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LOVE IS WHAT HEALTH CARE IS ALL ABOUT. HEALTH CARE. Patients shall be free to seek care from any licensed health-care professional Each patient shall annually have a physical before a prescription may be written - PowerPoint PPT Presentation
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LOVE IS WHAT HEALTH CARE IS ALL ABOUT
2HEALTH CAREPatients shall be free to seek care from any licensed health-care professionalEach patient shall annually have a physical before a prescription may be writtenA standard blood test shall be ordered when the appointment is made, so that the Doctor will have the results when he/she meets with the customerThis will save an appointment with the Doctor, compared to the test not being ordered until during the appointment
3HEALTH CAREPrescriptions shall be written for12 months, unless the prescription isNot required for this period
Patients may purchase, at their cost, extra health care benefits which are beyond the standard benefits of the Plan
4THE PLANThe plan will be fee-for-service, like we have nowIt will operate in a similar manner to the way Medicare operatesThe fee for service schedules are already available and in use and some of the procedures include:MammogramsPap smears/testsPSA Tests
5PAYMENTSPAYMENTS SHALL BE MADE ONLY THROUGH COORDINATORS TO PROVIDERS PLANNED PARENTHOOD MAY SIGN A CONTRACT WITH A COORDINATOR AS A PROVIDER AND BE PAID FOR NHC APPROVED SERVICESNO MONEY SHALL BE PAID TO PLANNED PARENTHOOD OR ANY OTHER ORGANIZATION THAT IS NOT A CONTRACTED PROVIDER
HEALTH CARECOORDINATORS
7HEALTH CARE COORDINATORSAny insurance company (they become Health Care Coordinators HCCs) may participate in this PlanInsurance companies that become HCCs may send a notice to their customers stating that they will convert their coverage to the Plan, unless the customer wants to use another HCC Those on Medicaid WILL CHOOSE an HCC
8HEALTH CARE COORDINATORSThe insurance companies will NOT be eliminated, but the service they provide will be changedThey will operate in the same manner they do now, except that they will NOT be responsible for the RISKS involved in supplying insurance. They will become COORDINATORS for the PlanThey will have a GUARANTEED PROFIT and NO RISKThey will be paid for COORDINATING the services of the PlanAnd provide FRAUD DETECTION for the NHC
9SIMPLIFY PAPER WORKAll participating in this Plan will use the same forms for enrollment, and claims paymentAll insurance cards will be the same, showing the name of the customer and the Company issuing itThe cards will be MACHINE READABLE to save time and reduce mistakesAll of this will simplify paperwork for providers and increase savings
10CURRENT SYSTEMTHOUSANDS OF HEALTH PLANSHUNDREDS OF INSURANCE COMPANIESESTIMATED COST $210 BILLION PER YEARFOR PAPERWORKCLEVELAND CLINIC REQUIRES 1,400 CLERKSFOR 2,000 DOCTORSTHIS IS THE HIDDEN COSTS OF COMPETITIONCOMPETITION IS AN ADVANTAGE?
11ONE PLANTHIS PLAN USES ONE HEALTH PLANAND ONE UNIFORM BILLING SYSTEMNO HIDDEN COSTS OF COMPETITIONNO MORE 1,400 CLERKS FOR 2,000 DOCTORSREDUCE HEALTH CARE COSTS BY $210 BILLION EACH YEAR
12OVERHEADIT IS REPORTED THAT THE OVERHEADFOR PRIVATE INSURANCE COMPANIESVary based on the size of the Company
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INSURANCE
16How does insurance work?Insurance works by spreading the risk of an event over many participants
Replace a $100,000 house100 participants..$1,0001,000 participants$100
17HOW DOES INSURANCE WORKTwo people may agree to share the cost to rebuild their houses if one of them is destroyed by fireThey can not afford to agree to share the cost of rebuilding the house of a person that comes to them and wants to join when his house IS BURNINGThis is why insurance companies do not like to cover people with pre-existing conditions
18THE RISKS WILL HAVE INCREASED
If the premiums are not increased The insurance companies will go BROKE
OBAMACARE - BIG & COSTLYEXRAORDINARILY COMPLICATED
DEMOCRATS PLAN..BIG & COSTLY.VERY SMALL BENEFITS20THE OBAMACARE HEALTH CARE PLANIf the Insurance Companies MUST sell policies to an individual
regardless of the individuals health status, the insurance companies will have no recourse but to increase PREMIUMS in order to stay in business
21RISKS AND THIS PLANThis Plan would probably have theLARGEST RISK POOL in the WORLD
All 300 million citizens of the United States in ONE RISK POOL
you cant get much better than that
This will result in the LOWEST HEALTH CARE RATES of any method of providing Health Care
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