Pay Attention: Medicare vs. ObamaCare and "Free Home Visits"

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Obama is planning to take some Medicare funds slated to pay for Medicare medical insurance things and transfer that over to help pay for ObamaCare type stuff. I recently got a form letter from my medical insurance company [the insurance company from where I get my Medicare replacement insurance] telling me that they have "partnered with" a firm which is offering me the wonderful and thrilling privilege of having a nurse practitioner visit me in my home "for free." This nurse practitioner from the firm is able to take my blood and my pee sample, perform a "non-invasive" medical exam, and I can talk to him or her about any  medical concerns that I am hesitant to tell my physician about.

I researched the firm offering me this service. The firm is called Matrix Medical. What I found was that several of the larger medical insurance companies are targeting their Medicare old people, Medicare disabled people, and their Medicare old disabled people for visits by Matrix Medical [and comparable other firms].

During this "free" visit [I found the form also], the nurse practitioner will be asking stuff like:
     You got a health care proxy?
     You got a living will?
     Have you ever drank too much?
     Have you ever taken drugs not prescribed for you? Which ones?
     When was your last _______________ ? [medical tests and exams]

and he or she will "inspect your home" for anything that indicates a risk for falling. And so on.

But see, the thing is, Matrix Medical is not offering this service out of the goodness of its corporate heart. Oh no. This is being offered to "us" to pick up more codes on what is wrong with us a.k.a. our medical conditions because each diagnostic code is worth money. Money that would otherwise be transferred to help pay for ObamaCare. Money which the Medicare replacement insurance company could get once the nurse practitioner calls our primary care docs in order to have them include these extra codes on our patient charts. It is basically a scheme to keep any "extra?" monies within the Medicare replacement insurance company system rather than have it be line item transferred to the ObamaCare system. Head spinning yet?

Of course there is also the collection of health data, and the tracking of old/disabled/old and disabled people into disease management and/or case management.

We had one hang-up call. The number when reverse traced belongs to Matrix Medical. Apparently when I didn't answer the robot thingy that was calling me fast enough, the connection terminated. Reports on the scam phone call sites indicate that this number allegedly called some people more than once. Then someone wrote that Matrix Medical is legit. But the old people are getting called repeatedly and harassed to allow the home visit. Once an old/disabled/old and disabled person says no to the home visit, they may be offered an appointment at some facility instead or pressured to sign a form that does not have any filled in information on it and send it back to Matrix Medical.

The comments on the "what is it like to work for ___________ ?" sites indicate some employees are happy at Matrix Medical while others acknowledge that the telemarketing job in particular leads to nowhere and that the nurse practitioners are overworked unless they are among the management favorites. One or two of the telemarketers feel badly that they were hired to pressure the old people into accepting these appointments.

A few news articles and investigative journalism pieces indicate that the firms offering this home visit "service" fought when Congress wanted to ban this crap and so it is currently still allowed.

Another article admitted that people in ObamaCare may be subjected to this same sort of code-inflating hunt thing but not for two years. Because ObamaCare wants to be evaluated without inflating the codes first. Great, huh?

Meanwhile, the medical insurance companies have targeted the old/disabled/old and disabled folks on Medicare replacement medical insurance part of their businesses for now and several of the larger medical insurance companies  have "partnered with" these firms.

radical sapphoq says: No, these people will not be allowed into my home, to make an appointment with me, or to pressure me into signing any sort of paper for them. I've included links so you'll can look up this stuff too if you want to. If you do nothing else, you should read some of the articles about this over at The Center for Public Integrity website listed at the end of this post.

References

http://800notes.com/Phone.aspx/1-888-657-3998  Matrix Medical calls.

http://whocallsme.com/Phone-Number.aspx/8886573998  Matrix Medical calls.

http://whocallsme.com/Phone-Number.aspx/8886573998/2  Matrix Medical calls.

https://www.callercenter.com/727-260-5414.html  Matrix Medical calls.


