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Doc still whining about this health care law doc.
If -- bribe you to like it -- Don't let this -- so -- that's tucked deep inside actually not that deep inside the health care law and incentive for doctors to treat Medicaid patients.
They say is that anybody here from some critics tell it mandating 64% pay -- -- doctors.
To do so well it sounds like a bribe deduct history are on drugs and agrees our doctor it.
Even -- that it doesn't seem to be enticing a lot of your colleagues -- not.
Think -- gotta be really concerned if they're watching today -- I really think it sounds like a bribe to get coerced into taking new Medicaid patients.
Especially where they don't know what they're getting into.
The deal is is that the government is gonna pay this.
Down payment for just a couple of years to entice doctors -- take gone.
More Medicaid patients to try and match their reimbursement to at least.
As much as what they're paying for Medicare but guess what.
The proof is in the putting here because typically in a study was published in health affairs.
Not too longer -- Show that.
The doctors that end up taking on Medicaid patients is directly tied to their reimbursements.
The states that have.
The most people in Medicaid tend to pay the lowest in terms of physician reimbursements.
And hence the government.
Well I -- -- -- I don't think even the 64% of whatever is going to be will cover it but I suspect doctor in your -- of this and Oliver -- -- Is that -- you won't do it.
You know will lose you know with the sugar.
They may -- will will will will will give you some vinegar maybe you'll have to do this so take the money now or will -- -- -- -- your stuff -- but that's the next.
Well if that's exactly right and I think they sort of all ramming it down the stethoscope because what happens and a couple of years is that the doctors that now except these patients.
Who then either have their payments cut back to where they were or even less than that.
-- all the -- all of a sudden stuck with a whole host of people that are now probably sicker.
Then most where they're gonna erode into their profit margins of -- doctors are gonna stay afloat it's almost like telling an airline.
That will pay you to take on all of this excess baggage.
For the next couple of years but after Q years we're gonna take those payments back or not pay you but you still have to carry that excess baggage what about the energy.
Your doctor though it's volume volume volume in other words this is where doctors to make money they're going to be able that.
You know many more patients at a guarantee and the government -- gonna give you.
You know it's sixty -- percent -- to get you in and and what you lack or what you're not getting now with a few days and make as much money.
You'll get with a lot more -- -- be getting a look a little individually less money but next to you a lot more money.
Would -- -- even true.
Well volume would make sense here.
If every state was in fact -- going to expand their Medicaid rosters.
So that the math adds up in terms of volume time -- eight times price.
Means more money.
But as you well know the jury is still out in terms of whether -- every state will in fact expand their Medicaid roster.
You know a lot of them are sitting on the fence for the fear that look we could be held holding the pot in a couple of years.
Especially if you know Obama care stays in effect.
And then we end up you know in a bigger secure bigger problem bigger crisis.
Then we are sitting right now also volume doesn't really make up for it and the other thing here is that.
Have their back to the wall they always have they have to take on sicker people potentially take on lesser reimburse -- but guess what.
Insurance companies would never put up for that.
You saw the insurance companies that -- if we ought to take on more.
Hello -- -- everything in the condition -- detective pretty horribly.
That's it that was rejected clean -- are -- all right the doctor doctors can't do that it's amazing you know but that was always have been registered everyone you know.
-- -- premiums going 000 absolutely doctor thank you very very much.
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