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(CNBC)   Doctors and hospitals brace for confusion as Obamacare starts, mostly from insurance companies having to come up with a whole new set of reasons not to pay anyone's medical bills   (cnbc.com) divider line 27
    More: Followup, Medical prescription, Montefiore Medical Center, health care overhaul, Toll-free telephone number, medical practices  
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734 clicks; posted to Business » on 03 Jan 2014 at 10:05 AM (51 weeks ago)   |  Favorite    |   share:  Share on Twitter share via Email Share on Facebook   more»



27 Comments   (+0 »)
   
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2014-01-03 08:59:06 AM  
It's the law, people, it's the law.
Yeah, yeah, I know. Boo hoo. there's a negro in the white house.
Affordable health care is now the law and being against that is going against the law.

Lock these pricks up in a cold jail and take away their Porsches.
 
2014-01-03 09:43:45 AM  
Humana just took the position that the medication prescribed by my Dr. was not necessary and therefore they would not pay. So There.
 
2014-01-03 10:00:52 AM  
Last summer I got food poisoning.  I went to the ER.  Two separate doctors saw me at the same time.  It was a VERY slow evening.  Both billed my ZERO deductible insurance.  I had superior insurance at the time.  United Health Care covered one of the charges, and not the other.  I am currently battling with the insurance company, the hospital, their billing department, and an outsourced billing department.

United has confirmed to all billing parties that I am absolutely NOT 100% responsible for said $850 bill, but they are refusing to pay the additional $850.  The hospital will eventually have to eat the charge, but this is massively annoying and very time consuming for me to deal with.

I cannot imagine having some POS insurance plan right now and the headaches that will inevitably come from it.
 
2014-01-03 10:14:38 AM  

vudukungfu: It's the law, people, it's the law.
Yeah, yeah, I know. Boo hoo. there's a negro in the white house.
Affordable health care is now the law and being against that is going against the law.

Lock these pricks up in a cold jail and take away their Porsches.


0/10
 
2014-01-03 10:26:32 AM  
As someone working in the insurance industry trying to implement the ACA here - fark you subby.  Here's a typical conversation lately with my counterpart with the state:

State guy: we need to send out new insurance cards so everyone has cards in hand by Jan 1.
Me: Sure.  When are you going to send the enrollment file?
State guy: Dec 31st.  Maybe.
Me: And what's going to be in it?
State guy: I don't know.  Maybe some incomplete records, hell, I don't know.
Me: You realize that I can't...
State guy: YOU'LL GET NOTHING AND YOU'LL LIKE IT!

I'm not against ACA conceptually... but Jeebus has the implementation been screwed up at every level.  I'm not surprised about the stories that no one can confirm who actually has insurance, because the insurance companies don't know, because the states don't know, and the counties don't know.  It's just farked up all around, and it will take months to sort out.
 
2014-01-03 10:34:51 AM  
Every time someone with a life threatening illness is denied treatment that would save them, we simply hang the CEO of the insurance company that denied them and promote the next senior executive.

Oh, and you can't quit the job to save your ass as your neck will be on the docket at the gallows for as long as you're in the insurance game for ANY company at the maximum seniority you achieved anywhere for up to and including a year and a day AFTER you no longer work in the industry. So no bailing with golden parachutes.
 
2014-01-03 10:44:19 AM  
 A friend of mine is about to lose her leg from a motorcycle accident and I am trying to help her work through the process of getting a wheelchair as backup for when she cannot wear her prosthesis and it is hard to describe the paperwork gauntlet we are running through.
 
2014-01-03 11:20:19 AM  
I fully expect teabaggers to be picketing outside doctor's offices screaming at patients to not use their new Obamacare insurance because it's Socialism™.
 
2014-01-03 11:42:08 AM  

doglover: Every time someone with a life threatening illness is denied treatment that would save them, we simply hang the CEO of the insurance company that denied them and promote the next senior executive.

Oh, and you can't quit the job to save your ass as your neck will be on the docket at the gallows for as long as you're in the insurance game for ANY company at the maximum seniority you achieved anywhere for up to and including a year and a day AFTER you no longer work in the industry. So no bailing with golden parachutes.


This is what farklibs actually believe.
 
2014-01-03 11:44:52 AM  
Yea right. It's all the insurance company's fault.

/rolls eyes
 
2014-01-03 12:28:38 PM  
Death panels are active now.
 
2014-01-03 12:36:08 PM  
Three years to prepare for this and people don't even have insurance cards.
 
2014-01-03 12:44:58 PM  
Prediction: Implementation of ICD-10 this year will be a clusterfark, which will also be blamed on 0bamacare despite having nothing to do with it, especially since the rollout will be a few weeks before 2014 elections.
 
2014-01-03 01:39:32 PM  
Well, we now know how uneducated subby is on how insurance works...
 
2014-01-03 01:40:50 PM  

doglover: Every time someone with a life threatening illness is denied treatment that would save them, we simply hang the CEO of the insurance company that denied them and promote the next senior executive.

Oh, and you can't quit the job to save your ass as your neck will be on the docket at the gallows for as long as you're in the insurance game for ANY company at the maximum seniority you achieved anywhere for up to and including a year and a day AFTER you no longer work in the industry. So no bailing with golden parachutes.


You're suggesting we hang Obama? Wut?
 
