Skip to comments.State heeds county woes [cautionary tale of unmanageable managed health care]
Posted on 08/05/2012 2:16:53 AM PDT by Cincinatus' Wife
............In fiscal year 2010-2011, about 31 percent of Sacramento County children with Medi-Cal saw a dentist, compared with nearly half of children on Medi-Cal statewide.
Los Angeles County's Medi-Cal dental managed care program scored even worse. That year, about 23 percent of the 154,000 children on managed care saw a dentist.
Under managed care, the state contracts directly with private dental plans, paying them a monthly fee about $11.50 for each child, whether or not the child actually sees a dentist.
.........concerns about state oversight are not limited to Sacramento County's dental managed care program.
The state has been moving more Medi-Cal recipients into managed care for their overall medical needs, and the trend is accelerating.
........Of the roughly 8 million Californians on Medi-Cal, about 4.5 million are in managed care, she said. By mid-2014, that number will grow to about 6 million.
...a few examples of recent Medi-Cal initiatives to expand managed care:
In the past year, the state has moved about 400,000 seniors and people with disabilities into mandatory managed care.
Next year, the state will begin enrolling more than half a million "dual eligibles" people who are enrolled in both Medi-Cal and Medicare in eight counties into managed care.
The state will start expanding managed care into 28 rural counties next year, primarily in Northern California.
But there are widespread concerns about the pace at which the state is moving.
......many of those now moving into managed care are elderly, sick and often suffer from challenging chronic health problems.
....."The policy is moving at a pretty brisk pace, but our knowledge of how well it's doing is lagging behind," [Andrew] Bindman said.
(Excerpt) Read more at sacbee.com ...
Socialism on parade and on the march -- the destruction of the best health care system in the world -- creating and nurturing Big Government programs to grow a dependent voting power base.
Managed health care has failed spectacularly around the world but even in the face of its unworkability, skyrocketing costs and loss of care, the U.S. government mandated ObamaCare presses forward.
One almost forgets how broke this state is while addressing all this high and mighty sounding “necessity”.
How in the hell does Brown plan on paying for this stuff?
I’ll make this observation on managed healthcare....having lived in Europe. There are five countries, where national healthcare has worked, been effective, and cost was kept to a reasonable situation. But before you run off to jump all over me for suggesting this....an example....Denmark.
You cross border into Denmark and quicky notice that the speed limit is dropped down compared to neighboring countries. Get onto a secondary road? Speed limit is roughly mid-50’s. Notice that the road is just a little bit wider than a typical American road? Yeah, it’s around three feet wider, and it does make a difference.
Notice limited traffic on the highways? Yeah....because gas is roughly $8.50 a gallon. Want a license....you need to be 16, and take a pretty extensive course. Caught drinking? You actually lose that license, with no waivers offered.
Booze? If you want a bottle of Jack Daniels...prepare to pay $30 for a bottle, where it might be $14 in the states. Smokes? You pay thirty to fifty percent more for a carton of Camels. Going to a bar? The only cheap drink is beer....so you stick with that...but it’s got a fair tax attached to it as well.
Noticed folks on bikes? Yeah....most folks get around a local community or town via walking or bikes, because gas is so expensive. So there’s not a bunch of heavy folks in your neighborhood. Notice few if any fast-food restaurants? Well.....it’s true, there just aren’t that many places to stop and grab a bit to eat. Even a town of 1k people....might be lucky to have one small grill establishment.
Heavy drug usage? No. Assaults? Very few, even in Copenhagen.
So the national health care system isn’t overly used, and the cost factor is kept to a minimum. The odds of running an operation like that in the US? Zero. We just wouldn’t agree with the society rules you see in Denmark.
The Danes like to keep their residential areas cozy. That gives much more room for raising pigs.
You take the non Danish-origin population of Central Indiana, on average it's not going to be as healthy as the Danish-origin people in Central Indiana or Denmark.
Good points on Denmark. I was in that neck of the woods not too long ago and agree on the prices...especially Norway - where EVERYTHING is simply triple (or 4 times) US prices. And I’m not talking about a nice meal at an Oslo restaurant (although those pricing factors apply there too), I’m talking about spending $16 for a McDonald’s Quarter Pounder meal. So I went to the back-country to see if the stores there - far removed from tourists - were any cheaper. Nope - same thing, even rice and noodles starting at $2.00 lbs. for their cheapest versions. People who live there make nice money, have great government benefits, but have virtually nothing left after paying these prices.
“but have virtually nothing left” So you have an entire nation of drones working for their “cradle to grave” entitlements with very little chance of upward mobility.
“but have virtually nothing left So you have an entire nation of drones working for their cradle to grave entitlements with very little chance of upward mobility.”
Pretty much a constant complaint from people over there. They work hard, are very productive, but then they hit a concrete ceiling. In some European countries, not sure about up there, it’s illegal to get paid for more than 48 hours of work per week (maybe even lower). I’ve gotten paid for over 80 hours, on rare occasions, every minute of it. Sure helps when you’re trying to balance the books.