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	<title>Comments on: Health Care Industry Pressured To Cut Costs</title>
	<atom:link href="http://donklephant.com/2009/06/27/health-care-industry-pressured-to-cut-costs/feed/" rel="self" type="application/rss+xml" />
	<link>http://donklephant.com/2009/06/27/health-care-industry-pressured-to-cut-costs/</link>
	<description>Big Teeth. Huge Ass. Surprisingly Reasonable.</description>
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		<title>By: Medicare Advantage</title>
		<link>http://donklephant.com/2009/06/27/health-care-industry-pressured-to-cut-costs/comment-page-1/#comment-506950</link>
		<dc:creator>Medicare Advantage</dc:creator>
		<pubDate>Sat, 11 Jul 2009 00:01:17 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15372#comment-506950</guid>
		<description>With these news, I guess the best advice is to try to do everything you can to stay healthy... 

BTW Nick: I&#039;m wondering: what German word are you talking about? I didn&#039;t get this part of your comment?</description>
		<content:encoded><![CDATA[<p>With these news, I guess the best advice is to try to do everything you can to stay healthy&#8230; </p>
<p>BTW Nick: I&#8217;m wondering: what German word are you talking about? I didn&#8217;t get this part of your comment?</p>
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		<title>By: Fletch</title>
		<link>http://donklephant.com/2009/06/27/health-care-industry-pressured-to-cut-costs/comment-page-1/#comment-494132</link>
		<dc:creator>Fletch</dc:creator>
		<pubDate>Sat, 27 Jun 2009 23:14:44 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15372#comment-494132</guid>
		<description>Nick-

&lt;i&gt;Everyone agrees at least 92% or more of MediCareâ€™s costs are actual medical care.&lt;/i&gt;

Sure...   &lt;i&gt;after&lt;/i&gt; completely disregarding the 15-20%  &lt;a href=&quot;http://www.washingtonpost.com/wp-dyn/content/article/2008/08/25/AR2008082502157.html&quot; rel=&quot;nofollow&quot;&gt;spent&lt;/a&gt; on &lt;a href=&quot;http://www.alternet.org/blogs/peek/88247/medicare_fraud_tops_$60_billion_per_year/&quot; rel=&quot;nofollow&quot;&gt;fraud&lt;/a&gt;.</description>
		<content:encoded><![CDATA[<p>Nick-</p>
<p><i>Everyone agrees at least 92% or more of MediCareâ€™s costs are actual medical care.</i></p>
<p>Sure&#8230;   <i>after</i> completely disregarding the 15-20%  <a href="http://www.washingtonpost.com/wp-dyn/content/article/2008/08/25/AR2008082502157.html" rel="nofollow">spent</a> on <a href="http://www.alternet.org/blogs/peek/88247/medicare_fraud_tops_$60_billion_per_year/" >fraud</a>.</p>
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		<title>By: Nick Benjamin</title>
		<link>http://donklephant.com/2009/06/27/health-care-industry-pressured-to-cut-costs/comment-page-1/#comment-494059</link>
		<dc:creator>Nick Benjamin</dc:creator>
		<pubDate>Sat, 27 Jun 2009 21:18:45 +0000</pubDate>
		<guid isPermaLink="false">http://donklephant.com/?p=15372#comment-494059</guid>
		<description>MediCare Advantage was always an odd idea. Everyone agrees at least 92% or more of MediCare&#039;s costs are actual medical care. Depending on whose numbers you believe it can be closer to 97%. This is not unusual. MediCare&#039;s namesake, Canadian MediCare and Taiwan&#039;s equivalent also have administrative costs in the low single digits.

OTOH private health plans say they average 15% administrative costs plus profit. Some studies have put the real number at more like 30%, or $1,000 per capita.

MediCare advantage was supposed to increase competition in MediCare by allowing private companies to compete. But if they&#039;re paid MediCare rates they only have 3% of revenue to spend on advertising, administration, and profits. So to get anybody with business sense into the system they have to pay the private companies a lot more than they pay MediCare.

Given that competition is supposed to reduce costs MediCare Advantage seems like it&#039;s a very dumb idea.

BTW, I love that insurance company executives hate the CBO numbers. Welcome to my world boys. The CBO&#039;s is very bad at figuring out how much money an innovative idea will save, therefore they don&#039;t try. And us poor liberals with new ideas to cut costs get slapped with a $Trillion price tag.

I&#039;d mention that German word if I had any idea how to spell it.</description>
		<content:encoded><![CDATA[<p>MediCare Advantage was always an odd idea. Everyone agrees at least 92% or more of MediCare&#8217;s costs are actual medical care. Depending on whose numbers you believe it can be closer to 97%. This is not unusual. MediCare&#8217;s namesake, Canadian MediCare and Taiwan&#8217;s equivalent also have administrative costs in the low single digits.</p>
<p>OTOH private health plans say they average 15% administrative costs plus profit. Some studies have put the real number at more like 30%, or $1,000 per capita.</p>
<p>MediCare advantage was supposed to increase competition in MediCare by allowing private companies to compete. But if they&#8217;re paid MediCare rates they only have 3% of revenue to spend on advertising, administration, and profits. So to get anybody with business sense into the system they have to pay the private companies a lot more than they pay MediCare.</p>
<p>Given that competition is supposed to reduce costs MediCare Advantage seems like it&#8217;s a very dumb idea.</p>
<p>BTW, I love that insurance company executives hate the CBO numbers. Welcome to my world boys. The CBO&#8217;s is very bad at figuring out how much money an innovative idea will save, therefore they don&#8217;t try. And us poor liberals with new ideas to cut costs get slapped with a $Trillion price tag.</p>
<p>I&#8217;d mention that German word if I had any idea how to spell it.</p>
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