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View Diary: BREAKING: Obama STILL planning Medicare Beneficiary Cuts (68 comments)

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  •  Medical costs aren't being decreased (8+ / 0-)

    I know people keep saying that, but it's still not true.  Medical inflation is rising far faster than most other inflation, and the ACA isn't going to eliminate that.  It's not even going to do much to change it.  The idea that health care costs will rise more slowly than other costs is preposterous.

    We don't know the details of these proposed increases, and we certainly don't know what will come out of any negotiations.  But the biggest step that could control Medicare costs, drug price negotiation, isn't on anybody's radar screen in Washington.  That alone does not bode well for outcomes.

    Don't tell me what you believe. Tell me what you do and I'll tell you what you believe. --Meteor Blades

    by Dallasdoc on Mon Sep 19, 2011 at 07:23:09 AM PDT

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    •  Some said that the drug price negotiation (0+ / 0-)

      would be one of the improvements to HIR down the road.  Looks like the deal with big Pharma is still standing firm?

    •  That's simply not true (1+ / 0-)
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      I'm not saying that direct drug negotiation by CMS wouldn't help, but the plain and simple fact is that prescription drugs account for about 10% of Medicare's total outlay.  Both inpatient/Part A (~32%) and outpatient/nominally Part B (~20%) exceed Part D by good margins.

      I'm not in any way, shape, or form arguing against negotiated pricing -- but the biggest step to control Medicare costs starts in PPS reform, not prescription drugs... unfortunately -- anytime "cuts to providers" come up, many on the left either intentionally or unintentionally become appendages of the AHA.

      Full Disclosure: I am an unpaid shill for every paranoid delusion that lurks under your bed - but more than willing to cash any checks sent my way

      by zonk on Mon Sep 19, 2011 at 08:59:54 AM PDT

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      •  Nonsense (1+ / 0-)
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        Provider cuts will reduce provider availability.  I take Medicare patients and already accept 20% less in payments for straight Medicare patients than for most private insurance payers or Medicare Advantage programs.  The differential is sometimes more.

        If you cut Medicare reimbursements to providers more providers will quit.  The more that quit, the more unattractive it will be for other providers to take Medicare.  Hospitals will stay in the system, but doctors, ancillary services providers and others will become hard to find.  It's a great way to kill a system.

        Don't tell me what you believe. Tell me what you do and I'll tell you what you believe. --Meteor Blades

        by Dallasdoc on Mon Sep 19, 2011 at 04:01:07 PM PDT

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