Strike at Deere plants in the US, more supply chain shortage to come

[Username Taken]

Hospitals live and die based on reimbursement rates and for decades rates basically dictated by Insurance Companies and Medicare/Medicaid

Small local independent Hospitals were often left out of the mix or paid at the lowest rate… basically take it or leave it.

Sutter Hospitals came up with its own strategy and that is to become the dominant provider in many of their markets.

Once Sutter a not for profit business model, achieved dominance in a market the table turned and the Hospital told the Blue Cross and Blue Shields what the Hospital would accept for procedures.

The insurance companies balked and said no leaving hundreds of thousands with insurance no place in their geographic region to use it.

In one way it was giving Insurance Companies a taste of their own medicine…

Subscribers became livid paying premiums for service no longer available and started complaining to regulators with Insurance Companies taking the brunt of the anger.

Healthcare is now the battle of the Titans.

So the hospital survived with no patients, no income and no money?

That's a neat trick.

 

[ultrarunner]

So the hospital survived with no patients, no income and no money?

That's a neat trick.

I guess anything is possible but not that I know of.

It’s a nationwide trend of hospitals closing and leaving markets…

Many may not realize the amount billed is rarely the amount accepted as payment.

You have two patients having the same procedure the same day and doc and the amount accepted as full payment can be very different simply based on insurance contract or lack of insurance contract.

My point is for decades insurance companies often dictated a take it or leave reimbursement per procedure.

The problem is Insurance Companies need Hospitals to provide care.

So to gain negotiating power smaller regional facilities often partner with others to gain more favorable reimbursement for the discounted services offered.

The tipping point is when a particular hospital group becomes dominant in a region or the only game in town and now tells the insurance company how much it will pay for their insured to have surgery… a total 180 flip.

The insurance company either accepts and raises premiums or abandons customers in regions where it no longer has in network providers…

 

[ruffdog]

How many companies can sustain those costs?

That is the reason behind insurance....to spread losses over a wider base. Yes, even large companies carry insurance policies for loss. We are now in times that common people can not afford health insurance that will actually protect them against sizable financial loss.

 

[rScotty]

Then that's what you should have said instead of telling people, incorrectly, that they can cancel you at any time.

They can not.

Insurance Companies are hardly Saints but if people want to fix the problem instead of just whine about it, they need to understand it.

I can say with some certainty that we are far, far, far from fixing anything.

It 2010, it amounted to exactly the same thing.
I defend your right to call something by whatever name you want to.
I don't have a problem if you want to call an action by a different name than I use.
But give me the same right. I don't think changing the name of something changes what it is.
Yes, I have been told before that being blunt and plain spoken is not always a popular position.
rScotty

 

[Cougsfan]

A very popular ploy by business today is to hire your employee's as private contractors. That way you are relieved of any perceived responsibility to provide benefits. (Healthcare, retirement, etc). And you pay these contractors at the same hourly rate that you would have paid an hourly employee. You also don't have to withhold taxes from their wages. it is their own responsibility to do that. They are on their own to provide what used to be all common company provided benefits. The result: the business saves a bunch of money, the employee likely can't afford health insurance, he will be a burden to others when he retires and he may easily not be able to pay his taxes at the end of the year and be in trouble there. I have seen this happen repeatedly. These are often the people that USER NAME TAKEN classifies as irresponsible parasites on our social systems. They didn't refuse to buy insurance, they simply can't afford to buy insurance.

 

[ruffdog]

A very popular ploy by business today is to hire your employee's as private contractors. That way you are relieved of any perceived responsibility to provide benefits. (Healthcare, retirement, etc). And you pay these contractors at the same hourly rate that you would have paid an hourly employee. You also don't have to withhold taxes from their wages. it is their own responsibility to do that. They are on their own to provide what used to be all common company provided benefits. The result: the business saves a bunch of money, the employee likely can't afford health insurance, he will be a burden to others when he retires and he may easily not be able to pay his taxes at the end of the year and be in trouble there. I have seen this happen repeatedly. These are often the people that USER NAME TAKEN classifies as irresponsible parasites on our social systems. They didn't refuse to buy insurance, they simply can't afford to buy insurance.

Can you name companies that are exercising this "popular ploy" of not withholding payroll tax?

 

[Torvy]

A very popular ploy by business today is to hire your employee's as private contractors. That way you are relieved of any perceived responsibility to provide benefits. (Healthcare, retirement, etc). And you pay these contractors at the same hourly rate that you would have paid an hourly employee. You also don't have to withhold taxes from their wages. it is their own responsibility to do that. They are on their own to provide what used to be all common company provided benefits. The result: the business saves a bunch of money, the employee likely can't afford health insurance, he will be a burden to others when he retires and he may easily not be able to pay his taxes at the end of the year and be in trouble there. I have seen this happen repeatedly. These are often the people that USER NAME TAKEN classifies as irresponsible parasites on our social systems. They didn't refuse to buy insurance, they simply can't afford to buy insurance.

The 'employee' you mention is not an employee, but an independent contractor. That relationship has pros and cons both ways. It does help people understand that half of their payroll taxes are being paid on their behalf by their employer.

Life is about choice. If you don't like the business practices of a business, don't work for them and/or don't patronize them. What I am hearing you say is that business A has been footing the bill for taxes and insurance. That model they felt was unsustainable, so they went another direction. Rather than move on, some people complain to the effect 'how dare they stop paying my way?'.

 

[Cahaba Valley Farm]

Subscribers became livid paying premiums for service no longer available and started complaining to regulators with Insurance Companies taking the brunt of the anger.

So what happened after they started complaining?

 

[Cahaba Valley Farm]

Then that's what you should have said instead of telling people, incorrectly, that they can cancel you at any time.

They can not.

They did it to my mother many years ago so I don't know why you are saying they can't.

 

[JCoastie]

Can you name companies that are exercising this "popular ploy" of not withholding payroll tax?

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