you know that gov't will have to contract out to MCOs
Posted on: January 29, 2019 at 10:09:24 CT
tigerinhogtown STL
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the administration of any single payer source. YOu know that the strongest lobbiests will bet the bulk of the pie - Pharm, Hospitals, yes, insurance companies as the contractors managing the MCOs.
Patients will suffer, clinics will shut their doors, low end medical personnel will get pay cuts and never get a raise.
Our state Medicaid has gone from single payer to 3 MCOs plus the state payment source, instead of 1 level of bureaucracy, we now have 4. But the state will save money cause they pay a fixed rate to the MCOs for each patient member, so where is the savings? The state claims it will be made up in the elimination of duplicate services, but we all know it will be simply a cut in needed services.
An expanded Medicare will be the same.