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  #11  
Old 12-07-2017, 11:42 AM
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Yeah, it looks like DaVita wants to get back to their core business.
Keeping people alive via dialysis while scaring the patients not to get a much less expensive kidney transplant?
Allegedly, according to John Oliver.
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  #12  
Old 12-07-2017, 11:57 AM
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Keeping people alive via dialysis while scaring the patients not to get a much less expensive kidney transplant?
Allegedly, according to John Oliver.
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Old 12-07-2017, 12:09 PM
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To me, it kind of seems like a pendulum. In the 80s/90s we saw the rise of HMOs, because people didn't like the cost of healthcare. HMOs could manage cost, but people hated narrow networks and prior auth and what-not. Now we're back to hating the cost of healthcare, and this is one way to tamp that down.

I expect this to continue, and value-based care is growing rapidly. But you have new drugs and new technology (read: expensive therapies) pushing against that. So I don't expect the PMPM cost to dramatically fall any time soon.
Absolutely agree. We'll probably go through the whole cycle again in our lifetimes where plans buy hospitals and vice versa; realize it's a terrible idea and get back out. On and on meanwhile PMPMs just keep going up
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Old 12-07-2017, 12:11 PM
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Absolutely agree. We'll probably go through the whole cycle again in our lifetimes where plans buy hospitals and vice versa; realize it's a terrible idea and get back out. On and on meanwhile PMPMs just keep going up
Nah, we learned from our mistakes, and it's gonna be great for patients this time around.
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Old 12-07-2017, 12:26 PM
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I don't recall any plans buying hospitals.
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Old 12-07-2017, 01:20 PM
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American Kidney Fund...
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Old 12-07-2017, 02:03 PM
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Keeping people alive via dialysis while scaring the patients not to get a much less expensive kidney transplant?
Allegedly, according to John Oliver.
John Oliver has a few kooky conspiracy theories. My mom has had two kidney transplants. Medicare paid the vast majority of that and the dialysis bills. She went through the transplant process but the wait for matching organs was long. Particularly on the second one, her body had certain antibodies that had to be matched specifically.

Why would insurers or Medicare put up with indefinite dialysis patients? Also, I sincerely, sincerely doubt people are choosing not to transplant. Dialysis is a terrible way to live.
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Old 12-07-2017, 02:12 PM
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Yeah, it looks like DaVita wants to get back to their core business.
Swindling Medicare?
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Old 12-07-2017, 02:38 PM
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John Oliver has a few kooky conspiracy theories. My mom has had two kidney transplants. Medicare paid the vast majority of that and the dialysis bills. She went through the transplant process but the wait for matching organs was long. Particularly on the second one, her body had certain antibodies that had to be matched specifically.

Why would insurers or Medicare put up with indefinite dialysis patients? Also, I sincerely, sincerely doubt people are choosing not to transplant. Dialysis is a terrible way to live.
When enrolled on ACA plans, the insurer can't do anything about the patients. The third party payment process only makes things even more problematic.
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  #20  
Old 12-07-2017, 02:41 PM
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John Oliver has a few kooky conspiracy theories.
No, not really.
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