General Category > General Questions
Is Obamacare Good for Billing business?
DMK:
--- Quote from: RichardP on November 30, 2012, 07:36:51 PM ---
DMK - thanks for the heads-up about some religeous folks equating buying insurance to gambling. Hadn't heard that one before. Wonder if these folks also do not have car insurance.
--- End quote ---
One of the groups were the Amish, so, no, they would not have car insurance. ;D But you see where I'm going with this! If you can't make people buy (or keep) auto insurance (and they drive!) how are you going to keep track of purchasing and keeping health insurance? And, don't get me wrong, I truly see the good intentions of the ACA, I just don't think it's possible for it to work the way they expect it to.
davidharvey:
Chances are you haven’t read all thousand pages of the Patient Protection and Affordable Care Act.
If you did chances are you are one in a million. Give yourself a high-five.
For the rest of us slackers, we thought we’d take a shot at explaining just how ‘Obamacare’ will effect small businesses when it is fully implemented next year (an area of great contention).
PMRNC:
--- Quote ---Chances are you haven’t read all thousand pages of the Patient Protection and Affordable Care Act.
If you did chances are you are one in a million. Give yourself a high-five.
--- End quote ---
Do I get a double high five as I took it to Staples on flash drive and printed it out, went through it and used a color flag system through it. Every time I turn around someone is sending an email with all kinds of rumors and on what pages they are so it's easy to debunk them.. however the sad thing is there are things in there never brought up yet that will come out and bite us all on the nose. For example, we think it's great there's no more pre-x right? well billers and those that verify benefits and do claim appeals get ready for a nightmare abound.
Scenario: Family of 3 decides they are fairly healthy, they decide not to purchase a plan right now, their kid has soccer camp and mom needs a new car desperately so they really can't afford the $3500 premium for a decent plan with fair deductible.. they make out slightly better with the penalty tax and well, they just don't have to pay it, if they can't.. no big deal. Later on their kid gets sick so Dad says, we better get a policy, we'll get one now and worry about the cost later, they purchase and pay first premium, he has some doctor bills and then they drop coverage. Oiy vey can you see how this will go ?
There are a bunch of scenario's I can come up with, main idea is that since there is no pre-x, there's NOTHING to stop people from purchasing plans, canceling them, switching them, not telling providers their terminated or bills getting sent in after verifying they had coverage only to find out they didn't pay their premiums. If you have ever dealt with patient's on Cobra, you know that can be a pain, so imagine that with 25-30% of your patient load??
RichardP:
When Congress passes a law, the relevant agencies must then write the regulations that will implement the law. Most of those regulations remain unwritten at present. I'm sure that the kinds of contingencies you referred to will eventually be covered by a regulation somewhere. Look for the insurance carriers to create a loophole that will allow them to not cover folks who purchase insurance and then drop it. Law only says you can't deny coverage because of pre-existing medical conditions. Law says nothing about denying coverage for reasons other than medical conditions.
PMRNC:
They publish to federal Register, yes of course I expect amendments, I bet there will even be delays. My point is there were SO many loopholes it's further proof they had NO idea what was in this when they rammed it through.
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