Medicare has been privatized for years and you never knew it!
Did You?
Well I think by now we have all seen this video of Rep. Paul Ryan pushing Grandma off the cliff:
Now if you are so stupid that you actually believe this blatant lie STOP reading this blog because you are definitely too stupid to understand what I am about to explain and verify.
Medicare is privatized healthcare!
The contract with every deemed provider has been, and if Obamacare is stopped now, it will continue to be privatized healthcare. Every single doctor, hospital, clinic and medical Medicare deemed provider is not a government employee, they are private contractors who accept the terms and conditions for Medicare re-imbursement. The CBO writes, “Under current law [which means under Obamacare] constraints on payment rates for providers of Medicare services may result in diminished access to care and lower-quality services, although the extent of such changes is very difficult to predict. In addition, rising taxes (under the extended baseline scenario) and surging federal debt (under the alternative fiscal scenario) might accentuate concerns about the budgetary situation and thereby lead policymakers to reduce Medicare benefits.”
Now even more of the facts, for all who are enrolled in Medicare and have part D prescription drug coverage with a Medicare supplement guess what? You have privatized healthcare with your Medicare health care. Who do you think is paying what Medicare doesn't cover like your walk-in fees under Part A and the Part B deductible and 20% and the 75% of the cost of your prescription drugs that Medicare doesn’t cover? Why those same evil private insurance companies that issued your plan. The same insurance companies that the people who created the above video, are accusing “would kill granny and have children with birth defects dying in the streets from lack of care because those big evil insurance companies won’t cover them”if Medicare is privatized. Funny I searched for 3 1/2 weeks and could not find a single lawsuit against a Medicare Supplement provider just 1.7 million hits for lawsuits against Medicare.( addressed further in this blog) The federal guidelines that govern the plans is so heavily regulated that even the Summary of Benefits booklets are designed by the Centers for Medicare and Medicaid Services. (CMS)
And of course lets not forget about Medicare Advantage (Medicare Part C) which has proven to be such an effective and successful privatized alternative to traditional Medicare that the first thing they did with Obamacare was to defund it. They claim it was to save $500 billion but the facts again will tell the real truth. The first thing is that in just 5 years 27.4% of Medicare eligible beneficiaries have enrolled into them. Second is that they must by federal regulation meet or exceed the level of care that Medicare would provide. Third unlike Medicare which has an historical claims payment system that is eaten alive by fraud and averages over 6 months to settle provider claims, the insurance companies licensed to market Medicare Advantage plans must settle their provider claims within 30 days and are allowed an additional 15 days to settle a disputed claim. Speaking of fraud lets just look at a recent CBS investigative report which they put the number at $60 billion a year, which is conservative by some accounts but to keep the leftist libtard head from exploding we’ll use their propaganda flagship numbers. Now lets look at Medicare Advantage according to the HHS in 2010 they made improper payments according to Medicare guidelines of $13.6 billion and in the report they do not indicate any fraud was detected and improper payments were corrected. Let me see that adds up to NOTHING, NO FRAUD, who could have thought that by allowing medical claims paying professionals with combined hundreds of years of experience and verified methodology, would be effective at their jobs! Of course if your track record is that of the U.S. govt. bureaucrat the most incompetent of all sentient life forms (I am being generous with them being sentient) any comparative competency analysis is unjust in their opinion. Of course their track record is stellar with their other success’ such as Amtrak, U.S.Post Office, Social Security trust fund etc..
And lets not forget how if the evil insurance companies take over you will never get care because they will deny every life saving procedure you need. (I’m welling up with tears over the horror!)
A chart showing the major carriers and how Medicare compared to them in the study follows:
Well, well.
The Medicare denial rate found in the study was, on a weighted average basis, roughly 1.7 times that of all of the private carriers combined (99,025 divided by 2,447,216 is 4.05%; 6.85% divided by 4.05% =1.69). You would think Medicare's sheer size might enable it to have smoother procedures with its providers that would enable it to turn down a lower percentage of claims. But no, this is the government we're talking about. So who's the most "heartless" now? And why should Americans accept the idea of gradually being forced into a government-run system when, based on documented government experience, they will be more likely to see their claims denied? And I didn't even get to the idea of refusals to treat in the first place, something that is present to some degree in virtually every state-run system, but is currently against the law in hospital emergency rooms in the U.S.
