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(Telegram)   Tufts, Vanguard to form new health plan with the help of an $88million federal loan and four robotic lions   (telegram.com) divider line 26
    More: Interesting, Tufts, health insurance, Centers for Medicare, Tufts Medical Center, St. Vincent Hospital, minuteman, Medicaid Services, loans  
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2995 clicks; posted to Main » on 02 Sep 2012 at 12:07 PM (1 year ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



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2012-09-02 12:16:36 PM
O-Ba-Ma!
O-Ba-Ma!
O-Ba-Ma!
O-Ba-Ma!
O-Ba-Ma!
O-Ba-Ma!

/fartbongo
 
2012-09-02 12:17:52 PM
Two great companies that i've had insurance from in the past. Now that I live outside of Massachusetts with a new employer I had to switch insurance. The new employer had Aetna for a year. Crappiest insurance i've ever had. Employees complained so much about Aetna that a year later we switched to BlueCross/BlueShield.
 
2012-09-02 12:21:07 PM

linemanbear: Two great companies that i've had insurance from in the past. Now that I live outside of Massachusetts with a new employer I had to switch insurance. The new employer had Aetna for a year. Crappiest insurance i've ever had. Employees complained so much about Aetna that a year later we switched to BlueCross/BlueShield.


You're lucky you've never had United Health Care. I still get confused over how much they cover or what they cover, and trying to figure out their website to see what claims have gone through or what I owe is equally terrible. I had Tufts, and if the monthy costs for Tufts/Vangard is close to what I pay at work but the coverage is better, I'll dump my work healthcare plan.
 
2012-09-02 12:23:38 PM
Free abortions for all!!!
 
2012-09-02 12:30:49 PM
Did someone say Voltron?

www.cheezey.org
 
2012-09-02 01:11:49 PM

moops: Did someone say Voltron?


You'd need a fifth lion for that.
 
2012-09-02 01:16:28 PM

frozenhotchocolate: Free abortions for all!!!



Never understood why Republicans disliked abortions so much, most of those kids who aren't killed by abortion w ill go on to drain the public teat through welfare and other government handouts. Don't you think that initial $300 abortion is more effective than handing their mom welfare checks for several years?

/Oh noes, the wizard in the sky forbids it!
 
2012-09-02 01:27:43 PM

MooseUpNorth: moops: Did someone say Voltron?

You'd need a fifth lion for that.


Same thought occurred to me; thought maybe subby brainfarted while trying to make a Voltron reference. Probably wasn't, though, and I don't think I know what else it could refer to.
 
2012-09-02 01:31:47 PM
Screw Voltron- This is now a Titan Maximum thread.

i.ytimg.com

/Look what you did, Jodi!
 
2012-09-02 01:42:55 PM

linemanbear: Two great companies that i've had insurance from in the past. Now that I live outside of Massachusetts with a new employer I had to switch insurance. The new employer had Aetna for a year. Crappiest insurance i've ever had. Employees complained so much about Aetna that a year later we switched to BlueCross/BlueShield.


Aetna sucks. Anyone worried about rationed health care should try Aetna, they're already there.
 
2012-09-02 01:52:48 PM
We'll all be better off when these guys just list prices like auto repair shops and let the customers compare and choose.
 
2012-09-02 01:55:36 PM

porcelainmonkey:

Aetna sucks. Anyone worried about rationed health care should try Aetna, they're already there.


Yes, having Aetna means getting letters day after day demanding money for items not covered. My favorite was one wanting $130 for ear irrigation. FYI, ear irrigation is squirting a water and baking soda solution in your ear. Didn't pay it, told them to irrigate their ear with the bill, switched to a much better provider. The non payment never showed up on my credit report, guess they were too busy screwing other members to be worried about such a paltry amount.
 
2012-09-02 02:22:20 PM
They're gonna build that all by themselves, right?
 
2012-09-02 02:41:10 PM

MooseUpNorth: moops: Did someone say Voltron?

