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COTA Thoughts

Another Hit on Medicare Funding

Published July 19, 2009 10:47 PM by Tim Banish
 

Well, I see that Congress has cut another $40 Billion out of Medicare funding. That is for 2010, and over the next ten years the cuts will total $556 Billion! It sure sounds to me like PPS II is here, and it's hitting just as the baby boomer generation just hitting the age of Medicare. Ouch!

            The worst impact this might cause, according to one report, is less funds available for home health. Why does this not make sense? Cut funding and reduce services that keep people in their own home, or force them to choose long term care where costs will be significantly higher.

            When people run out of Medicare funding and need to stay in long term care, they usually apply for Medicaid. With many states running tight budgets, there are going to be cuts in Medicaid. What happens when the states cut Medicaid? I know some medical practitioners who refuse to see certain insurance carriers because their reimbursement rate is so low the practitioner can't make a profit. If the Medicaid rate is cut to the point that a long term facility can't make a profit, they will be closing. Again just as more LTC rooms will be needed with the boomers coming.

            My final thought is that while Congress is trying to manage the budget while cutting costs on Medicare, education, and state funding, are they voting themselves another fat raise like they did after the budget cuts in 1997?

 

Until next time, hope all your "Thoughts" are Good-

Tim

5 comments

JM K

Exactly, and it's been that way since PPS.

The government can't figure out Medicare but they want to run everyone's health insurance?

Tim Banish, LTC - COTA/L August 9, 2009 11:14 PM
Cincinnati OH

Once again, all the abusing of the current systems are catching up to everyone.  How many times have we been pressured to see patients that weren't appropriate or extended treatment for billing reasons?  If all people were to take more responsibility and do what is right, we wouldn't be in such huge messes in the first place.  It is too bad that financial outcomes are more important than delivering the right care.

JM K July 30, 2009 11:54 PM

My biggest complaint is that for years I have paid into Medicare with promises of what I will get when I come of age. Now that I am close to that age the government is cutting what I have been promised all these years. As an working American we get double charged for insurances, once for Medicare and once for our own private medical insurance. However the real problem is people who tax the system by refusing to work, hiding/allocating funds in order to qualify for government aid, and the enormous compensation the people who run these plans receive. Yes, neither private or government insurance is perfect, but look at countries with government insurance and you'll see they all are failing to do what the people need.

Tim Banish, LTC - COTA/L July 30, 2009 9:11 AM
Cincinnati OH

Tim, you cannot have it both ways. First your complaining about Obama's proposed healthcare plan, to give every one insurance Now your complaining about medicare and medicaid, which in essense are federally funded healthcare plans. Do you want every one to have private health insurance to cover costs or what the Government supplies. Which is the lesser of two evils? Either way, there will be cuts- private insurance is in it for the money and Government run health insurance is trying to do more with less. Basically, it is the same scenerio for cost cutting with medicaid, medicare or private insurance, to save money.

Mr. Cruz July 28, 2009 12:22 AM
FL

Here's a link to an interview with Betsy McCaughey where she talks about some of the changes the new rules will bring. Listen and be shocked, then call/write/e-mail your representatives and senators to STOP this action.

http://fredthompsonshow.com/premiumstream?dispid=320&headerDest=L3BnL2pz

Select the Betsy McCaughey Interview July 16, 2009

Tim Banish July 23, 2009 6:55 PM

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