Talk of The Villages Florida - Rentals, Entertainment & More
Talk of The Villages Florida - Rentals, Entertainment & More
#46
|
||
|
||
![]()
what "Morse promises" you are worried about losing?
|
|
#47
|
||
|
||
![]()
Quality of life issues, Grounds upkeep, Rec centers, pools, Town squares.
|
#48
|
||
|
||
![]()
I'm sorry. I meant Medicare. I'll change my post.
__________________
Troy, Rochester, Hazel Park, Harbor Beach, Grand Rapids, Michigan |
#49
|
||
|
||
![]() Quote:
__________________
Troy, Rochester, Hazel Park, Harbor Beach, Grand Rapids, Michigan |
#50
|
||
|
||
![]() Quote:
|
#51
|
||
|
||
![]()
Are you sure the government overhead is not paid out of a completely different bucket? Do you know if the government's payment to the insurance company included any administration costs, or was it just the cost paid out to care givers?
|
#52
|
||
|
||
![]()
It's all about the money. An insurance broker for United Heathcare told me the villages health has a goal of enrolling 20k people in its Medicare Advantage program. This is a capitation program which the government pays $10k per enrollee per year. This will place the villages health into a positive cash position and a positive bottom line.
|
#53
|
||
|
||
![]() Quote:
__________________
Don't take life too seriously, it's not like you're going to get out alive!!! |
#54
|
||
|
||
![]() Quote:
A capitation program typically involves the sharing of a pool of funds that are set aside throughout the year. The funds can then be distributed based on criteria established in advance. Quality of care, reduction of test usage, and decreased referral to specialists (all based on data and usually evidence based medicine) are examples. I'm more familiar with the hospital side of capitation so it would be interesting to see if GE weighs in on the doc side.
__________________
All the great things are simple, and many can be expressed in a single word: freedom, justice, honor, duty, mercy, hope. Winston Churchill |
#55
|
||
|
||
![]()
So I'm on Medicare & have Tri Care. If OP was correct, wouldn't I have received one of those letters ? They told me awhile back I would be grandfathered in.
__________________
Troy, Rochester, Hazel Park, Harbor Beach, Grand Rapids, Michigan |
#56
|
||
|
||
![]() Quote:
|
#57
|
||
|
||
![]() Quote:
"If you are eligible for Medicare, we want you to know that the only Medicare Advantage plans The Villages Health participates in are those offered by UnitedHealthcare®." I interpret that to mean that if you choose to have a Medicare Advantage plan, it must be offered by UnitedHealthcare. If you do not have a Medicare Advantage plan, their new ploicy does not affect you. That would explain why some people (i.e., those with Medicare Advantage plans other than UnitedHealthcare) are getting letters, while others (i.e., those with no Medicare Advantage plan) are not. One thing is clear - the information regarding their policy change is unclear. |
#58
|
||
|
||
![]()
You said you were 64. Medicare eligibility is at age 65? If you were already on medicare and had a supplemental, when they changed their policy at the beginning of the year or Oct of 2014 (don't remember), you would be grandfathered in. The issue is if you were a patient with them but not yet on medicare (under 65 yo). Then you will probably get the letter.
Last edited by outlaw; 01-28-2016 at 02:09 PM. |
#59
|
||
|
||
![]() Quote:
|
#60
|
||
|
||
![]() Quote:
|
Closed Thread |
|
|