contemplating legal action.
The Pacific Justice Institute is a conservative legal defense organization.
Read more: http://dailycaller.com/2013/12/08/po...#ixzz2mvLLLPcm
12-08-2013, 06:53 PM
- Join Date
- Jun 2008
“834 Errors” still dog Healthcare.gov
One of the issues regarding the technical troubles with the healthcare.gov website that has received some attention in recent weeks, and even more so over the last few days, has been that of errors in 834 files.
These are the files transferred to insurance carriers that contain pertinent data on the enrollees. (For a better understanding of what the 834 form is, the Washington Post has this good backgrounder).
Some of the files have reportedly contained data that was incorrect – for instance, the names of children appearing as spouses – while others have contained duplicate data, or there was no file at all. Without an accurate 834 form for an enrollee, an insurance carrier essentially cannot complete their enrollment.
While the numbers regarding the issue have reportedly improved, reporters have recently tried to obtain more specific information about the problem...
#100 New Affordable Care US health plans will exclude top hospitals12-08-2013, 09:26 PMBy Stephanie Kirchgaessner in Washington
December 8, 2013 5:51 pm
Americans who are buying insurance plans over online exchanges, under what is known as Obamacare, will have limited access to some of the nation’s leading hospitals, including two world-renowned cancer centres.
Amid a drive by insurers to limit costs, the majority of insurance plans being sold on the new healthcare exchanges in New York, Texas, and California, for example, will not offer patients’ access to Memorial Sloan Kettering in Manhattan or MD Anderson Cancer Center in Houston, two top cancer centres, or Cedars-Sinai in Los Angeles, one of the top research and teaching hospitals in the country.
LINKMay the FORCE be with you!
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