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Captain Zombie of Woodstock wrote:
On Sun, 19 Jul 2009 10:49:36 -0400, H the K wrote: RLM wrote: On Sat, 18 Jul 2009 21:59:18 -0500, thunder wrote: On Sat, 18 Jul 2009 19:40:49 -0700, Jack wrote: Sounds like you need to get a job with some benefits, and rescue your wife from having to support you and from providing you with your own health care. Yeah, but ... tying health care to business is the wrong approach, IMO. Besides the anti-competitive costs to business in the world market, if you get sick with a long-term illness, you are SOL. A dirty little secret, most employee health insurance policies end when you aren't collecting a pay check. Try paying for CORBA with just a disability check, if you even get a disability check. This is usually the point when the insurance carrier declairs that it was a pre-existing condition and refuse to pay anything. Been there for that approach. There are lots of dirty little secrets in connection with our current health care insurance fiasco, and some of them are not so little and not so secretive. There are all sorts of horror stories, for example, relating to denials of needed service, making patients and their providers jump through hoops, reimbursement horrors, et cetera. It's sort of humorous that those who oppose the modernizations being discussed think everything will get "worse" when the government steps in. I suspect the percentage of those satisfied with the way social security and medicare are run is higher than those who are satisified with the way medical insurance is run. " An evaluation was performed to determine the effects of managed care on patient satisfaction, medical outcomes (as measured by functional status), employer satisfaction, and medical and disability costs. Approximately 7,000 employees at 120 firms were enrolled in the pilot. PRINCIPAL FINDINGS: Workers treated under managed care reported lower levels of satisfaction at both six weeks and six months." http://gateway.nlm.nih.gov/MeetingAb...102234416.html And then there's this - which, as it happens, I knew about. "No significant difference in overall satisfaction was found between HMO enrollees and fee-for-service beneficiaries. However, HMO enrollees expressed less satisfaction compared with fee-for-service beneficiaries regarding the professional competence of their health care providers and the willingness of the HMO staff to discuss problems. On the other hand, HMO enrollees were more satisfied than fee-for-service beneficiaries with waiting times and claims processing. Approximately half of the disenrollment from an HMO within 1 year was attributed to misunderstanding the terms of enrollment." I's kind of a damned if you do,damned if you don't. :) Yeah, well, insurance company HMOs are on their way out, as they should be. Most HMO's are private sector managed no-care options. We're in a PPO. It's great. Whatever care you need, and fast. |
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