[J_9]

It's not supposed to and has nothing to do with it. Overhead is the cost of doing business. ACA or not, overhead is there.

Why would doctors flee? They're going to get more patients (and thus more money). The same patients who headed for the ER (and the hospital got the Medicaid payment) will now seek out a doctor (and the insurance coverage the patient pays for will pay the doctor).

You really don't have a clue WG. Not a clue. Maybe you should go to your library and do some more research.

[J_9]

No changes in the plan we have. Or in my son's private pay.

ACA is for those who have NO insurance.

No changes yet. They are coming, I assure you. Unless you are on Medicare.

[J_9]

ACA has nothing to do with those of us who already have insurance.

WRONG, WrOng, WRoNG! Mine is changing. I have Aetna. Aetna has already pulled out of a number of states. I hope my state is not next.

[Wondergirl]

WRONG, WrOng, WRoNG! Mine is changing. I have Aetna. Aetna has already pulled out of a number of states. I hope my state is not next.

But that's for the NOT insured. Aetna won't be in those states' marketplaces for the NOT insured.

[J_9]

Originally Posted by Wondergirl
ACA has nothing to do with those of us who already have insurance.

You do live in a pretty little bubble don't you? You think that this will not affect those of us with private insurance? You really need to do some more research. It will affect us greatly. Our costs will increase, your coverage will decrease. It's already affected me.

I used Aetna as an example only.

Physicians will stop accepting new patients. There will be a waiting list months long at the physicians' offices that DO accept ACA. You think they will make more money? That's incorrect as well. They will be under the watchful eye of the government officials who will be the watchdogs. They will get paid LESS for services rendered if they don't conform to specific tests that may be needless. As a matter of fact, they may get paid NOTHING if they don't conform.

Again, I speak from the front lines. We've had meetings, classes, etc. that are telling us what the changes will be in order for our physicians and our doctor's to get reimbursed. Vanderbilt Hospital just let go of 1,000 necessary employees. This site says that it will be by the end of the year. My nurse friend who works there told me different today.

http://www.tennessean.com/article/20...dred-more-jobs

[Wondergirl]

You do live in a pretty little bubble don't you?

The insult wasn't necessary.

Change is scary. People don't understand this scary ACA thing which does need tweaking and will be tweaked as it goes along.

If anything, this will be a great time to be in healthcare. More patients, who will become private-pay insureds, will be looking for doctors (not ERs and Medicaid), thanks to ACA.

United Health Care has opted out of IL marketplaces, but we've had it for years and will be able to keep it. No change in premiums so far. My older son has BC/BS and no changes for him either. It IS one of IL's marketplace choices, so if anything, premiums will eventually go down (or at least stay the same) as currently uninsured people sign on.

[J_9]

It wasn't an insult. You are living in a bubble, that's simply the truth. You don't have a clue what is going on! If you were still in the counseling field accepting insurance, maybe you would understand better.

No, this is not a good time to be in healthcare, nor is it a good time to be a patient.

If this was a good time to be in healthcare, why did Vanderbilt let go of 1,300 employees thus far? Why has my company let go of 63, thus far?

I'm sorry Carol, but you really don't have a clue how this is going to affect you. They don't even need to let you know until January 2014.

[J_9]

My older son has BC/BS and no changes for him either

Not yet.

[Wondergirl]

Not yet.

We shall see, we shall see. The way everyone is panicking, I would think the changes would have been proclaimed by now.

[J_9]

Many of the changes have been proclaimed, but not to you. We, on the inside of the healthcare system, have been holding classes, courses, etc. for over two years now. I'm just speaking out because we don't have any other medical professionals on this site to speak as well.

You can read all of the propaganda you want, but that doesn't equal the facts from the epicenter. The fallout is going to be astronomical.

[Wondergirl]

The fallout is going to be astronomical.

Okay.

[excon]

Hello again, J:

What do you think about Medicare?

excon

[paraclete]

So if I get this right from the complaints registered here the ACA is going to cause the next great depression, is that mental depression or economic depression or both? Extinction of all life as we or is that you know it?

[Wondergirl]

If you were still in the counseling field accepting insurance, maybe you would understand better.

I have a RN niece, several RN friends, and friends who are still counselors. All are looking forward to the jump within the next year in supplying medical/mental health care to people previously uninsured.

[paraclete]

Yes that does seem to have been forgotten in the explosion of self doesn't it

[smoothy]

I was at one doctor (a specialist) several months ago... that is in the process of closing up his practice, yes all his staff will be laid off... I got it from them and they said there will be a lot more practices doing the same because of Obamacare and what's in it..

[J_9]

Hello again, J:

What do you think about Medicare?

Excon

It needs a complete overhaul as well. My mother is on it and it stinks. However, she had a knee replacement last month. Her doctor advised her to have it before this ACA took place to save her some money.

My mother-in-law is on it as well and was informed by her cardiologists to have her open heart surgery done prior to the roll-out of the ACA, for cost savings as well.

This will end up as though all persons covered will be covered similar to Medicare. Facilities, physicians, groups, etc. will follow specific guidelines or they will not be paid for services.

Now, what if a patient requires that certain tests be run that are not covered? Should the physician run those tests knowing he/she isn't going to be paid, or should the physician follow the guidelines, regardless of the patient's health requirements, so that he/she DOES get paid?

[talaniman]

So J the new system will stink the old system stunk, so as a insider what's your fix? Would you rather have a voucher for your elders? What's the alternative to uninsured people besides emergency rooms?

[tomder55]

The roles of the uninsured is going to swell. People previously covered will make the economic calculation to drop out ;pay the fines ,knowing they can enrole any time they want because the pre-condition provisions have been dropped .

[paraclete]

This is only the option in the first year, but the purpose of insurance is to provide against catastrophy. If you didn't have the cash before you don't have the cash now, so fines are stupid until they are so large that it's cheaper to be insured