2014-01-03 01:42:05 PM  

The Beatings Will Continue Until Morale Improves: I fully expect teabaggers to be picketing outside doctor's offices screaming at patients to not use their new Obamacare insurance because it's Socialism™.


Are you implying that anyone is in a position to actually use "obamacare insurance"? That opinion of yours demonstrates an extreme disconnect from reality.
 
2014-01-03 02:04:14 PM  

Parthenogenetic: Prediction: Implementation of ICD-10 this year will be a clusterfark, which will also be blamed on 0bamacare despite having nothing to do with it, especially since the rollout will be a few weeks before 2014 elections.


What's the over/under on that? Because it sounds like a HORRIBLE bet should I challenge the position taken here.
 
2014-01-03 02:13:48 PM  
Why did I read the comments?
 
2014-01-03 03:45:30 PM  

Bullseyed: The Beatings Will Continue Until Morale Improves: I fully expect teabaggers to be picketing outside doctor's offices screaming at patients to not use their new Obamacare insurance because it's Socialism™.

Are you implying that anyone is in a position to actually use "obamacare insurance"? That opinion of yours demonstrates an extreme disconnect from reality.


Pretty sure he is implying that a lot of rubes have bought into the derp that such a thing exists.
 
2014-01-03 05:43:57 PM  
this means a lot of providers won't be getting paid anytime soon. Hope they have the cash reserves to stay afloat while the insurance gets things sorted out and start actually sending reimbursements. Even when things are working ok providers still wait weeks to get reimbursed.

I wonder if independent pharmacies will even accept patients who's insurance has changed. I doubt they can afford to until the insurance companies get their act together.
 
2014-01-03 06:14:58 PM  

oryx: Three years to prepare for this and people don't even have insurance cards.


This is not the first time I've heard this today.  Questions:

1. Is this the new Fox talking point?
2. Is this how low on the list they are getting?
3. How many more items after 'insurance card-gate' are there?
4. What happens after the list?
5. I was told there would be punch and pie, is this correct?
6. Is it homemade pie, or frozen store bought?
7. Should I bring my own whipped cream?
 
2014-01-03 06:27:07 PM  

TheSwizz: oryx: Three years to prepare for this and people don't even have insurance cards.

This is not the first time I've heard this today.  Questions:

1. Is this the new Fox talking point?
2. Is this how low on the list they are getting?
3. How many more items after 'insurance card-gate' are there?
4. What happens after the list?
5. I was told there would be punch and pie, is this correct?
6. Is it homemade pie, or frozen store bought?
7. Should I bring my own whipped cream?


Obviously it is all the government's fault. They had three. Years to figure it out.

The insurance companies, service providers, and people are suffering for this law foisted upon them at the last minute with no time to prepare.

Well, those are what I see coming out of the right wing.

This was not going to go smoothly no matter what had happened. Maybe if they had an enrollment period September 1 through November 30 and another January 1 through March 31 you could have dealt with some of the people waiting until the last minute.

More important is where things are in 3, 6 and 12 months.
 
2014-01-03 07:32:44 PM  
It's funny how insurance companies have no problem taking your money - if they can't remember who has coverage its their own farking fault... Just start slapping them with big farking fines for everyone who is signed up that has denied coverage.
 
2014-01-03 08:06:02 PM  

Elzar: It's funny how insurance companies have no problem taking your money - if they can't remember who has coverage its their own farking fault... Just start slapping them with big farking fines for everyone who is signed up that has denied coverage.


Much like how we were supposed to hit banks that foreclosed on non-default accounts with huge fines? I can't wait for that to happen.

Now, if you'll excuse me, I seem to have fallen off a turnip truck that just rolled through.
 
2014-01-03 09:07:21 PM  
You know...sometimes it's not the government's fault.
Hell, sometimes it's not even the insurance company's fault

Sometimes it's the hospital's fault
Sometimes it's the doctor's fault
Sometimes it's the nurse's fault
Sometimes it's the tech's fault
Sometimes it's the clerk's fault

And sometimes it's the client's fault.

Reality...ain't it a biatch??
 
2014-01-03 09:08:44 PM  

Spare Me: Yea right. It's all the insurance company's fault.


Actually it is.
 
2014-01-04 02:39:46 PM  

hp6sa: As someone working in the insurance industry trying to implement the ACA here - fark you subby.  Here's a typical conversation lately with my counterpart with the state:

State guy: we need to send out new insurance cards so everyone has cards in hand by Jan 1.
Me: Sure.  When are you going to send the enrollment file?
State guy: Dec 31st.  Maybe.
Me: And what's going to be in it?
State guy: I don't know.  Maybe some incomplete records, hell, I don't know.
Me: You realize that I can't...
State guy: YOU'LL GET NOTHING AND YOU'LL LIKE IT!

I'm not against ACA conceptually... but Jeebus has the implementation been screwed up at every level.  I'm not surprised about the stories that no one can confirm who actually has insurance, because the insurance companies don't know, because the states don't know, and the counties don't know.  It's just farked up all around, and it will take months to sort out.


I'm not against private insurance, but having worked in the industry (my wife still does) as a techie, I was shocked when I saw how the cross-billing works. All of it phantom costs to hide profit. Why do you think many private insurers have a non-profit arm under the corporate umbrella? Tax avoidance.
 
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