[trichard]

You are so right! It is all about the money. The villages health is a great concept that is sucking a lot of red. The developer has been subsidizing the operation into the millions each month. I believe they thought Unitedhealthcare's MA program would grow substantially with the association with the villages. That did not happen so the anticipated payer mix did not generate the projected capitated payment revenues. This move positions the system for a stock buyout. Stock is held by management and physicians. The most likely buyer is United Health Care. Meanwhile, where will the original Medicare patients go? A smart move for a quality primary care group would to set up shop adjacent to the villages.

[NYGUY]

Originally Posted by dbussone

You didn't need a program to see this coming. In fact I will predict that the developer's exit strategy for the so called health system ultimately involves a sale to UHC.

That is a reasonable prediction!!

[Villageswimmer]

Originally Posted by trichard

You are so right! It is all about the money. The villages health is a great concept that is sucking a lot of red. The developer has been subsidizing the operation into the millions each month. I believe they thought Unitedhealthcare's MA program would grow substantially with the association with the villages. That did not happen so the anticipated payer mix did not generate the projected capitated payment revenues. This move positions the system for a stock buyout. Stock is held by management and physicians. The most likely buyer is United Health Care. Meanwhile, where will the original Medicare patients go? A smart move for a quality primary care group would to set up shop adjacent to the villages.

Not disputing this post, but what is the source of this info?

[dbussone]

Originally Posted by NYGUY

That is a reasonable prediction!!

Thank you!

[outlaw]

Whatever happens, I'm sure it will be in our best interest.

[NYGUY]

Originally Posted by outlaw

Whatever happens, I'm sure it will be in our best interest.

[deemelvin1@gmail.com]

I'm interested to know how our veterans feel about the article in the paper today announcing changes to The Villages Health. This includes that they will will no longer be accepting new patients covered by military healthcare (Tricare to include Tricare for Life/Medicare). I called to verify this was correct and was told it is. I personally feel this is just another example of groups paying lip service to supporting our troops when, in fact, they do not.

[trichard]

Originally Posted by Villageswimmer

Not disputing this post, but what is the source of this info?

One of the docs.

Originally Posted by deemelvin1@gmail.com

I'm interested to know how our veterans feel about the article in the paper today announcing changes to The Villages Health. This includes that they will will no longer be accepting new patients covered by military healthcare (Tricare to include Tricare for Life/Medicare). I called to verify this was correct and was told it is. I personally feel this is just another example of groups paying lip service to supporting our troops when, in fact, they do not.

Villages Health is not only ones doing this walgreens is a prime example, they will not fill a prescription if you are using Tricare. Villages Health cut off others also. What about them? They made a business decision.. II don't feel that they are paying lip service. I have run into same situation when company I worked for switched plans and my DR did not accept new plan. The Village Health did keep those already enrolled. A point to consider.

[Navy (SSBN 633)]

I am retired Navy and granfathered in "for now"..but feel certainly feel the change is kind of a slap in the face to our VETS!!!

[Fredwms]

Does the hospital accept Medicare & Tricare for Life? Also, my Medicare advantage plan is through Humana. Does the hospital accept Humana?

[dbussone]

Originally Posted by Fredwms

Does the hospital accept Medicare & Tricare for Life? Also, my Medicare advantage plan is through Humana. Does the hospital accept Humana?

I would recommend you call their business office. Most likely they do. However, the $ you pay out of pocket may not be what you expect. That depends on the specific contract the hospital has with each provider.

Medicare tells the hospital what it will pay. Humana is a different story though.

[Challenger]

Originally Posted by Fredwms

Does the hospital accept Medicare & Tricare for Life? Also, my Medicare advantage plan is through Humana. Does the hospital accept Humana?

If you have Medicare and Tricare for Life, why are you paying Humana premiums? Just wondering!!!

[liliana42]

As of today, The Villages Health is no longer accepting new regular medicare patients--only UHC medicare advantage ones. And I was told by the billing department that even though this applies to new patients only, they are sending letters to let current patients know that this will be applying to them as well (though I don't know when the cutoff date is).

[jrandall]

Originally Posted by dotti105

One of my big concerns with the huge monopoly type insurance companies who buy up their competition is the fact that they have a very large lobby which is an industry in and of itself. They are proud of the fact that they line the pockets of the house and senate members who are elected to represent OUR best interests. Our representatives are no longer representing us, they are representing the special interests who pay them well to do so.

Citizens United needs to be overturned and term limits in place before we will have elected officials who are willing to represent the citizens who voted them into office. $$ is running politics now, and big business supplies the big bucks. The insurance industry is one of the largest and most successful in getting laws drafted to their advantage.

When ACA came out with Insurance Companies in charge, we were guaranteed to have higher premiums, co-pays and less option for seeing the provider/specialist of our choice.

As they have put out the programs for 2016, there have been many changes and most are again in the favor of the insurance companies.

Our healthcare system, like our political system would be better run without the SuperPacs, and lobbyists who have the insidious power to determine our political future and the future of our healthcare, to a much greater degree than the citizens who elected those officials.

That is a recipe for disaster for all except the big boys with the big bucks.

Ft

So very and sadly true!