Best Answer: Ok The way I am basing it is on the state that already has the system in place and it has been in place since 2006. And the Media really hasnt put those numbers out becausethat states own DEM Governer has made statements about it that contridict those pushing for this heathcare
2006, Massachusetts became the first state in the nation to require all residents to buy health insurance. “The reform has not reduced health care costs in the state and has proven far costlier than expected.” spending 42% more ($595 million) on health insurance
BMC - where half of the patients earn less than $20,000 annually, 30 percent do not speak English, and one-third are on Medicaid - estimates that it will lose $175 million in the fiscal year starting Oct. 1, an 18 percent operating losst he hospital is likely to be $38 million in the red, its first loss in five years. state has acted illegally in several other ways, resulting in it paying 64 cents for every $1 BMC spends treating the poor. The courts have been fairly cool to that argument, partly because [Medicaid] is a voluntary program. We’re different. We’re required by the state. to continue to treat these patients.
State’s Assistant Secretary of Health and Human Services Terry Dougherty said, BMC has sizable reserves, about $190 million in unrestricted cash, according to the hospital. And, he said, the hospital’s costs are 20 to 30 percent higher than those at similar hospitals, suggesting that cost savings are possible. BMC argues they are forced to employ 75 translators
Gov. Deval Patrick desperately tries to slow down those still-spiraling health care costs, which he said were “not sustainable.”
Costs of the program increased more than $400 million - 85 percent higher than original projections
A shortage of primary-care physicians existed in Massachusetts prior to this law This problem has been exacerbated by the influx of newly-insured residents combined with the fact that many doctors will not accept Commonwealth Care or MassHealth members because the reimbursement rate is very low - they can’t afford to add staff and/or cover their overhead and support their families
Difficulties finding a physician were much more common for low-income than higher-income residents. And adults with state-subsidized health insurance were much more likely to be told that a physician was not taking their type of insurance - 24 percent - compared with those with private insurance, 7 percent.” Boston Globe, May 28, 2009.
Some residents who want to continue seeing their primary care
or specialist have to opt out of paying for the insurance in order to put aside money for their doctor visits and must also figure out how to ration their care because this is expensive
The Connector's list of participating doctors is often incorrect which can send a patient on a wild goose chase.
Those of lesser means (Commonwealth Care) are limited to five insurance plans, all with limited coverage territory
4000 deductible for a family of 4, Average out of pocket cost and deductible plus co pays 10,000. Monthly payment of 342 -1650 a month per family of 4. not quite free
For policies that have a separate prescription drug deductible, it cannot exceed $250 for an individual or $500 for a family.
Like a normal health care insurance policy with the exception of no limits
Commonwealth Choice health plans vary greatly in price. The price depends on your age, where you live, and the type of plan you choose. You can get rates for Commonwealth Choice plans:
Patients’ Experiences Under Massachusetts Health Care Reform
Feb. 18, 2009
Despite the efforts of the state agency tasked with administering the reform to ensure affordable coverage, many Massachusetts residents are unable to afford the insurance options available to them.
Many patients, who were well cared for under Massachusetts’ old system have found that the reform has reduced their access to needed care.
The implementation of the reform, with its complicated rules and regulations that overlap with existing programs has created confusion and coverage gaps for patients.
A random survey of Massachusetts’ residents affected by the reform found that half of those affected by the reform said that they had personally been hurt by it. The Massachusetts reform is not a model for the nation.
Massachusetts taxpayers were told this law was put into place so people would have access to preventative care. What we have described in this section is a definite barrier to care. I doubt this issue has been thoroughly considered for the national plan either. Just get ‘em covered as fast as possible; we’ll worry about making it work later. Health care reform can’t wait.
The Connector "Seal of Approval" provides a near monopoly - all Commonwealth health insurance plans are HMO-based organizations. It is well understood by both the healthcare-consuming public and medical providers that the HMO bus
Source(s): Crazy. ever hear the "grass isnt always greener on the other side" or perhaps "Be careful what you wish for"
Armyvet35 · 6 years ago