My kids, Elise and Brennan, are 8 and 5. They are usually blessed go advantageous kids who accept archetypal pediatric medical concerns. I am still hardly afraid that my son has not had an orthopedic emergency allowance visit. Brennan is assertive that if he all-overs adamantine enough, he will defeat gravity. So far, force has won every time. Elise has had a burst leg and a burst wrist already in her life, but added than that she is healthy.
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My parents are 64. My dad is a retired electrician. He formed on accurate and rebar for over thirty years. Construction beats up on people. His knees are shot. He is starting to apathetic bottomward but he is in reasonable bloom all things considered. My mom was a attic assistant for twenty years until she retired this summer. She has a decade of odd conditions. Mass General Hospital accessory physicians like to use her as a teaching tool.
Since my dad retired, he has become an ardent genealogist and a assiduous and occasionally competent golfer. My mom is amusement in actuality a full-time grandma as her youngest granddaughter is aural active distance.
My kids or my parents: which brace sounds added agnate to accepted Medicare beneficiaries?
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Yeah, my parents attending a lot like accepted Medicare beneficiaries.
The Sanders single-payer bill has a four-year rolling transition. Section 106-B-1 says that anybody beneath the age of 19 is anon acceptable on the aboriginal January 1st afterwards the bill is active into law. Title 10, accurately Section 1001 begins blurred the acceptance age for Medicare.
In the fantasy cosmos area this bill was active into law tonight, my kids and my parents would become Medicare acceptable at the aforementioned time. My wife and I would accept several years to wait.
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Does this complete believable to you?To me, it is not a believable plan.
Enrolling my parents into Medicare or Medicare Advantage in January instead of ancient abutting summer is a accessory tweak. They’ll get their ID cards several months beforehand than they contrarily would have. All of their doctors would be in arrangement and they would be accustomed with how Medicare works as that is what they allocution about with their accompany at the Owl Diner on Jackson Street in Lowell. The Medicare Advantage insurer or the Traditional Medicare ACO would accept affluence of acquaintance accoutrement and managing bodies that are actual agnate to them.
Medicare and Medicare Advantage has no ability in enrolling and accoutrement kids. They don’t apperceive how to administrate EPSDT screening visits. They don’t apperceive how to administer adorning delays and pediatric behavioral bloom problems. They don’t apperceive how to accord with puberty. They don’t apperceive how to accord with teenagers and changeable health. Retirees and near-retirees are a actual altered cosmos of bodies with a characteristic medical contour to administer than kids and teenagers.
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New networks would charge to be built. New chump account groups would charge to be trained. New training would charge to be developed for appliance and affliction administration practices. That ability sometimes could be centralized transfers. At UPMC, area I acclimated to work, that ability alteration would beggarly several dozen bodies would accept a new VP as they were transferred from CHIP and Medicaid to move to Medicare Advantage. But CMS and Medicare Advantage carriers that are not multi-line carriers would charge to advance that ability abject and clean their claims systems. It will booty time; it is not an absurd assignment but it is not an actual task.
If one wishes to awning every distinct kid as anon as possible, there is an easier route. If every kid was assumably enrolled into either Medicaid or CHIP for the aboriginal two or three years while the Medicare arrangement has abundant time to acclimate and acclimate to the alteration populations that work. Grabbing programs that are accessible with the accordant ability to act as a arch appear the adapted end-state of a distinct all-embracing arrangement is an accessible and added acceptable to accomplish alleyway than throwing millions of kids into Medicare back Medicare could not handle actuality a pediatric insurer.
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