[bwtbrisbane]

They do not care about veterans (they will not take Tricare) and now they are only taking some forms of Medicare. It appears they only want money - not being doctors that care about people. Shame

[billethkid]

Originally Posted by Big O

Just because it's not what you want does not make it a bad decision for them. There must a lot of former government employees in the villages who had premium insurance plans all of their working careers. I worked in an industry where our insurance carrier changed every other year and the doctors we were familiar with were dropped periodically. It's what companies do to stay in business. Get used to it!

My point that was missed;

the charade and pomp and circumstance that was used to get people to donate, support, change health care providers to lure and build a customer base.

My position is it was a known strategy before they started soliciting residents. They secured donations and patient base targets and then announced getting rid of loyal customers.

No need to promote getting used to deceit and trickery.

If they were responsible care givers they would have grandfathered those they sucked in in the first place.

They have proven to not be not CARE, givers!

[JoMar]

Originally Posted by bwtbrisbane

They do not care about veterans (they will not take Tricare) and now they are only taking some forms of Medicare. It appears they only want money - not being doctors that care about people. Shame

I think they take Tricare and will continue to do so.

[dotsie25]

Same situation. I have medicare and supplement thru my retirement. Why would I want to pay for Medicare Advantage. I will now be in the care of one doctor which I really think I should have done in the first place. I think I will like it better than seeing a different person (PA) every time I have a visit and get to see my primary doctor only for wellness visit. This is probably for the best.

[trichard]

Originally Posted by villager joyce

the way to make your voice heard is to leave.

agree!

[golfing eagles]

Originally Posted by bwtbrisbane

They do not care about veterans (they will not take Tricare) and now they are only taking some forms of Medicare. It appears they only want money - not being doctors that care about people. Shame

Are you somehow implying that this insurance decision, made by administrators of TVH, is somehow the fault of "the doctors" who provide patient care??? That they must be "greedy" and "uncaring". Get real.
Everyone should realize that TVH is a corporate environment, the physicians are employees, and even the medical directors of the individual centers have almost no input with regards to these decisions.
As far as "bait and switch", "lies", "fraud", and "deceit" goes, this is only true if patients were told they would be grandfathered AFTER the insurance change decision was made, which I doubt. There is no vast conspiracy about insurance decisions. They come up every year, and these decisions are usually made in a matter of weeks. So unless someone was specifically told they could stay in with traditional Medicare and supplement, AS A NEW PATIENT IN JUNE, there is very little basis for calling them liars. Things change, especially in healthcare these days. No one is being "dumped". If you are 65, you can either change you provider out of TVH, or change your insurance. Your choice, you cannot have both. Seems like the general expectation has been that everyone should be able to have their cake and eat it too. Not in the real world, not anymore.

[RickeyD]

Originally Posted by golfing eagles

Are you somehow implying that this insurance decision, made by administrators of TVH, is somehow the fault of "the doctors" who provide patient care??? That they must be "greedy" and "uncaring". Get real.

Everyone should realize that TVH is a corporate environment, the physicians are employees, and even the medical directors of the individual centers have almost no input with regards to these decisions.

As far as "bait and switch", "lies", "fraud", and "deceit" goes, this is only true if patients were told they would be grandfathered AFTER the insurance change decision was made, which I doubt. There is no vast conspiracy about insurance decisions. They come up every year, and these decisions are usually made in a matter of weeks. So unless someone was specifically told they could stay in with traditional Medicare and supplement, AS A NEW PATIENT IN JUNE, there is very little basis for calling them liars. Things change, especially in healthcare these days. No one is being "dumped". If you are 65, you can either change you provider out of TVH, or change your insurance. Your choice, you cannot have both. Seems like the general expectation has been that everyone should be able to have their cake and eat it too. Not in the real world, not anymore.

I do think there is a very real generational expectation whereby the first baby boomers and their predecessors are more inclined to believe that the "system" is paternalistic. This is how they were raised and any deviation from their expectations is apparent in the many threads and postings on here. It's a shame because it would be nice if what they believed were really true. Thing is, it never was true.

[golfing eagles]

Originally Posted by RickeyD

I do think there is a very real generational expectation whereby the first baby boomers and their predecessors are more inclined to believe that the "system" is paternalistic. This is how they were raised and any deviation from their expectations is apparent in the many threads and postings on here. It's a shame because it would be nice if what they believed were really true. Thing is, it never was true.

