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That's it? They're just giving up?
Canada Free Press ^ | 03/27/17 | Dan Calabrese

Posted on 03/27/2017 7:04:20 AM PDT by Sean_Anthony

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To: ctdonath2

Because there is no underlying contract.

Each hospital has contracts with nearly every major payer in their area. Sometimes, they don’t have contracts for very specific reasons. One of my clients is not contracted with the third largest payer in their state, because the reimbursement is too low. They will take patients in the ER, but don’t allow any surgeries, inpatient stays, pt, other services.

So, when Blue Shield of California starts selling plans in South Carolina, and hospitals in Columbia start getting paid based on “usual and customary,” all hell is going to break lose, and I’m going to get very rich.

Actually, I’m going to get very busy, but I probably won’t make any money because these end up with local counsel or in self pay.

As for billing patients....hospitals are actually loathe to submit huge bills to patients if it can be avoided. For one, they don’t get paid. Secondly, they don’t want to destroy their reputation in the community, particularly if they are in a competitive environment.

That last sentence is important. Actually billing patients is a dangerous business practice.


101 posted on 03/27/2017 2:10:27 PM PDT by WVMnteer
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To: WVMnteer

“Actually billing patients is a dangerous business practice.”

Perhaps here is the crux of the matter.


102 posted on 03/27/2017 2:27:53 PM PDT by ctdonath2 (Understand the Left: "The issue is never the issue. The issue is always the Revolution.")
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To: Mr. Douglas
Oh, and Trump now has work to do to convince me he’s not part of the problem.

No convincing necessary. We told you this back in late 2015, but few people listened. Yeah, I still voted for him, but his behavior so far is exactly what I expected. That's what happens when you give the presidency to a life-long Democrat like Trump who's playing the role of a Republican for convenience.
103 posted on 03/27/2017 2:38:19 PM PDT by Antoninus ("The Western world has lost its civil courage, both as a whole and separately." -Solzhenitsyn)
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To: Sans-Culotte
I think this website thrives on fantasy in an echo chamber that does not match reality and is not worthy of the miracle that God just gave us.
104 posted on 03/27/2017 6:42:25 PM PDT by af_vet_1981 (The bus came by and I got on, That's when it all began.)
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To: Antoninus

Actually, you and I completely agree. You are preaching to the choir on this one. I got temp banned twice for saying negative things about trump. Once before the primary and once after. And all I was doing in those posts was, like you just did, state the obvious. ;-)


105 posted on 03/28/2017 5:44:32 AM PDT by Mr. Douglas (Best. Election. EVER!)
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