Zarejestruj
się u nas lub też
zaloguj
, jeśli posiadasz już konto.
Forum E Nutka Strona Główna
->
Rock / Metal
Napisz odpowiedź
Użytkownik
Temat
Treść wiadomości
Emotikony
Więcej Ikon
Kolor:
Domyślny
Ciemnoczerwony
Czerwony
Pomarańćzowy
Brązowy
Żółty
Zielony
Oliwkowy
Błękitny
Niebieski
Ciemnoniebieski
Purpurowy
Fioletowy
Biały
Czarny
Rozmiar:
Minimalny
Mały
Normalny
Duży
Ogromny
Zamknij Tagi
Opcje
HTML:
TAK
BBCode
:
TAK
Uśmieszki:
TAK
Wyłącz HTML w tym poście
Wyłącz BBCode w tym poście
Wyłącz Uśmieszki w tym poście
Kod potwierdzający: *
Wszystkie czasy w strefie EET (Europa)
Skocz do:
Wybierz forum
Nowosci
----------------
Zapowiedzi
Informacje
Twoja Reklama
Nadchodzace Koncerty
Kino
http://www.maxima.stacja.fm/
Download
----------------
Prosba o pliki.
Hip Hop / Rap
Reggea i klimaty
Techno / house
Rock / Metal
Videoclips
Inne
Offtopic
----------------
Hulaj duszo
Gry
Tworczosc
Wasze foty z imprez
Erotyka
Przegląd tematu
Autor
Wiadomość
cheapbag214s
Wysłany: Wto 6:23, 05 Lis 2013
Temat postu: Dr. Steffie Woolhandler and Dr. David Himmelstein
Medicare Advantage was to cut Medicare, but cost $283 billion more
CHICAGO, May 12 () -- Shifting Medicare patients to Medicare Advantage has cost the U.S. taxpayer almost $300 billion since the program began in 1985, researchers say. The study, published online in the International Journal of Health Services, found the private insurance companies that participate in Medicare under the Medicare Advantage program and its predecessors have cost the publicly funded program for the elderly and disabled an extra $282.6 billion since 1985 -- most over the past eight years.Dr. Ida Hellander, policy director at Physicians for a National Health Program, a non-profit group; Dr. Steffie Woolhandler and Dr. David Himmelstein, both of the City University of New York School of Public Health, visiting professors at Harvard Medical School and co-founders of PNHP; said in 2012 alone, private insurers were overpaid $34.1 billion -- or $2,526 per Medicare Advantage enrollee. These are billions that should have been spent on improving patient care, shoring up Medicare's trust fund or reducing the federal deficit, the researchers said. Since 1985, in an effort to lower the cost of Medicare, Congress allowed Medicare to contract with private insurance plans -- previously referred to as Medicare HMOs and now called Medicare Advantage plans. Such plans, most of them for-profit, currently cover about 27 percent of Medicare enrollees. Currently, UnitedHealth and Humana together operate about one-third of such plans.Medicare pays these privately run plans a "premium" per enrollee for hospital and physician services -- averaging $10,123 in 2012 -- based on a prediction of how costly the enrollee's care will be.The study found private insurers cherry-pick healthier beneficiaries who cost less to care for, guaranteeing large profits -- although private plans must accept all seniors who choose to enroll, they cherry-pick by selectively recruiting the healthiest seniors through advertising, office location, etc.The study also found Medicare Advantage plans: -- Induce sicker seniors to disenroll by making expensive care inconvenient.-- They recruit otherwise healthy seniors with very mild and inexpensive cases of sometimes serious conditions, which automatically triggers higher premiums for these beneficiaries from the risk-adjustment scheme implemented in 2004, but escaping payments for expensive care. For instance, many seniors have very mild cases of arthritis,[url=http://www.isabelmarantsneakersbootss.com/]isabel marant boots[/url], heart failure and bronchitis that require little or no treatment.-- They enroll patients who get most of their care free at the Veteran's Administration.-- They heavily lobby Congress to raise their reimbursement.Since the study was completed, the heath insurance industry successfully lobbied the Obama administration to raise payments to Medicare Advantage plans, reversing a planned cut of 2.2 percent in reimbursement rates for a 3.3 percent increase and stock prices of the private insurers soared after the announcement, the researchers said. "We've long known that Medicare has been paying private insurers more than if their enrollees had stayed in traditional fee-for-service Medicare, but no one had added up the total extra cost to the taxpayer since contracting with private insurers began 27 years ago,[url=http://www.isabelmarantsneakersbootss.com/]isabel marant sneakers sale[/url]," Hellander said in a statement. "Nor has anyone systematically examined the many ways that private insurers have gamed the system to maximize their bottom line at taxpayers' expense."
fora.pl
- załóż własne forum dyskusyjne za darmo
phpBB (C) 2001, 2005 phpBB Group
Theme Retred created by
JR9
for
stylerbb.net
&
Programosy
Regulamin