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Medicare plus 5% saves 110 BN Dollars



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Oct 24, 2009 11:59 PM

Medicare plus 5% saves 110 BN Dollars

by HM2VikingRN Staff

Some members prefer that a public option plan start out by negotiating payment rates with providers right away. However, Congressional Budget Office estimates show that a public option that negotiates rates with providers would only save the government an estimated $25 billion over the next ten years, versus $110 billion with Medicare-plus-five. Negotiating rates immediately would drive the public plan down a dangerous path by linking it to skyrocketing medical inflation, and would not foster the competition necessary for real cost reductions to consumers and up-front savings for the government.
http://www.thenation.com/doc/20091109/grijalva


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No. 1
from GCTMT
Old Oct 25, 2009, 05:31 PM

Default Re: Medicare plus 5% saves 110 BN Dollars
I can't help but wonder how a single-payer plan would score with the CBO.
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No. 2
from azhiker96
Old Oct 26, 2009, 09:38 AM

Default Re: Medicare plus 5% saves 110 BN Dollars
I'm worried about how decreasing reimbursement to health care providers is going to reshape that industry. Consider what's happening in Florida with primary care physicians.

http://www.tcpalm.com/news/2009/oct/...bursement-cut/

I'm healthy and I don't have any relatives in Florida so I guess we can give it a shot and see what happens. I do feel badly for any physician who is forced to move from Florida just to be able to make a living. I also feel badly for their patients.

Granted, nowhere in the article does the author say that doctors will leave the state. I'm theorizing that could happen based on the pay cuts that have happened and those that are planned. If my pay were reduced by 50-60%, I'd have to consider moving elsewhere.
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No. 3
from tntrn
Old Oct 26, 2009, 11:10 AM

Default Re: Medicare plus 5% saves 110 BN Dollars
Very thought-provoking article, azhiker. One also has to wonder if the President's plan for this includes mandating who will and who won't go to medical school. Already, many new docs don't want to do anything but 9-5 clinics, so just what about this plan will make it pretty enough to encourage a lot of the best and brightest to even want to go to med school? I can't believe that doctors won't leave Florida under that plan, because it looks like it really stinks. But if the President gets his way, all the states are going to be in the same pot, and we're all in trouble.
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No. 4
Old Oct 27, 2009, 09:09 PM

Default Re: Medicare plus 5% saves 110 BN Dollars
Florida's Medicare rates are way over the average for the country today...Medicare recipients average 7K per participant in Florida and TX with worse results than those obtained in MN with around 6k per year in costs.....

Part of the difference has been attributed to FLA and TX demand for specialist care without the gatekeeper function of a primary care physician.

As the OP I want to point out that the strong public option is calling for a Medicare rate with a 5% markup for care....If you have more patients coming in your income will go up...
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