Use all the free resources available to you from SDN: articles, guides, expert advising, forums discussions, and school research.
Really? Places would turn down Medicare? I’ve never heard of any places turning down Medicare patients. But that’s just my experience. They turn down Medicaid.
Interesting. The majority of the total joints are medicare pts. If orthopods aren't taking medicare pts, do they have enough patients?
They dont give a **** because they're Ortho and get to bill 50 rvu an hour. Internist clinics can't survive on CMS rvus so assuming the market isnt saturated will make referentially kick CMS off the panel.
Sad state of affairs - in my area we’ve seen this, every semi-reputable internist stops taking Medicare and may even go concierge once they’ve become established. If you have Medicare or bad insurance you’re left with a revolving door of new grad primary docs.
Gets worse every year they keep dropping the conversion factor while staff salaries go up. Part of a plan to drive private practices in to extinction but in reality just makes Medicare a nonexistent insurance benefit.
Interesting
”The term "Obama Medicare Part B surcharge" likely refers to the income-related monthly adjustment amount (IRMAA) for Medicare Part B premiums, which became more prevalent during his administration and was influenced by legislation passed during his time in office, such as the
Idk about everywhere but I think most states allow physicians to refuse to accept a new patient for just about any reason from inappropriate referral to I don't like their insurance. You can still accept medicare but just not take new patients (you still have to take care of people you already started caring for though unless you send a letter kicking them out of clinic).
Yes. For the private practice u can take or reject whoever u want.
I cannot conceive of a universal healthcare that will cost people with physician incomes less than the current one, even in retirement. It would come with less headaches hopefully.
The VA is best for docs around age 57. Do ur 5 years and take the immediate retirement. The healthcare in retirement is worth almost as much as the 5 year “pension” pay out.
The point behind my posts is that if you want to retire at age 55 or 60 then you must bridge the gap until Medicare. This gap means COBRA or the Obamacare exchange so plan accordingly for the costs. I chose to use my employer based healthcare plan while working part time. My colleagues have reduced their status to 0.5 FTE so they can stay on the employer plan until age 65. With careful planning you can reduce your IRMAA costs to level 2 or level 3 depending on your income and Roth conversions. Every single dollar earned counts towards IRMAA. Every capital gain, every dividend, every dollar of interest including municipal bond interest and even social security income all count towards IRMAA calculations.
We would merely need to replicate the system of any OECD country (other than the USA) for the answer. Last I checked about 50% of healthcare costs were funneled to middle-men. We could get rid of all of them for a start.
Too many hands in the cookie jar.
Speaking of which - I just saw that the wealth held by the top 0.1% in the USA is 23.3 trillion USD. Which is to say that there's plenty of money out there to solve the trillion dollar problems. It's just hoarded by Elon and friends, and is relatively untaxed.
Nah.
All good advice. The government thinks the large print in the fat Medicare book makes it easier to understand. It doesn't.
Medicare advantage is the type plan typically restricted geographically and requires pre-approval for just about everything. For example, traditional medicare allows you travel anywhere in the USA to receive care even if that care is expensive. Medicare advantage is highly restrictive in allowing access to care as the company makes money by denying care. The real kicker is that in most states, 46 I think, once you give up your supplemental care plan you must pass a medical underwriting exam to get it back. If you have medical conditions then you won't pass underwriting and will be denied the supplemental plan.
MA is the ****ty rate of medicare with the hassle of a private insurance company. Worst case scenario for outpatient medicine.
Having “few medical needs” will likely change as one ages.
Then the joys of not getting drugs/scans covered due to failed prior auths and offices that wont answer the phone because margins on MA plan are negative will hit home on you get what you pay for. As long as the private company makes a profit off you though all is well.
you dont really mean that
Oh course I do mean that. But everyone needs to contribute just like most civilized countries.
Yes, IRMAA is the Medicare scam out in the open. It can be incredibly expensive for higher income earners.
I doubt you have seen the unsubsidized Healthcare premiums for a family of 4 on the ACA exchange. These plans are up 20-30% in cost vs 2025.
These plans on the ACA exchanges are worse than cobra plans employer plans (which have better networks and providers). Cobra employee plans getting gonna to run $2000-2300 a month with much better network and lower deductible for a family of 4
I’ve said I’m in favor of it.
It is un american and against everything we are for.
We are too far into a "socialist" Healthcare system to go backwards. More than 50% of all Americans get their healthcare from the govt. in one form or the other: Medicare, Medicaid, Tricare, VA Healthcare, ACA subsidized care, etc. The next step in the process is obvious the only question is when that happens not if that happens.
www.forbes.com
People know my thoughts on the ACA.
it really depends how u look at it.91% Of Healthcare Is Government Subsidized. Is Your Coverage Safe?
Most Americans think their healthcare is private, but 9 in 10 receive government subsidies. As budget cuts loom, your coverage could be at risk. Here's what to know.
The actual number who get true govt. subsidized healthcare where the tax payer pays more than 60% of the cost is around 184 million Americans.
Yes you read that correctly: 184 million.
165 million Americans get their healthcare through their employer.