       *Medicare Rights site*
http://www.medicarerights.org/about-us/



http://www.ibx.com/pdfs/providers/communications/update/supplementary/sample_health_risk.pdf Matrix Medical form to be filled out by nurse practitioner.


http://www.glassdoor.com/Reviews/Matrix-Medical-Reviews-E399732.htm employees assessments of working conditions at Matrix Medical.

http://www.indeed.com/cmp/Matrix-Medical-Network/reviews employees assessments of working conditions at Matrix Medical.


https://www.logisticare.com/logisticare-news.php 2nd blurb down; another company to acquire Matrix Medical.

http://www.trademarkia.com/matrix-medical-network-76342013.html Trademark search for Matrix Medical Network.


http://www.managedcaremag.com/archives/0801/0801.coding.html  Why lax coding is bad.

http://managedhealthcareexecutive.modernmedicine.com/managed-healthcare-executive/content/michael-quilty-ceo-matrix-medical-network?page=full Matrix Medical C.E.O. speaks.

http://www.cms.gov/Medicare/Health-Plans/MedicareAdvtgSpecRateStats/Downloads/Advance2014.pdf dated Feb. 2013

http://www.businesswire.com/news/home/20120725006658/en/Matrix-Medical-Network-Provide-Medicare-Advantage-Home announcement of one partnership with Humana.

http://www.agentpipeline.com/wp-content/uploads/2013/08/In-Home-Health-Well-Being-Program-Assessment-FAQs-AP-503.pdf Humana's spin on Matrix Medical, for their medical consumers.

http://www.forbes.com/sites/scottgottlieb/2014/01/06/more-cuts-in-store-for-medicare-plans-heres-the-options-that-will-shrink-most-for-seniors/  Humana derives 70% of its business from Medicare.




     *list of articles re: Medicare Advantage Money Grab from The Center for Public Integrity*

http://www.publicintegrity.org/health/medicare/medicare-advantage-money-grab

http://www.publicintegrity.org/health/medicare/medicare-advantage-money-grab?page=1

If You Have a Traumatic Brain Injury...

If you have a traumatic brain injury [and/or other disabilities], be prepared to be royally screwed by your medical insurance. Particularly if you are on Medicare but not yet sixty-two and therefore not qualified to apply for your state pharmacy discount program. And particularly if you are married, have some money in savings for emergencies, and have worked most of your life. More so if you are taking psych drugs and asthma drugs.

The donut hole is coming for YOU.

In May or June. Not in October or November.

Having been told that you absolutely do not qualify for the "help" to pay for your meds necessary for your life and well-being, you understand that you are to magically come up with 4500 or 4800 dollars to pay for the meds during your donut hole experience [the amount that you must pay until your "catastrophic" medicine coverage will kick in].

Death panels? You know they are already here. They are called "medical insurance companies" and sometimes "Big Pharma."

You know that they want you to die.

MORE MESSING WITH HEALTH CARE SICKNESS 1/26/07

Our politicians are at it again. President Bush wants to re-vamp medical insurance in such a way that would involve tax cuts for those buying into less-comprehensive less-expensive policies. There are perceived advantages for part-timers perhaps. And some threats and fears. Some critics have speculated that employers will not continue to fund most of the expense for health care, for example. Then there is the rising cost of health care coupled with inflation. The insurance companies themselves are not crying "foul" but the proposal has already been sacked in Washington.

As expected, most of the Dems don't want anything to do with the plan proposed by Bush 41. The current three Dem contenders for the 2008 race have different plans. Clinton as in Hill the Pill wants universal health care for all, Obama wants it for all within the next six years, and Edwards is willing to increase our spending deficit to do it.

Ted Kennedy naturally wants to expand the public dole by putting everyone on Medicare. As much as I have my reservations about Bush's idea, I sure don't think Medicare for all is a great thing to do. Folks I know who have been forced onto Medicare due to disabilities are complaining that they are getting large doctor bills. Medicare does not pay the physicians "enough" so instead of writing off the rest to taxes, many physicians are billing their patients for what Medicare will not pay.

Medicare is a busted system and fixing it does not mean opening the doors for everyone to get it. Universal health care was a flop when proposed once before. Focusing on getting health care for all American children has garnered popularity as a feel-good thing to do. Not as "the right thing to do." Unfortunately, the Bush 41 plan would strip some coverage mandates-- preventative care in some cases and treatment to keep people from killing themselves in others.
I believe in preventative care and certainly in treatment for mental health disorders. Yet, I think that the Bush 41 proposal should be the subject for serious study of how to tweak it in order to make it workable.

Once again, radical sapphoq wishes to remind all the universal health care advocates that there will be no universal health care in this country unless it provides as good or better as what the rich folks currently have. No rich folk want to give up what they got. As far as ownership vs. entitlement, radical sapphoq is squarely on the ownership side of things but thinks that the Dems prefer entitlements.

radical sapphoq