comrade-z
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To explain why I am so worked up about this, an undergrad intro databases course in most computer science departments teach more than enough to avoid this.
I can hardly wait for the implementation of the actual healthcare delivery part. :wall:
The part where a bean counter is responsible for granting if you get your healthcare or not based upon the "guidelines". Ive seen with my own eyes an appointment card for an individual in the UK healthcare system, for an MRI scan...three years from now. This is in our future.What part is that?
The part where a bean counter is responsible for granting if you get your healthcare or not based upon the "guidelines". Ive seen with my own eyes an appointment card for an individual in the UK healthcare system, for an MRI scan...three years from now. This is in our future.
The board is charged with developing specific detailed proposals to reduce per capita Medicare spending in years when spending is expected to exceed target levels, beginning with 2015. The DHHS must implement these proposals unless Congress adopts equally effective alternatives. The board is also charged with submitting to Congress annual detailed reports on health care costs, access, quality, and utilization. Finally, the IPAB must submit to Congress recommendations regarding ways of slowing the growth in private national health care expenditures.
Each year, beginning April 30, 2013, the chief actuary of the Centers for Medicare and Medicaid Services (CMS) will make a determination as to whether the projected average Medicare growth rate for the 5-year period ending 2 years later will exceed the target growth rate for the year ending that period. For years before 2018, the target growth rate is the projected 5-year average of the mean of the Consumer Price Index (CPI) and the medical care CPI; for 2018 and later years, the target is the nominal per capita growth rate of the gross domestic product plus 1 percentage point. If the CMS actuary determines for any given year that the projected Medicare growth rate will exceed the target rate, the board must make proposals that would reduce Medicare spending overall by either a percentage set in the statute (1.5% after 2017) or the projected excess, whichever is less.
Beginning January 15, 2014 and every year thereafter, the law requires the board to submit specific recommendations to the President and Congress to “slow the growth” in national health expenditures. However, decisions by the panel are not simply recommendations to Congress; if the Senate, the House, and the president do not concur on an alternative proposal, or if Congress does not act at all, the HHS Secretary is required to implement the board’s recommendations. The Secretary’s actions are immune from any administrative modification, presidential veto, or judicial review. As of August 15, 2014, if the IPAB does not submit such recommendations and Congress does not enact its own Medicare payment restrictions, the Secretary of HHS, an unelected official, is authorized to make and implement them unilaterally, i.e. without any other approval.
You personally know several people with low deductible plans that are losing them? That's surprising. As the ultimate goal of the ACA is to get people into plans with low deductibles.
Sebelius Threatens To Put VA In Charge Of Obamacare If Critics Don’t ‘Back The Fuck Off’
“You think this is bad now? You think this is bad now?! You ain’t seen nothing!” Sebelius says in the two-minute video posted early this morning.
“They’ve [the VA] been in business for decades and have only a few million customers. It takes them six months just to lose your application. Their website is a Kafkaesque labyrinth straight out of Dante. You will fucking BEG me to be in charge again.”
“The VA takes strong men and women who’ve survived IEDs, privation, disease and in a matter of days breaks their spirit,” she continues. “Subpoena me one more time and I will fucking do it, bitches.”
Read more: http://www.duffelblog.com/2013/10/obamacare-veterans-affairs-fix/#ixzz2jsRAGMAN
Duffelblog win.
We just received our group plan renewal rates & rates from competing carriers for 2014. This was dismal. I would like for President Obama to come sit down with me, in my office, for the 2-3 weeks that I work through the renewal process for a small business. I think it'd be an eye opening experience for him and would maybe help him see that the law, as it's written, benefits only a very select segment of the population.
He's the only voice of moderation nowadays.
We just received our group plan renewal rates & rates from competing carriers for 2014. This was dismal. I would like for President Obama to come sit down with me, in my office, for the 2-3 weeks that I work through the renewal process for a small business. I think it'd be an eye opening experience for him and would maybe help him see that the law, as it's written, benefits only a very select segment of the population.
Edited: I should say group plan quotes from our current carrier, instead of renewal rates. We can't renew our existing plans, since they are no longer offered.