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LOVE IS WHAT HEALTH CARE IS ALL ABOUT

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

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LOVE IS WHAT HEALTH CARE IS ALL ABOUT

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  1. LOVE IS WHAT HEALTH CARE IS ALL ABOUT

  2. 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 • A 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 customer • This will save an appointment with the Doctor, compared to the test not being ordered until during the appointment

  3. HEALTH CARE • Prescriptions shall be written for 12 months, unless the prescription is Not required for this period • Patients may purchase, at their cost, extra health care benefits which are beyond the standard benefits of the Plan

  4. THE PLAN • The plan will be fee-for-service, like we have now • It will operate in a similar manner to the way Medicare operates • The fee for service schedules are already available and in use and some of the procedures include: • Mammograms • Pap smears/tests • PSA Tests

  5. PAYMENTS PAYMENTS 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 SERVICES • NO MONEY SHALL BE PAID TO PLANNED PARENTHOOD OR ANY OTHER ORGANIZATION THAT IS NOTA CONTRACTED PROVIDER

  6. HEALTH CARE COORDINATORS

  7. HEALTH CARE COORDINATORS • Any insurance company (they become Health Care Coordinators – HCC’s) may participate in this Plan • Insurance companies that become HCC’s 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

  8. HEALTH CARE COORDINATORS • The insurance companies will NOT be eliminated, but the service they provide will be changed • They 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 Plan • They will have a GUARANTEED PROFIT and NO RISK • They will be paid for COORDINATING the services of the Plan • And provide FRAUD DETECTION for the NHC

  9. SIMPLIFY PAPER WORK • All participating in this Plan will use the same forms for enrollment, and claims payment • All insurance cards will be the same, showing the name of the customer and the Company issuing it • The cards will be MACHINE READABLE to save time and reduce mistakes • All of this will simplify paperwork for providers and increase savings

  10. CURRENT SYSTEM • THOUSANDS OF HEALTH PLANS • HUNDREDS OF INSURANCE COMPANIES • ESTIMATED COST $210 BILLION PER YEAR • FOR PAPERWORK • CLEVELAND CLINIC REQUIRES 1,400 CLERKS • FOR 2,000 DOCTORS • THIS IS THE HIDDEN COSTS OF COMPETITION • COMPETITION IS AN ADVANTAGE?

  11. ONE PLAN • THIS PLAN USES ONE HEALTH PLAN AND ONE UNIFORM BILLING SYSTEM • NO HIDDEN COSTS OF COMPETITION • NO MORE 1,400 CLERKS FOR 2,000 DOCTORS • REDUCE HEALTH CARE COSTS BY $210 BILLION EACH YEAR

  12. OVERHEAD • IT IS REPORTED THAT THE OVERHEAD FOR PRIVATE INSURANCE COMPANIES Vary based on the size of the Company

  13. INSURANCE

  14. How does insurance work? • Insurance works by spreading the risk of an event over many participants • Replace a $100,000 house • 100 participants………………..$1,000 • 1,000 participants………………$100

  15. HOW DOES INSURANCE WORK • Two people may agree to share the cost to rebuild their houses if one of them is destroyed by fire • They 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 BURNING • This is why insurance companies do not like to cover people with pre-existing conditions

  16. THE RISKS • WILL HAVE INCREASED • If the premiums are not increased – The insurance companies will go BROKE

  17. OBAMACARE - BIG & COSTLY EXRAORDINARILY COMPLICATED

  18. THE OBAMACARE HEALTH CARE PLAN • If the Insurance Companies MUST sell policies to an individual • regardless of the individual’s health status, • the insurance companies will have no recourse but to increase PREMIUMS in order to stay in business

  19. RISKS AND THIS PLAN • This Plan would probably have the LARGEST RISK POOL in the WORLD • All 300 million citizens of the United States in ONE RISK POOL you can’t 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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