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California gets OK for large cuts to Medi-Cal
Los Angeles Times ^ | October 28, 2011 | Anna Gorman

Posted on 10/28/2011 10:10:27 PM PDT by george76

California plans to reduce payments to many Medi-Cal providers by 10%. The federal government's approval of the budget-cutting measure raises concerns from doctors and others.

The Obama administration will allow California to cut hundreds of millions of dollars from Medi-Cal, a move doctors and experts say will make it harder for the poor to get medical treatment.

California plans to reduce rates by 10% to many providers, including physicians, dentists, clinics, pharmacies and most nursing homes, the Centers for Medicare and Medicaid Services announced Thursday.

(Excerpt) Read more at latimes.com ...


TOPICS: Business/Economy; Culture/Society; Extended News; Government; News/Current Events; US: California; US: District of Columbia
KEYWORDS: budget; healthcare; medicaid; medical; medicare; obamacare

1 posted on 10/28/2011 10:10:32 PM PDT by george76
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To: george76

Where did the money go? Oh that’s right...funding tuition for illegal aliens.


2 posted on 10/28/2011 10:16:37 PM PDT by max americana
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To: max americana
Not to mention funding lavish pensions for unionized public employees
3 posted on 10/28/2011 10:20:05 PM PDT by Myrddin
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To: george76
The doctors will simply have to say NO to taking those patients. Many will leave the profession.
4 posted on 10/28/2011 10:21:26 PM PDT by Myrddin
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To: max americana

Plus we have the 5,400 educators getting 100,000+ pensions.


5 posted on 10/28/2011 10:23:41 PM PDT by A message
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To: Myrddin

The state will not allow the doctors to say no. They will, if necessary, chain them to the office walls and force them to treat patients, feeding the doctors on about 1200 calories a day. Idiotic? This is California. We re-elected Gov. Moonbeam last year!


6 posted on 10/28/2011 10:26:59 PM PDT by 17th Miss Regt
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To: max americana

MediCal is rife with fraud. If they would do something about the fraud they wouldn’t have to pay the providers 10% less.


7 posted on 10/28/2011 10:34:22 PM PDT by USNBandit (sarcasm engaged at all times)
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To: max americana

“Oh that’s right...funding tuition for illegal aliens.”

So they’re robbing Pedro to pay Pablo; tuition for illegals instead of healthcare for illegals.

Wonder where California’s poor will move to?


8 posted on 10/28/2011 10:42:35 PM PDT by kearnyirish2
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To: A message

“Plus we have the 5,400 educators getting 100,000+ pensions.”

Here in NJ we have similar problems, which are a huge albatross around the neck of any government (state, county, municipal) in terms of attracting new business or residents. This past winter, as our roads fell into disrepair, many were simply not fixed; the towns had no money to fix them because they were still paying so much for the guys that used to fix them who retired fifteen years ago. These costs killed the US auto industry in their competition with foreign manufacturers, and they’re killing whole areas of the “Rust Belt” in competition with developing areas (the South, for example).

California’s government was furious as the news of their financial straits were publicized; the icing on the cake was when details of the “early release” program in prisons made the news. How could they attract new businesses (or retain existing ones) when they knew they’d be taxed to make up these shortfalls, while crime skyrocketed at the same time?

Hopeless.


9 posted on 10/28/2011 10:48:39 PM PDT by kearnyirish2
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To: george76

Hope & Change.


10 posted on 10/28/2011 10:57:31 PM PDT by newzjunkey (Republicans will find a way to reelected Obama.)
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To: george76
Get ready to take care of gramma and grampa at your own home. No more placing them in a facility. Either that or it's the sidewalk. Think I'm wrong? It's only a matter of a few short years.

All the convalescent and assisted living facilities will soon be going out of business in CA. Believe me.. I know The state of CA has imposed a bed tax of $8.10 per bed... per day.. whether they have anyone in them or not. And now they are cutting Medi-Cal 10%... making it veritably impossible to run the homes. I am on such a board and we figure that we only have a few more years to assist our seniors and then go bankrupt. But hey, all college bound illegals will get free student loans.

11 posted on 10/28/2011 11:00:36 PM PDT by BigFinn (BigHat wisdom: Always drink upstream from the herd.)
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To: george76

Dramatic cost cuts for healthcare services provided to the poor will only hasten the demise of private insurance, and the Obamination and his team know that full well.

The first thing that happens is hospitals and others (who have any negotiating clout) will double their rate increase demands for the shrinking population of private HMO/PPO insurance plans. Such plans already pay hospitals in California more than double what the state of California pays, and perhaps 60 to 70% more than what the feds pay for Medicare.

It is a massive hidden tax on the privately insured. The cumulative effect is pushing the costs of private insurance to the breaking point; pricing it out of the market in order to subsidize woefully inadequate public insurance for the otherwise uninsured.

Doubtless there are those on MediCal who don’t deserve it. However, the reality is that there are a growing number of poor who are covered by MediCal, and there are other uninsured working (kind of poor) people who will continue to rely on Safety Net hospitals for free care through the Emergency Departments. That subsidy and free care will be paid for - there is no free lunch. If the payment won’t come through taxes, then it will come through the hidden tax on the privately insured. This represents a narrow and shrinking tax base; and it omits from the taxed those who are on Medicare, Medicaid and those without any insurance at all.

A better tax (better than the hidden tax on the shrinking privately insured) would be a broad based tax - explicitly placed; not hidden.

What people are missing is that in a few more years of this nonsense and private insurance will be dead and all that will be left for most Americans is: Medicare, Medicaid, ObamaCare. Not a pretty picture.


