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View Diary: Consumer Reports destroys 'rate shock' horror story (109 comments)

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  •  Really? (1+ / 0-)
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    Fiddler On A Hot Tin Roof

    You're dragging race crap? Unbelievable. Have you got any thoughts in your head that aren't attached to preprogrammed buttons?

    Allow me, though, to explain your initial post to you. That was where you claimed that outsized hospital charges are due to cost shifting, which is due to good insurance having to pay for junk insurance, itself part of a vicious cycle. Therefore, now that there will be no more junk insurance (or medical bankruptcy) or vicious cycle, it seemed reasonable to ask about cost containment.

    But you didn't answer that query, probably because, as you might know (I generously assume), Obamacare is notably vague on cost containment. So, instead, you give me some BS about, what? civic participation? the onward march to some goal? How thrilling! Then, just to further muddy the already-opaque waters, also some stupendously offensive blather about "the Black Man," for which you ought to hang your foolish head in embarrassment.

    •  ACA has cost shifting. (1+ / 0-)
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      earicicle

      CBO estimated savings of $20 billion because no more ER reimbursement as it phases in.

      http://www.cbo.gov/...

      Disproportionate Share Hospitals
      Both Medicare and Medicaid provide additional payments to hospitals that serve a disproportionate number of low-income patients. PPACA and the Reconciliation Act modified the formulas used to calculate such payments under Medicare and the state- specific allotments that determine such payments under Medicaid. On the basis of CBO’s February 2011 estimate, last year’s legislation is projected to reduce direct spending for Medicare’s and Medicaid’s payments to disproportionate share hospitals by $57 billion over the 2012–2021 period.

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