[quote=KeepingItReal;969595]
Quote:
Originally Posted by sunnyatlast
Without the developer subsidizing The Villages Health's stable and fixed salaries to the doctors, it would not stay afloat financially.
Medicare and supplement or the UHC-AARP "zero premium" plan revenues would never cover the overhead costs of keeping these practices in good shape.
They seem to operate very well outside the walls ..It seems operating within the Villages is an extra expense for most businesses and not the other way around.
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"Outside the walls" of TV and its unique age group that is a higher risk group for more claims because of age, most primary care clinics and hospitals do not serve a
population that is 90%+ on Medicare, which pays less than costs.
Outside the walls of TV, private insureds' insurance reimbursements help to cover the costs that Medicare and supplements do not. That is why the mega-hospital systems like Mayo Clinic and Cleveland Clinic are buying up practices and community hospitals: to get the
private insured base.
"Like most hospitals, the Cleveland Clinic counts on privately insured patients, who generally are profitable, to balance those on Medicare, which pays about 6 percent below cost, and Medicaid, whose payments average about 14 percent below. Unlike most hospitals, though, its reputation assures it a steady stream of wealthy patients, including foreigners, whose bills do not have to pass the needle's eye of an insurance-company claims examiner…."
http://www.newsweek.com/what-health-...d-clinic-76971