You'd need a fifth lion for that.


Republicans blocked the fifth lion because they didn't want to let Obama form a giant robot that fights for galactic peace. They would rather let King Zarkon conquer the galaxy than let Obama be the one to defeat him.
 
d23 [TotalFark]
2012-09-02 03:01:09 PM
whut?

www.nobodysells4less.com

no thanks..
 
2012-09-02 03:55:05 PM
Members will govern the health plan

Say what now? What the heck is that supposed to mean? They certainly can't dictate coverage, that would just come to evryone wanting everything covered for minimal premiums ("of course my breast implants are medically necessary!", "A facelift will benefit my mental health!", "I do need an electric wheelchair- I get winded walking around WalMart"!"). They can't dictate rates unless their all actuarials. They can't negotiate with providers, they don't have a clue what the actual cost of a procedure is. They certainly don't have any idea of how to deal with the Division of Insurance.
 
2012-09-02 04:00:19 PM

PlatinumDragon: MooseUpNorth: moops: Did someone say Voltron?

You'd need a fifth lion for that.

Same thought occurred to me; thought maybe subby brainfarted while trying to make a Voltron reference. Probably wasn't, though, and I don't think I know what else it could refer to.


Do Tufts and Vanguard both have lions at their steps? (Old libraries or courthouses, maybe?)
/Country boy-have to drive 200 mi. to see a real lion/25 mi. to see a concrete one/no idea where to find a robotic one selling health ins.
 
2012-09-02 04:11:32 PM

Rip Dashrock: porcelainmonkey:

Aetna sucks. Anyone worried about rationed health care should try Aetna, they're already there.

Yes, having Aetna means getting letters day after day demanding money for items not covered. My favorite was one wanting $130 for ear irrigation. FYI, ear irrigation is squirting a water and baking soda solution in your ear. Didn't pay it, told them to irrigate their ear with the bill, switched to a much better provider. The non payment never showed up on my credit report, guess they were too busy screwing other members to be worried about such a paltry amount.


You don't just get letters for items not covered, they'll deny covered claims as well. In my case, it was for taking my son to an allergy specialist that his pediatrician recommended. A month after seeing the specialist, we got the letter saying the specialist visit wasn't covered because we didn't have a reference from the primary physician. The letter contained a form detailing the visit, including the referring doctor's name and the date of the referral. It took five phone calls to Aetna to straighten it out (two of which came directly from the pediatrician's office, one from the specialist's office). I've always figured they routinely deny claims, just to see if they can get away with it.

We don't have a healthcare problem in this country, we have a health insurance problem. So long as we consider the lack of insurance to be the problem, we'll never fix things.
 
2012-09-02 04:27:28 PM

Cuchulane: Members will govern the health plan

Say what now? What the heck is that supposed to mean? They certainly can't dictate coverage, that would just come to evryone wanting everything covered for minimal premiums ("of course my breast implants are medically necessary!", "A facelift will benefit my mental health!", "I do need an electric wheelchair- I get winded walking around WalMart"!"). They can't dictate rates unless their all actuarials. They can't negotiate with providers, they don't have a clue what the actual cost of a procedure is. They certainly don't have any idea of how to deal with the Division of Insurance.


Was wondering that myself. Pretty much every article on the subject is filled with platitudes and empty buzzwords without actually describing what it actually does and how it will be different.

Knowing that this is MA, that usually means alot of politically connected people will be handsome paid for doing nothing, and ultimately the taxpayers end up footing the bill.
 
2012-09-02 05:14:34 PM

ChuDogg: Cuchulane: Members will govern the health plan

Knowing that this is MA, that usually means alot of politically connected people will be handsome paid for doing nothing, and ultimately the taxpayers end up footing the bill.


And yet, somehow, the Commonwealth and state with the best healthcare options, most insured citizenry, best educational system, top-tier affluent demographics, best care for the poor and indigent, largest ratio of middle-class incomes, least affected by the housing crash or the recession, one of the best public transportation networks, best managed urban areas(even the blighted ones), combined best sports franchises for the last decade, will just struggle along being in better shape than possibly every other state in the country.