I generally agree, except I think there was a time, more than 50 years ago, when it was true. There was no health insurance, no medicare or Medicaid, no government intervention, almost no malpractice. "Marcus Welby" would take a dozen eggs from a farmer if they could not pay the fee for an office visit, which by the way was about $3.
Why have healthcare costs skyrocketed?
1) high cost of advanced technology
2) high cost of gov't and ins. co. paperwork
3) the mere presence of third party payers
4) the cost of malpractice and defensive medical practice
5) enormous waste and fraud in gov't programs
6) the advent of specialists, sub-specialists and sub-sub-specialists

According to the AMA, just the cost of having employees to deal with insurance denials and prior approvals costs each clinician $55/hour. The cost of defensive practice is estimated between $250-$750 BILLION/year. Private insurers will administer a plan for about 12-13%, government programs cost 31% (DO NOT believe the hype of 2-3%, it does not include all the costs that are born by government agencies other than CMS---office space, premium collection, computer expense, postage, savings from operating across state lines, etc)

Unfortunately, medicine is now so complicated that there is no way to go back to the days of "Marcus Welby" , but perhaps there is a happy medium somewhere.

[graciegirl]

Originally Posted by golfing eagles

Are you somehow implying that this insurance decision, made by administrators of TVH, is somehow the fault of "the doctors" who provide patient care??? That they must be "greedy" and "uncaring". Get real.
Everyone should realize that TVH is a corporate environment, the physicians are employees, and even the medical directors of the individual centers have almost no input with regards to these decisions.
As far as "bait and switch", "lies", "fraud", and "deceit" goes, this is only true if patients were told they would be grandfathered AFTER the insurance change decision was made, which I doubt. There is no vast conspiracy about insurance decisions. They come up every year, and these decisions are usually made in a matter of weeks. So unless someone was specifically told they could stay in with traditional Medicare and supplement, AS A NEW PATIENT IN JUNE, there is very little basis for calling them liars. Things change, especially in healthcare these days. No one is being "dumped". If you are 65, you can either change you provider out of TVH, or change your insurance. Your choice, you cannot have both. Seems like the general expectation has been that everyone should be able to have their cake and eat it too. Not in the real world, not anymore.

Read this post. Then print it and frame it. Refer to it often.

[CritterLover]

Originally Posted by graciegirl

Read this post. Then print it and frame it. Refer to it often.

Standing O!!

[golfing eagles]

Originally Posted by graciegirl

Read this post. Then print it and frame it. Refer to it often.

Thank you, GG. But while I think it's a reasonable post, I doubt it will make the NY Times non-fiction best seller list

[RedChariot]

Originally Posted by billethkid

My point that was missed;

the charade and pomp and circumstance that was used to get people to donate, support, change health care providers to lure and build a customer base.

My position is it was a known strategy before they started soliciting residents. They secured donations and patient base targets and then announced getting rid of loyal customers.

No need to promote getting used to deceit and trickery.

If they were responsible care givers they would have grandfathered those they sucked in in the first place.

They have proven to not be not CARE, givers!

Exactly! They were not responsible care givers as you said. If they were, they would have cared about their patients first. I had received a letter a while back stating I would be grandfathered. TVH should honor that promise to their existing patients. Honor the promise to Those you rallied from the beginning. Honor your promise to Those that supported you from day one. We understand that there needs to be different business decisions from this point, but honor the promise you made as an ethical, caring health care provider. TVH has darkened it's' image and that reflects on TV community and the developer.

[outlaw]

Originally Posted by RErmer

I was told no doctors would be affected (lose jobs) as a result of this change. My source is someone high in The Viilages Health hierarchy whose name I just can't post.

I heard that TVHC management assured the doctors that if they like their job, they can keep their job...we'll see.

[golfing eagles]

Originally Posted by RedChariot

Exactly! They were not responsible care givers as you said. If they were, they would have cared about their patients first. I had received a letter a while back stating I would be grandfathered. TVH should honor that promise to their existing patients. Honor the promise to Those you rallied from the beginning. Honor your promise to Those that supported you from day one. We understand that there needs to be different business decisions from this point, but honor the promise you made as an ethical, caring health care provider. TVH has darkened it's' image and that reflects on TV community and the developer.

First, read post #21 regarding the ethics and caring of the providers
Second, stay healthy

Third, are you saying that you received a letter from TVH stating that no matter what changes they made to their accepted insurances, no matter what changes YOUR insurance company made with regards to TVH (including, by the way, denying participation totally), and no matter what changes came down in national health care policy from Washington, D.C., that they would forever and in perpetuity accept the insurance plan that YOU had at the time you enrolled? If so, I'd love to see THAT letter, then donate it to the Smithsonian as a one of a kind, unique correspondence unparalleled in the history of healthcare.

Fourth, once again no patient is being "dumped", it's certain insurances that are being dumped. And before anyone jumps down my throat, I'm in the same boat as everyone else. And if you do jump down my throat, I plan on regurgitating you anyway

[Number 6]

Originally Posted by CritterLover

Standing O!!

I'll second that. As we used to say in corporate medicine (and yes medicine is a business) - No margin; no mission!