Friday, April 10, 2009

Return of the HMOs

That's the DemocraPs HEALTH REFORM, huh?

Then I DON'T WANT IT!!! Give me
Sicko or give me death.

You know what I'm getting here in AmeriKa, don't you?


"The "medical home" is a
kinder, gentler approach to managed care....

WTF is this, the George H. W. Bush health plan?


The medical home is actually a return to what early health maintenance organizations first set out to be.... As insurers entered the HMO business in the 1990s, they made huge profits by imposing strict rules on patients and forcing doctors to accept increasingly lower reimbursements.... which placed most of the financial risk on doctors and gave them an incentive to provide less care and avoid sicker patients
"

How about this?

How about CONGRESS give us the SAME HEALTH PLAN THEY HAVE?

After all, TAXPAYERS are PAYING FOR THEIR GENEROUS, SELF-CREATED PLAN that is WAY BETTER than YOURS (if you even have one, America)!!!


Oh, and here is the kicker!


"But a recent study found that 13 of 15 Medicare medical home demonstration projects showed no significant savings or reductions in hospitalizations."

Always a BUT, IF, STILL, COULD BE, MAYBE with the AmeriKan MSM!!!!

You better get to the hospital after that kick in the balls, 'murkn!

You got health insurance, right?


"'Medical home' approach brings back managed care; Stronger ties, planning seen cutting costs" by Lisa Wangsness, Globe Staff | April 8, 2009

WASHINGTON - A decade after HMOs provoked an angry public backlash for being too focused on the bottom line, managed care is making a comeback, particularly among Democratic policymakers now shaping a proposed overhaul of the nation's healthcare system.

The "medical home" is a kinder, gentler approach to managed care, based on the idea that high quality care and stronger relationships between patients and their primary care doctors will save money in the long run. A medical home pays physicians to coordinate all of a patient's needs - arranging visits to specialists, helping control chronic conditions, even fielding patients' phone calls at all hours. Doctors often receive bonuses for meeting quality standards and often share in savings from fewer and shorter hospital stays.

Yeah, but this time its going to be better. As usual, the operative motive for the elites running this society is MORE FOR US and LESS for YOU, citizen!

Proponents say that healthier people are less likely to use expensive hospital and emergency room care, that doctors can guide patients toward less expensive specialists, and that keeping better track of patient records and needs can prevent duplicate lab tests and other unnecessary expenses. Policymakers are intent on containing the nation's spiraling health costs, which are on track to consume 20 percent of the nation's total economic output by 2018. Medical home proponents point to research showing that 30 to 40 percent of medical care is unnecessary, wasted, or even harmful.

But funding the wars and bank bailouts is no problem when it comes to cost.

Update: Obama seeks $83.4 billion for Iraq, Afghan wars

Ever notice that COSTS ONLY MATTER when it comes to SOMETHING YOU NEED, American taxpayer and citizen?

"If we don't get the consumer into an organized system of care that is focused on the right things, there's no hope," said Ronald Paulus, executive vice president of Geisinger Health System, which runs hospitals, clinics, a health plan, and research centers in rural Pennsylvania.

Yup, you are NOT a PATINT, you are a CONSUMER!!

It's ALL a BUSINESS, folks, and you are just ANOTHER HUNK of MEAT ($$$$$$)!!!!!

Senator Max Baucus, the Senate Finance Committee chairman, highlighted the medical home concept in a blueprint for healthcare legislation he issued last fall. The need to better organize care came up repeatedly last month in a meeting between industry leaders and Nancy-Ann DeParle, the White House point person on a healthcare overhaul.

The medical home is actually a return to what early health maintenance organizations first set out to be 40 years ago - a system of doctors and specialists where the primary care practice acts as the quarterback, only occasionally sending patients outside the network for treatment.

"We're coming full circle, now that we realize we need a system to take care of a patient, and it's time to reassemble that system," said Harris Berman, a dean at Tufts University School of Medicine in Boston, who helped develop one of New England's early HMOs.

As insurers entered the HMO business in the 1990s, they made huge profits by imposing strict rules on patients and forcing doctors to accept increasingly lower reimbursements. Most HMOs at the time also paid doctors a set amount per patient, often without regard to how sick the patient was, which placed most of the financial risk on doctors and gave them an incentive to provide less care and avoid sicker patients.

Patients eventually rebelled against what they saw as a ruthless corporate bureaucracy that tried to block access to care. They fled HMOs for preferred provider organizations, which impose fewer rules on patients but cost more. Today's medical homes strive to put a different face on managed care.

Yup, a DIFFERENT FACE but the BODY is the SAME!!!

How many times you gonna be FOOLEYED by IMAGERY, Amurkns?!!!!!

They emphasize quality and pay doctors or their staffs for checking up on patients, coordinating tests and specialist visits, and talking with patients by phone or e-mail.... Primary care doctors do not act as gatekeepers who control patients' access to specialists, but rather as guides, helping patients find the best and cheapest doctors in a vast, fragmented healthcare system....

PROMISES, PROMISES!!!!!!

If I HAD a NICKEL for EVERY PROMISE a LYING POLITICIAN or some other institutional U.S. LIAR then I WOULD HAVE BOUGHT an island and MOVED THERE BY NOW!!!

North Carolina, which has created a virtual medical home for all Medicaid patients by linking small practices with larger clinics and hospitals by region, says it has saved hundreds of millions over the last decade.

But a recent study found that 13 of 15 Medicare medical home demonstration projects showed no significant savings or reductions in hospitalizations.

--more--"

Meanwhile, as they are DENYING YOU CARE they are going to be RIPPING OFF the TAXPAYERS!!!

"Study: More bladder cancer care is no help" by Maggie Fox, Reuters | April 8, 2009

WASHINGTON - .... Medicare, the federal health insurance plan for the elderly, spent more than twice as much on the intensively managed patients without improving their survival rates, Dr. Brent Hollenbeck of the University of Michigan and colleagues found in their study.

Then it was a success.

You think the AmeriKan health care system is here to take care of you?

It is here to cover up the poisoning of the population with the poluution, chemicals, and drugs!!!

The study, published in the Journal of the National Cancer Institute, supports findings that show great variation in how much different hospitals and doctors spend on care, with little indication that spending more helps patients....

Hollenbeck said in a telephone interview: "We are observing the variation and we are not seeing any benefit with the added treatment. Eliminating unnecessary care is very important. Overuse is a big problem in the US healthcare system."

So DON'T EVEN THINK of going to the HOSPITAL, Amurkns!!

Just SUFFER and DIE, will you, so we can shovel more of your sons, daughters, and money into meat-grinder, war-profiteering invasions and occupations based on lies.

--more--"

That's why I NEVER TAKE this COST-CUTTING SHIT SERIOUSLY!!!

Why would the PROFIT-MAKING INSURANCE COMPANIES want to CUT TAXPAYER SUBSIDIES that FATTEN PROFITS?


Actually, I'd rather die than go to the hospital:


"Hospital errors have been blamed for as many as 90,000 deaths a year in the United States"

Get a CLUE, AmeriKa!!!!!!!