Comments on: So, Medicaid, What’s She Supposed To Do Now? http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/ one woman’s view from a place by the zoo in the city Sun, 07 Sep 2008 02:48:06 +0000 http://wordpress.org/?v=2.5.1 By: Depending on Medicaid | Brewed Fresh Daily http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/#comment-205 Depending on Medicaid | Brewed Fresh Daily Thu, 20 Dec 2007 14:21:23 +0000 http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/#comment-205 [...] Gloria Ferris » Blog Archive » So, Medicaid, What’s She Supposed To Do Now? Posted in Yr Govt @ Work | [...] [...] Gloria Ferris » Blog Archive » So, Medicaid, What’s She Supposed To Do Now? Posted in Yr Govt @ Work | [...]

]]> By: Jennifer Tweedy http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/#comment-204 Jennifer Tweedy Wed, 27 Jun 2007 04:17:46 +0000 http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/#comment-204 One othe horrific problem that has been mandated is the change to managed care plans. I was forced onto one and while I have explained to everyone I have spoken to this has mad mylife hell and it only promises to get worse. I have several serious health issues including a terminal illness. Not one of my doctors is covered under any plan. At the end of July I must begin seeing all new dr.s who do not know me nor do I know them. I have a longstanding working relationship with my PCP and specialists and the state in its almighty wisdom thinks I can just pick new drs. After all because as everyone knows "there are other drs out there" yes there are also voodoo priests doesn't meen I want to see one. The wisdom- and I use that term very lightly- and understanding they have shown is less then steller. I don't think I would be so upset if there wasn't any major health issues, or if the state was so caught up with the "rules" that it doesn't leave any room for common sense. A person at medicaid today actually told me that a person on a managed care program could be returned to fee for service medicaid if they say commited a fraud or threatened the Dr. She then went on to qualify that threatening a dr would just get them moved to a different MCP. So I asked basically all someone like me needed to do was act in a threatening manner to 3 PCPs on 3 MCPs and I would be returned to fee for service? She actually answered yes. WHAT?? Of course I would prob end up in jail but considering my life span now is about in its last 1-2 years how long could they keep me--- and prisoners actually have better health care so I hear hmmm maybe need to rethink this.(just joking ) One othe horrific problem that has been mandated is the change to managed care plans. I was forced onto one and while I have explained to everyone I have spoken to this has mad mylife hell and it only promises to get worse. I have several serious health issues including a terminal illness. Not one of my doctors is covered under any plan. At the end of July I must begin seeing all new dr.s who do not know me nor do I know them. I have a longstanding working relationship with my PCP and specialists and the state in its almighty wisdom thinks I can just pick new drs. After all because as everyone knows “there are other drs out there” yes there are also voodoo priests doesn’t meen I want to see one. The wisdom- and I use that term very lightly- and understanding they have shown is less then steller. I don’t think I would be so upset if there wasn’t any major health issues, or if the state was so caught up with the “rules” that it doesn’t leave any room for common sense. A person at medicaid today actually told me that a person on a managed care program could be returned to fee for service medicaid if they say commited a fraud or threatened the Dr. She then went on to qualify that threatening a dr would just get them moved to a different MCP. So I asked basically all someone like me needed to do was act in a threatening manner to 3 PCPs on 3 MCPs and I would be returned to fee for service? She actually answered yes. WHAT?? Of course I would prob end up in jail but considering my life span now is about in its last 1-2 years how long could they keep me— and prisoners actually have better health care so I hear hmmm maybe need to rethink this.(just joking )

]]> By: TimFerris http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/#comment-203 TimFerris Tue, 15 May 2007 23:11:51 +0000 http://www.gloriaferris.net/2007/05/so-medicaid-whats-she-supposed-to-do-now/#comment-203 I wonder if these arbiters of who deserves what have arbiters over them, who determine whether they are serving the public good or serving the interests of the agency first. This is an awful lot of horsing around in a short time period, and also over the years, as we've watched in disbelief and dismay. Are they making sure they can stay bureaucrat-busy, that they have enough work to do, switching Medicaid recipients back and forth and back and forth? Doesn't this on-again-off-again game call their basic bureaucratic judgment into question? What's their motivation? What's their expertise? What's their mandate? Certainly, their mandate doesn't come from us--we would require them to respect our neighbors' dignity and do the preventative things necessary to keep them from racking up the big bills on crisis visits to the ER. What's their liability? What's their exposure? I wonder if these arbiters of who deserves what have arbiters over them, who determine whether they are serving the public good or serving the interests of the agency first. This is an awful lot of horsing around in a short time period, and also over the years, as we’ve watched in disbelief and dismay. Are they making sure they can stay bureaucrat-busy, that they have enough work to do, switching Medicaid recipients back and forth and back and forth? Doesn’t this on-again-off-again game call their basic bureaucratic judgment into question? What’s their motivation? What’s their expertise? What’s their mandate? Certainly, their mandate doesn’t come from us–we would require them to respect our neighbors’ dignity and do the preventative things necessary to keep them from racking up the big bills on crisis visits to the ER.

What’s their liability? What’s their exposure?

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