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WASHINGTON — When a proposal to encourage end-of-life planning touched off a political storm over “death panels,” Democrats dropped it from legislation to overhaul the health care system. But the Obama administration will achieve the same goal by regulation, starting Jan. 1.
Under the new policy, outlined in a Medicare regulation, the government will pay doctors who advise patients on options for end-of-life care, which may include advance directives to forgo aggressive life-sustaining treatment.
The final version of the health care legislation, signed into law by President Obama in March, authorized Medicare coverage of yearly physical examinations, or wellness visits. The new rule says Medicare will cover “voluntary advance care planning,” to discuss end-of-life treatment, as part of the annual visit.
Caller: Yes. And basically they don’t call them patients, they call them units. And instead of – they call it “ethics panels” or “ethics committees”, would get together and meet and decide where the money would go for hospitals, and basically for patients over 70 years of age, that advanced neurosurgical care was not generally indicated.
Mark Levin: So it’s generally going to be denied?
Caller: Yes, absolutely. …If someone comes in at 70 years of age with a bleed in their brain, I can promise you I’m not going to get a bunch of administrators together on an ethics panel at 2 in the morning to decide that I’m OK to do surgery.
The panel can’t increase beneficiary copayments or premiums, change eligibility rules, increase payroll taxes or alter existing benefits. Instead, it must focus on reforming the way health care is delivered and the incentives that drive doctors and hospitals to pursue quantity over quality.
For example, when patients acquire in-hospital infections, extending their stays and requiring additional treatments, IPAB could reduce payments to the hospital. It could reward providers for bundling care and billings, making it easier to coordinate care for patients with, say, diabetes. And the board could align reimbursement rates with health outcomes rather than paying fees for service.
Originally posted by habitforming
reply to post by ThirdEyeofHorus
You are adding onto your non-response. I am still waiting for one simple thing and that is your refutation. Until I see that, no reason to respond to anything else you post.
Originally posted by Kituwa
Then don't! You wont be missed!
If you don't agree, simply find a board you agree with. Your posts are full of nothing but hate & anger and serve no other purpose than to get in a board-fight.
I suggest you get to the doc ASAP and beg for happy pills. They should be free of charge unless, you are too damn old to get the prescription.
Originally posted by habitforming
reply to post by ThirdEyeofHorus
I am still waiting for you to refute my post.
That is really the only thing from you I plan on reading.
Take all your death panel bull# and stuff it.
Ask Jan Brewer all about the current death panels Republicans think are so cute.
Originally posted by ThirdEyeofHorus
Why don't you just tell me what you are talking about with regard to Jan Brewer.Her fight with Obama is about the illegals overrunning her State and trashing up the desert with dirty diapers and all manner of disgusting tihngs, and that's before they go into the ranch homes and help themselves to whatever's in the fridge.
Originally posted by habitforming
Originally posted by ThirdEyeofHorus
Why don't you just tell me what you are talking about with regard to Jan Brewer.Her fight with Obama is about the illegals overrunning her State and trashing up the desert with dirty diapers and all manner of disgusting tihngs, and that's before they go into the ranch homes and help themselves to whatever's in the fridge.
I have given you several links and none of them have anything to do with non-citizens. But you know those are in other threads where you are crying about death panels. I want you to refute my facts. You say that old people are subject to death panels in the UK. I say old people live longer in the UK.
It cannot be both.edit on 2-7-2012 by habitforming because: (no reason given)
Washington -- A government watchdog's audit of improper payment determinations for Medicare services showed that contractors had denied payments for some valid services in 2010.
The Centers for Medicare & Medicaid Services uses contractors to manage a comprehensive error-rate testing program that determines the frequency of improper payments in Medicare fee-for-service. In 2010, that error rate was 10.5% and represented an estimated $34.3 billion in improper payments, according to a February report by the Dept. of Health and Human Services Office of Inspector General. However, a review of those audits showed that the error rate would have been lower if contractors had taken extra steps to obtain records showing that billed services were medically necessary.
"Additional efforts to obtain missing documentation could more clearly reflect the true status of improper payments" in the error rate estimate, the OIG said. The error rate in 2010 would have been 10.2%, a total of nearly $1 billion less in improper payments.
Medicare contractors rejecting pay for some legitimate services
Healthcare rationing in the United States exists in various forms. Access to private health insurance is rationed based on price and ability to pay. Those not able to afford a health insurance policy are unable to acquire one, and sometimes insurance companies pre-screen applicants for pre-existing medical conditions and either decline to cover the applicant or apply additional price and medical coverage conditions.[1][2][3] Access to state Medicaid programs is restricted by income and asset limits via a means-test, and to other federal and state eligibility regulations. Health maintenance organizations (HMOs) that commonly cover the bulk of the population, restrict access to treatment via financial and clinical access limits.[4]
The Patient Protection and Affordable Care Act passed in March 2010 will prohibit insurers from limiting coverage to people with preexisting conditions beginning in 2014, which will alleviate this type of rationing.
Some in the media and academia have advocated rationing of care to limit the overall costs in the U.S. Medicare and Medicaid programs, arguing that a proper rationing mechanism is more equitable and cost-effective.[5][6][7] The Congressional Budget Office (CBO) has argued that healthcare costs are the primary driver of government spending over the long-term.[8]
Healthcare rationing in the United States
Originally posted by ThirdEyeofHorus
Just tell me here and now what Jan Brewer has to do with the death panels.
Originally posted by ThirdEyeofHorus
Originally posted by habitforming
reply to post by ThirdEyeofHorus
I am still waiting for you to refute my post.
That is really the only thing from you I plan on reading.
Take all your death panel bull# and stuff it.
Ask Jan Brewer all about the current death panels Republicans think are so cute.
Why don't you just tell me what you are talking about with regard to Jan Brewer.Her fight with Obama is about the illegals overrunning her State and trashing up the desert with dirty diapers and all manner of disgusting tihngs, and that's before they go into the ranch homes and help themselves to whatever's in the fridge. But that's the genuine illegal issue. We were discussing death panels. It is a fact that the legislation has govt bureaucrats to make important decisions on who gets what surgeries, and also to help your doc advise you on end of life issues. So guess what buddy, you can take your own hyperbole and you know what to do per the Golden Rule.
Originally posted by Happy1
reply to post by habitforming
What is the obama death panel going to do with premature infants? This question hasn't been raised and you love to defend the death panels -- Come on - this is a challenge. Sustein thinks you should be able to kill an infant up to 2 years of age if it's defective.
Come on, give this your best shot. Be a man.
Originally posted by ThirdEyeofHorus
reply to post by habitforming
So now it's Republican Death Panels, but there aren't any in Obamacare.....you libs are a real piece of work.
But thanks for posting the links, as it wasn't my responsibility to research your talking points.