Thanks to Tom Blumer and the folks at Newsbusters for allowing the reprinting of that article from October 2009.
Also recently in the real news if you were paying attention is the number of lawsuits that Medicare is facing for denying treatment and refusing to pay certain claims is exploding, the system for appealing a denied claim can cause even the most ardent bureaucrat to take his own life. At the very left leaning liberal senior website http://www.seniorcorps.org/ which is part of moveon.org and the Soros funded socialist agenda their webpage states the following: Many seniors are having trouble with their Medicare coverage. This is a disturbing trend. A Medicare denial is when Medicare refuses to pay for a certain treatment or medication. A Medicare denial can cause financial stress on a senior citizen. However, there are ways that these seniors can get Medicare to cover all of their treatments.
Working Through the Medicare Appeals Process
There a few ways for people to go back and make more appeals to Medicare. In these situations, people are expected to fill out re-determination forms. These can be found by visiting Medicare’s website within one hundred and twenty days after receiving a letter of denial. Before filing these forms, people need to get documents from their doctors. The right documents can provide strong support for the appeal of the Medicare denial. A doctor can also write a letter to the Medicare people. This will really help to appeal the Medicare denial.
Reasons for Denial
There are many reasons for receiving a Medicare denial. Sometimes, Medicare does not think the treatment is enough to substantially improve the person’s health condition. This is the biggest issue that needs to be proved to Medicare in order to overcome the Medicare denial.
Keep Trying
People should not give up on their Medicare claims. These claims have substantial potential to improve the overall health conditions of people who really need those improvements. It is important that a person does not get down when they receive a Medicare denial. A person can appeal a claim a total of four more times after getting a Medicare denial. Why not keep trying? With some work, a Medicare denial can be easily overcome.
As you can see it takes Medicare 120 days on average to START the appeals process for a denied claim! And it can be denied 5 times in total, by the time this is settled who is the real threat to Granny and the kids? Who’s really pushing Granny off the cliff and throwing the special needs kids in the streets?
Hey are you getting it yet? Here let me help, they are called the liberal ruling class elites aka. the Democrat party!
Now I can see how this can become very confusing for the average double digit leftist libtard trying to demonize the Ryan budget plans for Medicare, so lets have Rep. Paul Ryan explain it to you himself without their lies and deceptions:
So no one including yours truly who is smack in the middle of this boomer generation is going to have their Medicare messed with. You are being manipulated by the most consummate group of liars and con men in the history of man: the Democrat party. They have for over 100 years been the face in front of the socialist ruling class elite’s that have played the average American “like a harp from hell”!
You’ve been suckered fool and you keep going back for more which makes you a damn fool!
You have been indoctrinated by their '”education system” and you sit there in your BARCO lounger lapping up the mindless drivel they call main stream media, further polluting that cluttered little gerbil wheel you call a mind with more of their pabulum. You put a higher priority on knowing who won dancing with the stars or some other mindless garbage they call reality TV than living the reality of life and fighting for the freedoms that made this country the greatest on earth!
“Tell a lie long enough and it becomes the truth” Vladimir Lenin
In freedom to all who cherish it,
Dr. Keith C. Westbrook Ph.D.
1 comment:
outstanding article!
Are you also aware of the inherent conflict of interest by the Medicare contractors. You spoke of appeals, did you know that the contractor (Medicare Administrative Contractor-MACs) that handles the first found of appeals is the same contractor that gets paid to process the claims (denied or not)? So the more claims they process the more they make? In addition, they also get paid for the appeals. The contractor could care less if the provider is submitting good claims or bad claims the more claims that come in the more they make. The more providers they let into Medicare (this same contractor also gives out the Medicare numbers) program the more claims they submit and the more money they make. The Medicare system is broken. I suggest ridding the conflicts of interest first as it allows fraud to be overlooked.
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