Re: STUPID Republicans and Cat Scratch Fever
posted at 3/5/2012 11:49 AM EST
In Response to Re: STUPID Republicans and Cat Scratch Fever
[QUOTE]Airborne! Mi Amico! PCP's, their employers, and every hospital in Massachusetts will take MassHealth over ANYthing! MassHealth RULES!!! You say MassHealth, you're in. You say Cigna, they gotta check. The prob here is, that these "providers", no damned well, that MassHealth is a blank check. MassHealth must accept you, ergo, they pretty much must approve, anything, and forever. I know this fact rather intimately, as I work with addicts (having been (am) one). No one is gonna shut down a cancer patient, but, there IS this: You've been to 3 detox's in the last 6 months, and you're done. We ain't paying. ALL the time! Which is good? On my kids, I can fudge my financials around, and make $160,000/year, and still get MassHealth, GRAVY! I don't, but could without so much as a light sweat. GRAVY! THIS is the problem with government mandated insurance. I am REALLY good with gravy, and I bet you are too. Mine is darker and more of a Hunter Sauce. And chowder is thin, not thick. Got it?
Posted by GreginMeffa[/QUOTE]
Greg, Masshealth and Commonwealth Health and Medicaid are putting ACO health facilities in dire straights. I work for one and there was a mandate to try to find more private insurance and less gov. insurance. The privates pay better. With the merging of hospitals and purchasing by the likes of Steward, they are looking for a balance of @85% private to 15% gov. to survive.
AB (addictive behaviour) and things of that nature may be different, I don't know that area as well. PCP sees Masshealth and swallows hard to see their ratios. I know several physician practices that have a no new public insurance patient edict. Discussions I have been in have all said the same types of things throughout the state and region (NE).