It's just a conspiracy to bleed us all dry.
 
2012-09-02 05:28:32 PM

zenobia: We'll all be better off when these guys just list prices like auto repair shops and let the customers compare and choose.


Welcome to the Internet: you can.
 
2012-09-02 05:32:30 PM

Cuchulane: Say what now? What the heck is that supposed to mean? They certainly can't dictate coverage, that would just come to evryone wanting everything covered for minimal premiums ("of course my breast implants are medically necessary!", "A facelift will benefit my mental health!", "I do need an electric wheelchair- I get winded walking around WalMart"!"). They can't dictate rates unless their all actuarials. They can't negotiate with providers, they don't have a clue what the actual cost of a procedure is. They certainly don't have any idea of how to deal with the Division of Insurance.


The same way every other insurance company (and every other insurance co-op, of which there are many, despite the puzzling claims that this is a new idea) does it. They hire people whose job it is to figure out these things. Then vote on the people who guide their decisions. That's the entire premise of how group decision making works in everything. What's so complicated?

ChuDogg: Was wondering that myself. Pretty much every article on the subject is filled with platitudes and empty buzzwords without actually describing what it actually does and how it will be different.


It will be pretty much the same except instead of investors, the board of directors will be selected by those who buy the product. The reason this type of setup usually fails within a few years is that it is very prone to adverse selection.
 
2012-09-02 06:09:57 PM

BMFPitt:

The same way every other insurance company (and every other insurance co-op, of which there are many, despite the puzzling claims that this is a new idea) does it. They hire people whose job it is to figure out these things. Then vote on the people who guide their decisions. That's the entire premise of how group decision making works in everything. What's so complicated?

It will be pretty much the same except instead of investors, the board of directors will be selected by those who buy the product. The reason this type of setup usually fails within a few years is that it is very prone to adverse selection.


I guess it's the logistics of how 'they' get anything done that I can't figure out. It's pretty clear how an employer group works. All of the members are employees of one company, and that company has an existing HR department responsible for shopping around and negotiating for a coverage plan. The same with city governments. There's an intermediary body that already exists- the employer.
How do these members that have no other affiliation with each other except for owning the same policy function? Do they all agree occasionally to rent out the local Moose Lodge for a Town Hall like session? Who organizes the election of a board of directors? Does every participating member get a vote, if so, how do they know these people and nominate them in the first place?
 
2012-09-02 07:09:41 PM

Cuchulane: I guess it's the logistics of how 'they' get anything done that I can't figure out. It's pretty clear how an employer group works. All of the members are employees of one company, and that company has an existing HR department responsible for shopping around and negotiating for a coverage plan. The same with city governments. There's an intermediary body that already exists- the employer.


The employer is just a middleman. You're looking at it from the wrong angle.

How do these members that have no other affiliation with each other except for owning the same policy function? Do they all agree occasionally to rent out the local Moose Lodge for a Town Hall like session? Who organizes the election of a board of directors? Does every participating member get a vote, if so, how do they know these people and nominate them in the first place?

The same way that every other corporation in the world functions. Vote by mail/internet, or go to the meetings if you are really passionate about something.
 
2012-09-02 11:04:06 PM

skinink: You're lucky you've never had United Health Care. I still get confused over how much they cover or what they cover, and trying to figure out their website to see what claims have gone through or what I owe is equally terrible.



I thought they would be a great company, considering they were able to give their CEO a BILLION dollar bonus.
 
2012-09-03 03:32:36 AM
Actually Vanguard was a Gobot, so "with the help of a center ship and 3 other power suits" would be the more appropriate joke.
http://www.toyarchive.com/Gobots/Regular/Vanguard.html
http://www.toyarchive.com/Gobots/Combiners/Courageous.html
 
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