RE: The next shoe to drop....

RE: The next shoe to drop.... (Full Version)

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DomKen -> RE: The next shoe to drop.... (12/21/2013 7:17:13 AM)
quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example.

thishereboi -> RE: The next shoe to drop.... (12/27/2013 6:53:45 AM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was.

DomKen -> RE: The next shoe to drop.... (12/27/2013 3:44:21 PM)
quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence?

Phydeaux -> RE: The next shoe to drop.... (12/27/2013 3:46:49 PM)
No further evidence is necessary other than your own quote Ken. Medical inflation hasbeen declining for 8 years...

thishereboi -> RE: The next shoe to drop.... (12/27/2013 9:28:37 PM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence? Here ya go DK, have at it http://www.cms.gov/Regulations-and-Guidance/Regulations-and-Guidance.html

thishereboi -> RE: The next shoe to drop.... (12/27/2013 9:31:11 PM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence? And since I love learning new things about the ACA, how about you tell me where to find the two midnight rule in there.

DomKen -> RE: The next shoe to drop.... (12/28/2013 6:52:46 AM)
quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence? And since I love learning new things about the ACA, how about you tell me where to find the two midnight rule in there. http://www.cms.gov/apps/docs/aca-update-implementing-medicare-costs-savings.pdf So you remain wrong.

thishereboi -> RE: The next shoe to drop.... (12/28/2013 6:56:23 AM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence? And since I love learning new things about the ACA, how about you tell me where to find the two midnight rule in there. http://www.cms.gov/apps/docs/aca-update-implementing-medicare-costs-savings.pdf So you remain wrong. I asked you to show me where it mentions the two midnight rule. It wasn't in that link. You claimed the ACA was the only thing that effected cost and you were wrong.

DomKen -> RE: The next shoe to drop.... (12/28/2013 7:00:42 AM)
quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence? And since I love learning new things about the ACA, how about you tell me where to find the two midnight rule in there. http://www.cms.gov/apps/docs/aca-update-implementing-medicare-costs-savings.pdf So you remain wrong. I asked you to show me where it mentions the two midnight rule. It wasn't in that link. You claimed the ACA was the only thing that effected cost and you were wrong. Can you not read? I*'ve told you several times the CMS made the 2 midnight rule as part of the expanded rule making authority granted to it by the ACA as the document I just linked shows.

thishereboi -> RE: The next shoe to drop.... (12/28/2013 7:05:34 AM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi I never claimed one regulation effected anything. I pointed out that CMS makes regulations that effect it and the ACA isn't the only thing that does. -Then I gave one example of a CMS regulation. So sorry you couldn't grasp that. It seems pretty simple to me. The ACA is not the only thing that effects the medical inflation rate. But your example is part of the ACA. So it isn't actually an example. my example was the two midnight rule and I haven't seen or heard anything that connects the two. Now I admit I haven't memorized the whole thing so it could be part of it but it doesn't change the fact that the ACA is not the only thing effecting medical costs like you claimed it was. So your example wasn't really an example but you're sure there must be something out there that is bringing down the medical inflation rate that isn't ACA related. How about some actual, you know, evidence? And since I love learning new things about the ACA, how about you tell me where to find the two midnight rule in there. http://www.cms.gov/apps/docs/aca-update-implementing-medicare-costs-savings.pdf So you remain wrong. I asked you to show me where it mentions the two midnight rule. It wasn't in that link. You claimed the ACA was the only thing that effected cost and you were wrong. Can you not read? I*'ve told you several times the CMS made the 2 midnight rule as part of the expanded rule making authority granted to it by the ACA as the document I just linked shows. And yet they never mentioned it. But as I told you several times it really doesn't matter if that particular law is part of it or not. You were wrong when you said the ACA is the only thing effecting medical costs. CMS sets pricing which the physicians have to follow in order to accept medicare patients. Are you going to try and claim that doesn't effect medical inflation? Or any of the other things they have implemented?

DomKen -> RE: The next shoe to drop.... (12/28/2013 10:11:33 AM)
quote: ORIGINAL: thishereboi And yet they never mentioned it. But as I told you several times it really doesn't matter if that particular law is part of it or not. You were wrong when you said the ACA is the only thing effecting medical costs. CMS sets pricing which the physicians have to follow in order to accept medicare patients. Are you going to try and claim that doesn't effect medical inflation? Or any of the other things they have implemented? One more time, read the document I linked. The authority to cut Medicare costs is in the ACA so all of these new rules that cut costs coming out of the CMS are under the authority granted by the ACA. Prior to the ACA Medicare could not cut costs in the manner they are doing now. That's where the $700+ billion in savings are coming from.

