Quote:
Originally Posted by serenityseeker
To be very clear, there are MANY instances where supplements will not kick in. In almost every case supplements follow medicaire rules on what is deemed "appropriate" or allowable for charges. Supplements are there to fill the gap on the 1st 20% that Medicare part A and B do not cover..the deductable if you will. It is in fact illegal as a Medicare provider to charge or accept more than Medicare reimburses from a Medicare patient. True price controll.
Additionally, if Medicare deems a (for instance) a hospitalization stay as unneccessary or too lengthy, the supplements will also deny payment based on Medicare guidelines, whether logical and appropriate or not. The "delta" is by and large not included.
And while "no rate setting" is correct it is in fact happening, and why should attorneys be immune? Just as you stated attorneys would flee certain fields if price controlls were put in place, physicians are leaving, or potential physicians are never starting. We are less than a decade away from seeing the full affects of this. You think it's hard to get an appointment with an internist or primary care provider now?? Be prepared, we now have the perfect storm. A dearth of primary care providers (that will worsen) as the baby boomers come of age.
I frankly have little patience for the defense of PI lawyers or regulations on them at this point. It is ludicrous in the face of what medical providers face, and the PI folks are largely responsible. If they are going to bleed the system, let them have the same constraints as those they take advantage of.
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The PI practitioners won't care. If the practice becomes unprofitable due to government fee-setting despite having to wait 2-5 years for payment of services, then there won't be PI practitioners. They will just go do other things more profitable. The medical profession, various manufacturers and others will jump for joy, because they will now be totally exempt from any consumer oversight, especially since state regulators really don't regulate, and peer review is also essentially worthless. Despite preventable medical errors being the sixth leading cause of death in the US, how many medical practitioners ever have their licenses suspended or revoked? Perhaps if those groups protected the public like they are supposed to, then the public would not look so often to the courts for justice?
The only ones "taking advantage" of anyone is the insurance industry. The premium versus payout ratio keeps increasing in favor of "premium," despite claim payments remaining fairly level over the past six years (see
http://www.justice.org/cps/rde/xchg/...s.xsl/8689.htm ), They see a windfall in premium revenue and top it off with bailout money - what a deal!