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Posts
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Everything posted by Oxbow6
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Cavalier beat Flasher by 20 Beulah beat New Town by 2
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Rugby up on North Star 26-19 at half in 2nd semi
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Park Christian knocks off #1 Battle Lake 62-59!! Oak Grove beat Linton by 8 in 1st semi.
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Here is one I really enjoy...the under 65 year old patient complains he/she was over billed for their visit/encounter because he/she just got the EOB in the mail. Let's say charge was $200 and their insurance paid $120 and their remaining balance was ZERO.. not collectible and written off...very common for those on federal and/or state medical assistance. So you know that currently he/she pays zero or close to zero for their insurance..the system writes off the balance cause under their assistance agreement the system generally can't bill the balance and collect it yet they were "overcharged"...but when asked "what did you pay out of pocket for the visit?" and their answer is "nothing but..." that's where the conversation ends. Now the conservative estimate is that the ACA will add 30M...some studies as high as 50M...people under 65 into the state's Medicaid programs nationwide..and those of you in MN thought your state had financial issues now! If my memory serves me correctly it cost roughly $7k to provide care per Medicaid enrollee. So $7K times 30M is what?? And that is yearly...just for these new enrollees. Who funds this "subsidy" for 30-50M people who will basically get (close to) free healthcare?
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Any guesses if lineup changes from last weekend? Don't see it with the Dman. Possibly Murphy gets in for Mitch??
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"Dave! Dave! Dave! Dave!..."
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Again well said and correct. He is the smart one...really smart. To dumb it down again... I'm not as smart...healthcare is not a combo meal or happy meal. Everything done for or to a patient and I mean everything is billed ala carte. Also most systems accept many many insurances. And the fees set for every single CPT code, lab, imaging test and procedures are set at a dollar level, generally, not to leave a reimbursable penny one the table. Let's say Sanford takes 100 different insurance plans. Someone like yzermam19 will find what is the top dollar paid by these 100 plans for every possible billable code and set the fee higher. If a one plan will reimburse a 99214 code at $100 and the other 99 reimburse less than that the fee will be at least $100.01 across the board for that code.
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It's Friday...Az starting up the game thread. Zane is a wall and LJ continues his hot play....3-2 with WMU getting one late to keep it intersting.
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You seem to have a lot of free time so start by reading the Congressional Budget Office report that was released this past Decemeber. As far as anger...aren't you the one with a large supply of baseball bats?? Just asking...........
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I'll set the under/over at 3 weeks before your stupid a** is tossed again. You aren't fooling anyone. You are a total JA under any moniker.
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You do make some very good points and some others I don't agree with but this isn't the place to really hash those out. But to ignorantly come here and paint with a broad brush that the "poor" pay a higher % of their income in taxes vs. the "rich" in this country is not factual in any way shape or form. One can cherry pick a state or use examples of sales tax, but the bottom line is one can not spin it to make the higher % of income paid in total taxes argument work for this country's population as a whole.
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If you are talking about chicagolandsmokey the watchmaker...I agree.
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Back on topic...anyone wonder why there is a rise in NPs and PAs practicing in the major helathcare systems? Let's say 58 yr. old Aunt Sally falls on the ice and winds up with a hip issue. Her insurance is NDBCBS. I'll give you possible scenarios within the same healthcare system...i.e Altru (not even going to go into the ER scenario): 1) She is seen in a clinic with a PA or NP...possibly in a Walk-In or Urgent Care setting 2) She gets in to see her PCP or internist 3) She is able to get into an ortho clinic to see a specilaist. In all 3 scenarios let's say all 3 providers bill the same CPT code for that encounter. In each scenario NDBCBS will pay the same amount for the visit or claim regardless of which provider she were to see. The system, in this example Altru but you could pick one, makes more money on the visit provided by the NP or PA, then the PCP then the specialist. Why? Again it goes back to the negotiated CF per RVU paid out to each provider. That's why systems try to push patients to primary care providers in a clincal setting, especially PAs or NPs, as their profit margin per encounter is greater.
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Whoa...whoa...whoa Mr. Way-Too-Smart Guy. Don't be bring that garabge here again!!
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North Star beat Beulah in the last game at the buzzer. 3 of the 4 games decided by 2 points and one went to OT.
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That argument that a higher % of total income is paid out in taxes by lower income households is BS. "Leftie propaganda"...right smokey?? I will say this again...the lower 20% of household incomes in this country pay roughly 16% of their overall income/dollars earned in federal, state and local taxes. This 20% is also in the bucket that pays a NEGATIVE 9% of the total income tax in this country. You understand the negative part?? Common sense for most people would have been to change their rhetoric and ramble when trying to reenter a message/opinion board and website under a different moniker... especially after getting the boot multiple times!! If you want to get tossed again from this site...I'll dance with you.
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#1 Rugby beat New Town in OT
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That week had temps in the high 50s to low 60s. Great crowds and weather.
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Believe that is correct.
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Yes...with 3 headband on!
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Linton beats Cavalier by 2. I was able to watch the 4th quarter. Easily the worst stretch of BB I have seen played in a "B". Horrible BB. Cavalier missed 7 or 8 shots from 4' or less in the quarter and Linton missed 5 or 6 FTs to ice it...then toss in TO after TO. BRUTAL!! The less crappy team pulled it out. So to recap: Linton>>Cavalier>>Grafton>>good share of Class A teams!
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He is my cousin...and I'm a few years older. Lon's dad, Ron, is still in record books playing at New Town and NDSU.
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In depth sideline reporting from the "B" by Wilbur's dad...no wait report was from my dad...Oak Grove was up 20 but Flasher fought back and had a look from 3 to win it at the end. Oak Grove wins game one by 2.
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Region 4...correct. I played shortly after they transitioned away from the peach baskets!