no comments??:?ridicule is unexpected--- of the museum
bearing the name of MorrisGraves
AWKWARD??in the eye of the beholder..FUNNY?? It's my brother..
Preview Awkward Moments--announce retrieve of Family picture for donation----art appreciation not blackmail
He said?/She said?/ But there is
no checking posthumously on
accusations on mail never read by the accuser or lawyer???
Dan the uncaveman says, "only the usual "insurance bad, hurt people" you would expect from a caveman bemoaning the chipped stone wheel that had his Flintstone car collide with a dinosaur."
Straight from an agent of insurance. You are a stupid caveman crying over nothing when you have to file a legitimate claim. "The usual...some idiot trying to get what he's been paying for. Let's see how much I can widdle down the numbers."
"insurance sucks," anonymous business-basher, brings nothing to the table, neither facts/figures nor citations - only the usual "insurance bad, hurt people" you would expect from a caveman bemoaning the chipped stone wheel that had his Flintstone car collide with a dinosaur.
Since you play the "humanist" card as if it has anything to do with "the transfer of risk for an agreed price" (an eight-word definition of insurance) I will offer a citation as to what I personally think about humanism, mr. or ms. "sucks":
"So the nature of humanism has not really changed after all. It is a philosophy of life based on the false premise that there is no God, and therefore it is bound to fail. Speaking of the ancient humanists, Paul said: "Professing themselves to be wise, they became fools, . . . and worshipped and served the creature more than the Creator . . ." (Romans 1:22,25).
Then, speaking of the humanists of the last days, Paul said they would be "lovers of their own selves, . . . lovers of pleasures more than lovers of God; . . . from such turn away" (II Timothy 3:2,4-5)."
Nice job thanks
" It is an incontrovertible fact that reimbursement rates had to be negotiated lower so that premiums could fall within a certain range."
...so that profit margins could be maintained for exuberant profits over what amounts to a case by case basis. Bottom line: squeeze more money out of people while giving even less back to them when they need it. People get less of what they're paying more for. Of course an agent of insurance would double talk their own bottom line, that's part of the business...and business is business, and businesses are in it for the money, and insurance companies are in the business of making lots of money. Futher, they do so under the construct of misfortune that hasn't happened. The world of insurance is one of the filthiest places in the universe. The line "for insurance purposes..." is never preceded or followed by anything even remotely humanist.
I am a licensed insurance agent who has given presentations in our Humboldt community on the subject of Health Care Reform. It is an incontrovertible fact that reimbursement rates had to be negotiated lower so that premiums could fall within a certain range.
It is also true that Covered California was responsible for posting the Provider Lists on its website - not Anthem Blue Cross or Blue Shield of California. For background on this issue, and how it played out in the Bay Area, please refer to the following link from CBS (S.F.):
From the article's concluding remarks:
"According to the Department of Managed Health Care, the insurers aren’t breaking any laws. They are only required to update provider lists quarterly and those lists are subject to change at any time."
Mr. Greenson's article is clearly the product of an uninformed layman who does not have a clear grasp of the matters he intended to highlight, and belies an agenda hostile to business - particularly that of an insurance company.
The local agents featured in the article provided no special insights that I find noteworthy, nor did their hand-wringing, letter-writing, and hobnobbing with Rep. Huffman impress me any more than the ineffective reliably liberal Rep. Huffman himself does.
I could have written a better article in two or three hours at midnight on a Saturday, and if you would like a considered guest opinion from a reliable source that truly gets what this is all about, I would gladly oblige.
I read something just yesterday or the day before about squabbles over reimbursements. Not sure if it was just MediCal, or private insurance. It's hard to make heads or tails out of it even after paying loose attention to the issue for some time. I do know that Redwood Family Practice, which I go to and called to check on it, said they accepted and processed all Anthem Blue Cross claims the same way, but they would have to wait and see if they would still be wiilling to accept Obamacare accounts, depending on how their reimbursement rates measured up.
It is not true that private insurance companies have to pay lower reimbursement rates along the line of what MediCal/Medicare pays. You can verify that through factcheck.org and other websites. According to factcheck, the private insurance companies participating in the exchanges set their own prices, which doctors and hospitals can balk at.
The ACA does require insurance companies to spend at least 80 percent of premiums on health costs — as opposed to spending on administration, marketing, and profit.
Sounds like a great collaborative cancer care program with Dr. Mahoney's inspiring leadership! But unfortunately not accessible to everyone. My son had surgery for cancer out of the area a few years ago and needs local follow up monitoring. He finally got health insurance coverage through the Affordable Care Act, but found that our local oncologists' office do not accept his Covered CA Anthem Blue Cross insurance, so he would be required to pay an unaffordable $200+ for an "out of network" appointment with one of our local providers! Please work on fixing this other important part of the medical care delivery system to make service accessible in Humboldt County to all who need it!
"when Anthem was preparing to roll out its Covered California plans it took a hard line negotiating with local doctors, offering reimbursement levels 65 percent lower than for its traditional plans."
My understanding, just from what I read in the news, was that the insurance companies had to pay lower reimbursements along the line of what MediCal/MediCare pays to participate in the ACA. If true, then I'd say it's not Anthem's fault.
Yes Jean, moneyed corruption in local elections is a fundamental context of this story that is often never reported.
The other is explaining how "strategy" became so complex and costly due to political competition for the same old 30% of eligible voters that mostly made up their minds.
The hardest part of canvassing, for me, is having to skip 5 or 10 homes to find the next registered democrat, green, or independent to "convince".
A 70% abstention rate is why a tiny cabal of developers own local politics and it explains how a candidate that ended every debate answer with a disingenuous smirk could beat Kerrigan.
the media in various forms reaches those not hit by
Dootstep or passerby canvassing--But must election final
choosing be influenced by who spends the most money ?
No, when there are only two candidates the one with the most votes wins--meaning there is no primary and only one shot. Perhaps this lack of understanding is what resulted in such extremely low voter turn out.
Wasn't this a primary? She still has to run in a general election and won't that be against Kerrigan again since the results were fairly close?
This is excellent journalism. We need physicians up here that are as good at doctoring as Ms. Walters is at telling a story.
By his statements is Jason trying to suggest that Black Bears are going extinct, or is this just more Animal Rights rhetoric?
In Print This Week:
Jul 3, 2014
vol XXV issue 27
Faces of Humboldt
The North Coast Journal Weekly
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