Phydeaux -> RE: The next shoe to drop.... (12/28/2013 11:33:24 AM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi And yet they never mentioned it. But as I told you several times it really doesn't matter if that particular law is part of it or not. You were wrong when you said the ACA is the only thing effecting medical costs. CMS sets pricing which the physicians have to follow in order to accept medicare patients. Are you going to try and claim that doesn't effect medical inflation? Or any of the other things they have implemented? One more time, read the document I linked. The authority to cut Medicare costs is in the ACA so all of these new rules that cut costs coming out of the CMS are under the authority granted by the ACA. Prior to the ACA Medicare could not cut costs in the manner they are doing now. That's where the $700+ billion in savings are coming from. Snicker. Medicare reimbursements have been going down year after year. Thats where the "savings" are coming from. Oh that and the elimination of the Advantage + accounts.

mnottertail -> RE: The next shoe to drop.... (12/28/2013 11:44:33 AM)
Guffaw. Parts of the ACA have been implemented since about 2010. Wonder which ones were the immediate implementations. Snicker. Nothing to do with nutsackers......Laughing like a hyena.

popeye1250 -> RE: The next shoe to drop.... (12/28/2013 2:06:12 PM)
Financially, beware the "Ides of March." Also, the "Ides" of February and April too.

mnottertail -> RE: The next shoe to drop.... (12/28/2013 2:29:06 PM)
Financially, beware the free market nutsackers.

Phydeaux -> RE: The next shoe to drop.... (12/28/2013 10:37:13 PM)
In California alone, 38 percent of tax credit recipients are projected to have to pay back more than $850 — if no income changes are reported during the year, according to a September Health Affairs study. Read more: http://www.politico.com/story/2013/12/irs-could-face-blame-for-obamacares-unexpected-tax-bite-101574.html#ixzz2oqLJO6t7

thishereboi -> RE: The next shoe to drop.... (12/29/2013 7:51:32 AM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi And yet they never mentioned it. But as I told you several times it really doesn't matter if that particular law is part of it or not. You were wrong when you said the ACA is the only thing effecting medical costs. CMS sets pricing which the physicians have to follow in order to accept medicare patients. Are you going to try and claim that doesn't effect medical inflation? Or any of the other things they have implemented? One more time, read the document I linked. The authority to cut Medicare costs is in the ACA so all of these new rules that cut costs coming out of the CMS are under the authority granted by the ACA. Prior to the ACA Medicare could not cut costs in the manner they are doing now. That's where the $700+ billion in savings are coming from. CMS has been around long before the ACA and has been effecting medical costs long before ACA. You claimed that the ACA was the only thing that effected medical inflation and you were wrong. Dragging the 700+ billion in savings into the conversation will not change that.

thishereboi -> RE: The next shoe to drop.... (12/29/2013 7:57:49 AM)
quote: ORIGINAL: mnottertail Guffaw. Parts of the ACA have been implemented since about 2010. Wonder which ones were the immediate implementations. Snicker. Nothing to do with nutsackers......Laughing like a hyena. And how long has CMS been around? Mid 60's I think. And I guess according to DK they have done nothing but sit on their thumbs waiting for the ACA to come out so they could save some money. But you are right, it has nothing to do with the nutsackers.

DomKen -> RE: The next shoe to drop.... (12/29/2013 12:52:13 PM)
quote: ORIGINAL: thishereboi quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi And yet they never mentioned it. But as I told you several times it really doesn't matter if that particular law is part of it or not. You were wrong when you said the ACA is the only thing effecting medical costs. CMS sets pricing which the physicians have to follow in order to accept medicare patients. Are you going to try and claim that doesn't effect medical inflation? Or any of the other things they have implemented? One more time, read the document I linked. The authority to cut Medicare costs is in the ACA so all of these new rules that cut costs coming out of the CMS are under the authority granted by the ACA. Prior to the ACA Medicare could not cut costs in the manner they are doing now. That's where the $700+ billion in savings are coming from. CMS has been around long before the ACA and has been effecting medical costs long before ACA. You claimed that the ACA was the only thing that effected medical inflation and you were wrong. Dragging the 700+ billion in savings into the conversation will not change that. As you point out the CMS has been around for decades and the medical inflation rate has been going steadily upward. A big part of that was that the CMS was very restricted in how it could reduce Medicare costs. Only since the ACA have they gotten real cost cutting powers. Just look at the medical devices field. CMS put the powered chair scam artists out of business and reduced the number of suppliers of many items to only those that could come in at reasonable prices and that is all because CMS got new powers to constrain costs in the ACA.

thishereboi -> RE: The next shoe to drop.... (12/30/2013 6:21:10 AM)
quote: ORIGINAL: DomKen quote: ORIGINAL: thishereboi And yet they never mentioned it. But as I told you several times it really doesn't matter if that particular law is part of it or not. You were wrong when you said the ACA is the only thing effecting medical costs. CMS sets pricing which the physicians have to follow in order to accept medicare patients. Are you going to try and claim that doesn't effect medical inflation? Or any of the other things they have implemented? One more time, read the document I linked. The authority to cut Medicare costs is in the ACA so all of these new rules that cut costs coming out of the CMS are under the authority granted by the ACA. Prior to the ACA Medicare could not cut costs in the manner they are doing now. That's where the $700+ billion in savings are coming from. So now you are switching from the ACA is the only thing that cut costs to the ACA allows CMS to cut costs? Maybe you should study CMS a bit before making up your mind because I really don't think you understand how they work. But I guess in the mean time that's the closest you are going to come to admitting you were wrong.

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