Touched by Obamacare and not in a good way

Got the certified letter just a couple of days ago. My primary care physician is tossing me off his list along with everyone else in his practice. There is no reason given in the letter but we did talk about this. It seems that my type II diabetes is not under control by Obamacare standards. So everytime I see my doctor and the numbers are not within Obama guidelines, he (and his practice) get a black mark on their records. This means that somewhere along the way the amount of money they get for providing Medicare medicine will go down. So I'm cut loose in order to save themselves. Now I have to go find another doctor in the system or go back to the VA. This new doctor also has the option of reading my files and deciding that I'm a bad bet. Then I become uninsurable (unless I want to pay outrageous rates) which then leaves me OBAMACARE. This herding was predicted by us back in 2010 and is coming true.

Enrollement if half of what was predicted and one third of what is needed to continue the program without impressive subsidies from the government. Those subsidies would negate the entire purpose of Obamacare. Can you say "death spiral"?

Type II? Uncrontrolled?

When you look at a menu do you say "OK?"

You know how much sugar is in a bottle of Boone's Farm?

Taxpayers are supposed to pay for you to be a lazy fuck?

Taker.

Got the certified letter just a couple of days ago. My primary care physician is tossing me off his list along with everyone else in his practice. There is no reason given in the letter but we did talk about this. It seems that my type II diabetes is not under control by Obamacare standards. So everytime I see my doctor and the numbers are not within Obama guidelines, he (and his practice) get a black mark on their records. This means that somewhere along the way the amount of money they get for providing Medicare medicine will go down. So I'm cut loose in order to save themselves. Now I have to go find another doctor in the system or go back to the VA. This new doctor also has the option of reading my files and deciding that I'm a bad bet. Then I become uninsurable (unless I want to pay outrageous rates) which then leaves me OBAMACARE. This herding was predicted by us back in 2010 and is coming true.

Enrollement if half of what was predicted and one third of what is needed to continue the program without impressive subsidies from the government. Those subsidies would negate the entire purpose of Obamacare. Can you say "death spiral"? Originally Posted by JD Barleycorn

Do you understand how insurance works? It takes money from people who didn't have something happen to them and gives it to people who did.

Please point us to the website or information that indicates the 'Obama' guidelines for diabetes. Obamacare, once again, is not insurance. I don't know how many times you dumbasses need to be told that. It's a set of rules governing healthcare insurance, not the insurance itself.

seems that my type II diabetes is not under control by Obamacare standards. So everytime




Can you say "death spiral"? Originally Posted by JD Barleycorn

I can say type II diabetics death spiral you fat fuck. Get off your ass and go lose some wight.

Type II? Uncrontrolled?

When you look at a menu do you say "OK?"

You know how much sugar is in a bottle of Boone's Farm?

Taxpayers are supposed to pay for you to be a lazy fuck?

Taker. Originally Posted by Yssup Rider

I can say type II diabetics death spiral you fat fuck. Get off your ass and go lose some wight. Originally Posted by WTF

You both need to learn more about type II diabetes and stop being so judgmental.
Sure, diet and exercise have an effect, but inheritance is a major factor.

Believe me. I know.

You both need to learn more about type II diabetes and stop being so judgmental.
Sure, diet and exercise have an effect, but inheritance is a major factor.

Believe me. I know. Originally Posted by gfejunkie

Yes....that's why he needs to get off his Obama hating ass and start exercising something other than his keyboard!

Next thing JD will be posting about how no one will make him and COGay a wedding cake!

Touched by Obamacare and not in a good way


"? Originally Posted by JD Barleycorn

Does JD need to come out of the closet or what?

Does JD need to come out of the closet or what? Originally Posted by WTF

Fetuses, orphans and old people... NOW you are adding diabetics to your Death Panel list... WTF the ACRONYM...

The ACA takes some baby steps toward pay for performance instead of fee for service reimbursement. There are several types of par for performance, most notably process measures and outcome measures. The first focuses on whether the doc follows the evidence based criteria that result in the best outcomes. The later on the actual outcomes. Outcome measures for pay for performance are controversial for a couple of reasons, on of which you hit on here -- sometimes, despite the best processes, the outcome isn't ideal. Likewise, as others have posited, sometime patient non-compliance in taking meds, lifestyle issues, etc. can adversely affect outcomes.

Type II is a rough disease. It's insidious and it doesn't always respond to treatment as well as we would like. It's also a progressive disease. If you have been compliant, it's appalling that your PCP has dropped you. On the other hand, if you've been non-compliant, and it's costing him money, I can see his point.

I would suggest that you make a frank assessment of your level of compliance. But if you're taking your meds, and making some effort on the exercise and diet front, seek out a better doc. There are lots of treatment options with diabetes. And your ACA policy makes compliance easier and cheaper, and your drugs should now be much more affordable.

If you'd like to discuss exactly where you are in your treatment regimen, I'd be glad to talk here or via PM.

Well put, TTH. Pay for performance models were at the heart of ACA and insurers and now negotiating much more equitable value based contracts with Accountable Care Organizations, local physician networks and others. Bottom line is better care for the patient.

Expect JDrunk to reach out for advice post haste.

Maybe if he excercised something other than his elbow and his slack jaw...

You both need to learn more about type II diabetes and stop being so judgmental.
Sure, diet and exercise have an effect, but inheritance is a major factor.

Believe me. I know. Originally Posted by gfejunkie

You need to STFU and stop being souch a pussy!

Do you understand how insurance works? It takes money from people who didn't have something happen to them and gives it to people who did.

Please point us to the website or information that indicates the 'Obama' guidelines for diabetes. Obamacare, once again, is not insurance. I don't know how many times you dumbasses need to be told that. It's a set of rules governing healthcare insurance, not the insurance itself. Originally Posted by WombRaider

You're right about that. Obamacare certainly isn't insurance and it certainly isn't socialized medicine either. It's nothing more than Corporatism at it's finest, with the Insurance Companies as the middleman. Greed and Corruption is about all that we'll get from it.

Jim

Well put, TTH. Pay for performance models were at the heart of ACA and insurers and now negotiating much more equitable value based contracts with Accountable Care Organizations, local physician networks and others. Bottom line is better care for the patient.

Expect JDrunk to reach out for advice post haste.

Maybe if he excercised something other than his elbow and his slack jaw... Originally Posted by Yssup Rider

Quick question. Why is pay for performance in health care acceptable, while pay for performance in education is not?

Maybe if he excercised something other than his elbow and his slack jaw... Originally Posted by Yssup Rider

May be if those people in Austin had "excercised" (sic) something other than their elbows and slack jaws they would have been able to swim and wouldn't have drowned in the flooding the last few days.

It appears you didn't "go into the water"!

Greed and Corruption is about all that we'll get from it.

Jim Originally Posted by Mr MojoRisin

Sounds like JD might get a doctor who makes him get on a fucking treadmill!