Posted on 12/08/2013 5:07:21 AM PST by Libloather
Medicare patients pay a monthly premium, deductibles and 20% co-pays.
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medicaid patients pay nothing
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big differences
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The big difference left unmentioned is that MediCARE patients are those who have paid taxes for years that were supposed to be for the purpose of providing them with medical care after age 65 at which time they are enrolled in MediCARE whether they like it or not. Some of them also have MediCAID but most MediCAID patients have paid little or no taxes of any kind to the federal government.
If everyone had no insurance we would be better off. Prices would come down for everyone.
As for illegals. The ER makes up the costs by overcharging everyone else.
Yes, 138%, don’t know what I was thinking of. Thanks for correcting that.
You are correct; don’t believe the B.S.
The 400% is the upper limit for subsidies on the exchanges.
If you are on medicare you do not pay it back with your assets, If you are on Medicaid you do pay it back with your assets. Medicaid is not insurance, it is welfare and it is paid back with assets.
Therefore all the people who signed up for Medicaid, ensured that they would give their assets over to the government if they need medical care. And that is how it will be paid.
And 250% is for special small deductible & copay Silver policies. I don't know how these work with the insurance companies as the premiums are the same and some policies are better than Platinum.
To be fair, the states generally find out about estate assets only through probate hearings; if no hearing then no recovery. Also, states in many cases simply do not pursue for many reasons (staffing, small size of estate, legal complications, etc). My state fairly aggressively goes after Medicaid Estate Recovery yet brings in only about 17 million a year — not really that much.
Yes, if those silver cost-sharing subsidies are ever actually implemented — real doubts here.
The subsidies on exchange policies are every bit as much welfare as Medicaid.
Of course. And so do the insurance companies.
But, no one in government is outfront about the degree of cost shifting. People don't mind some sharing or charity, but they'd like to know what the tab is, and IMHO it's clearly way too high.
My bad... what I meant was, “what’s the difference between someone who is signed up for MEDICAID...” (not Medicare).
So, your answer is correct with respec to my typo.
I meant to reply to you as well: I meant to type Medicaid instead of Medicare.
To be fair, the states generally find out about estate assets only through probate hearings; if no hearing then no recovery. Also, states in many cases simply do not pursue for many reasons (staffing, small size of estate, legal complications, etc). My state fairly aggressively goes after Medicaid Estate Recovery yet brings in only about 17 million a year — not really that much.
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Perhaps they are not aggressive in your state but they are in mine, and when the middle class is dropped into the welfare pool by shifting obamamcare pricing, well that is the asset chunk that the state is going to scoff up.
The subsidies on exchange policies are every bit as much welfare as Medicaid.
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Not arguing that. Isnt that the way to get single payer government controlled system in place?
For an uninsured patient to get emergency medicaid they have to be hospitalized for 30 days. One can’t just sign up in the emergency room. We do have a couple of patients a year meet the 30 day requirement, but when the average length of stay in our hospital is around 3 days, its pretty rare.
Thanks for that interesting info. However, the net effect, macroeconomically speaking, is going to be the same--if the person would be unable to pay, they won't. Whether Medicaid does it's poor job of reimbursing the hospital, or the hospital eats the cost and raises everyone else's price to cover, the economy at large is picking up the tab.
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