12 posted on 10/28/2011 11:10:15 PM PDT by JustTheTruth
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To: george76

Gummit health care is so wasteful


13 posted on 10/28/2011 11:11:04 PM PDT by HiTech RedNeck (ya don't tug on supermans cape/ya don't spit into the wind...and ya don't speak well of Mitt to Jim!)
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To: BigFinn
But hey, all college bound illegals will get free student loans.

Rick Perry would approve.

14 posted on 10/28/2011 11:11:29 PM PDT by packrat35 (America is rapidly becoming a police state that East Germany could be proud of!)
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To: JustTheTruth

Dog it, it always has to be the emergency rooms that get tied up. Everybody knows it, so why not make accommodations for mini clinics operating in parallel so the hordes of sniffly kids can go there saving the ERs a bundle as well as saving lives that actually need an ER?


15 posted on 10/28/2011 11:13:19 PM PDT by HiTech RedNeck (ya don't tug on supermans cape/ya don't spit into the wind...and ya don't speak well of Mitt to Jim!)
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To: george76
California gets OK for large cuts to Medi-Cal

10% is a "large cut?"
On what planet?

This is a tiny first step. Medical is a fraud on the State working taxpayer. This is a tiny meaningless step.

Cut the entire Medi-Cal program and put it in the open, add it to the welfare programs, where it belongs, and let everyone debate it there.

16 posted on 10/28/2011 11:42:07 PM PDT by Publius6961 (My world was lovely, until it was taken over by parasites.)
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To: BigFinn
My mom is paying $4200/month for assisted living. Every penny she gets from social security plus $1,000 more. She is way past tired of the food in the dining facility. The long term care insurance she funded at $300/month for years won't pay a penny because the facility isn't "supervised" by a doctor. The few that meet that spec are ratholes full of wailing, moaning wretches. She was in such a place for 6 weeks between the hospital and current location. It's going to be a moot point soon. Her most recent episode of congestive heart failure shows a BNP2 at 2100 and kidney function under 20%. While checking her lungs for fluid, they discovered large tumors in both lungs. The lung cancer is running at a full gallop. It won't be long before she passes.
17 posted on 10/28/2011 11:42:52 PM PDT by Myrddin
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To: Publius6961

you do understand that Medi-cal is funder by the fed and the state and it is a welfare program


18 posted on 10/29/2011 12:39:59 AM PDT by markman46 (engage brain before using keyboard!!!)
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To: george76

Doctors are no longer going to see patients. California wants them to take a 10% cut to their income.

How would you like to see it happen to you? The poor will get no health care in CA. That’s how liberals define “affordable and accessible” health care.

Obamacare at work.


19 posted on 10/29/2011 12:49:17 AM PDT by goldstategop (In Memory Of A Dearly Beloved Friend Who Lives In My Heart Forever)
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To: george76

But the illegals will not be touched


20 posted on 10/29/2011 4:10:50 AM PDT by ronnie raygun (V)
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To: BigFinn
Adults use to care for their parents..there was no such thing as nursing homes when I was a kid...but there was a poor house where those without means could have a roof over their head and no one wanted to be known as a person that put their parents in the poor house...My family had a 2 bedroom house with a kitchen, dining room living room. I had 2 sisters, 1 brother and for 4 months out of every year my grandma lived with us...My mothers 2 brothers had her for 4 months each and every 4th year one would take the deduction on their taxes...her other brother gave money go help with grandma's needs as he didn't have the ability to care for her, he had a nervous breakdown and never quite got rid of it... In todays terms, I figure he had chronic depression and although married, never had any kids of his own....that was the normal way.

I came along at the end of the depression but my father was a Detroit cop and we always had dinner as a family...No refrig. but an old ice Box, no TV, it wasn't available in the 40's, no air conditioning, coal furnace, dishwasher (that was the kids job). Women stayed home to care for the kids, but families could only afford 1 car and that was what mothers did....a few worked, but only if a family member was in the home (like a grandmother or aunt) to take care of the children...

Dag nab it, I am starting to sound like an old lady....dag nab it, I am an old lady...

The middle class of those days didn't have the conveniences the poor have today...Oh yea, no welfare, a man had pride and would do anything to keep off the dole as it was called. Only bums went on the dole...

I don't know what it was like during the depth's of the depression, but I'd bet it was far worse than it is today...

PS 4 party telephones were common, we had only a 2 party line...and by the last 40's a private phone...my how things change....

PPSS Our home was an income. The upstairs could be rented out, but only to someone we personally knew...Looked a lot like the opening house on the Roseann Barr old show...

21 posted on 10/29/2011 4:30:27 AM PDT by goat granny
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To: Myrddin

Sorry to read about your mom. God bless her. I prayed for her.


22 posted on 10/29/2011 5:48:19 AM PDT by rawhide
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To: george76

California is so screwed. What a shame.


23 posted on 10/29/2011 7:39:03 AM PDT by upchuck (Rerun: Think you know hardship? Wait till the dollar is no longer the world's reserve currency.)
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To: rawhide
Sorry to read about your mom. God bless her. I prayed for her.

Thanks. She could use a few prayers. She's just exhausted with the number of medical problems that have beset her since April. We're hoping she is up to being discharged from the hospital today and able to return to her apartment at the assisted living facility. There won't be any "recovery" back to normal. It's a matter of being as comfortable as possible until the end comes.

24 posted on 10/29/2011 12:47:30 PM PDT by Myrddin
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To: 17th Miss Regt
The state will not allow the doctors to say no.

The doctors will do an ”Atlas Shrugged”, say no and move to another state. The patients to be damned...

25 posted on 11/08/2011 3:07:57 PM PST by RedMonqey (A politician's integrity is usually only as strong as his poll numbers.)
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