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  •  Hi Mollie. Kaiser says (2+ / 0-)
    Also starting in 2017, Obama's plan would require new Medicare beneficiaries to pay $100 for five or more home health care visits that are not preceded by a stay in the hospital or another medical facility, such as a nursing home or a rehabilitation hospital. http://www.kaiserhealthnews.org/...
    I'd say a huge obstacle to achieving excellent medical care for all in our current system is how stolid ('un-nimble') our current system is. Of course,the pigs in the trough don't help matters ;)

    "George RR Martin is not your bitch" ~~ Neil Gaiman

    by tardis10 on Mon Apr 29, 2013 at 06:01:00 PM PDT

    [ Parent ]

    •  Thank you, tardis10. Bookmarked. I first saw the (2+ / 0-)

      discussions of this policy about two years ago, when it was still being 'formulated.'  

      At that time, the talk was whether it would be $100 or $150, and if it would be per visit, and how many visits would be in 'a bundle' of visits.  [I believe that the Medicare Advisory Payment Board actually recommended the higher co-payment of $150, so I guess that it could have been worse.]

      Since my 'blogging time' will be severely limited from now on, I am very happy that you've found the 'final' policy pronouncement on this.  ;-)

      Since you seem interested in the topic of healthcare reform, here's an 'audio' of an interesting NPR radio show called 'On Point.'


      The panel discussion is hosted by 'On Point' host Tom Ashbrook, and consisted of three health care experts, including former TN Governor Phil Bredesen.  [It was recorded at the end of March, in Nashville, TN.]

      At about Minute 45 to 48, one panelist, Lawrence Van Horn [leading expert and researcher on healthcare management and economics. Associate professor of management and executive director of health affairs at the Owen Graduate School of Management at Vanderbilt University], complains that  Americans' have an insatiable desire to consume healthcare.  

      Van Horn also cites the statistic that Medicare pays for approximately 460,000 knee replacements annually, which relieves a lot of pain, and makes peoples lives better.  He then goes on to say that we can't continue to 'provide unlimited care,' and should realize that due to financial constraints, we should expect a "base level of care to be available for all.'

      And he warns that we should accept that unlimited amounts of medical care are prohibitive due to the costs of advanced medical technology, etc.

      Aside from Van Horn's insinuation that 'those' type of medical expenses (like knee replacements) are extravagant, and that government (federal and state)  would be forced to prioritize 'limited healthcare funds, most of the audio was pretty much routine 'fare,' as I described above.

      The panelists discussed some of the likely implementation problems (ie., lack of enough primary physicians, the fact that the ACA dealt mainly with access and not cost containment, and how that must now be tackled, etc.).

      I do plan to keep my eyes peeled, though.  It was sort of mindboggling to hear someone suggest that a 'joint replacement' might not be considered 'a priority,' or a covered expense sometime in the future.  

      Please let me know if you should see anything more about this on Kaiser (or anywhere, for that matter).

      And again, thanks for the updated info.

      Mollie

      "Only he who can see the invisible, can do the impossible."-- Frank L. Gaines


      hiddennplainsight

      by musiccitymollie on Mon Apr 29, 2013 at 08:51:14 PM PDT

      [ Parent ]

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