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Stan

๐Ÿ‘ค Speaker
7125 total appearances

Appearances Over Time

Podcast Appearances

Health Chatter
Health Insurance

Oh, okay. Yeah, well, that's a good point.

Health Chatter
Health Insurance

All right, so let's talk a little bit about this alphabet soup for everybody. All right, so I mentioned at the beginning here, health maintenance organizations. There's point of service, there's preferred provider organizations, as well as things that we kind of know about, Medicare, Medicaid,

Health Chatter
Health Insurance

All right, so let's talk a little bit about this alphabet soup for everybody. All right, so I mentioned at the beginning here, health maintenance organizations. There's point of service, there's preferred provider organizations, as well as things that we kind of know about, Medicare, Medicaid,

Health Chatter
Health Insurance

And then there's also, add to that, supplemental insurance that you can get for particular plans like Medicare and Medicaid. So let's, you know, I'll tell you what, let me read some of this as far as, you know, at least definitions for our listening audience, which might be at least useful so we have a common denominator of language here at least. So,

Health Chatter
Health Insurance

And then there's also, add to that, supplemental insurance that you can get for particular plans like Medicare and Medicaid. So let's, you know, I'll tell you what, let me read some of this as far as, you know, at least definitions for our listening audience, which might be at least useful so we have a common denominator of language here at least. So,

Health Chatter
Health Insurance

Exclusive provider organization, EPO, is a managed care plan where services are covered only if you use physicians, specialists, or hospitals in that particular plan's network. Okay? Next, health maintenance organizations. H-M-O. Now, Barry, I don't know if that terminology is used very much anymore. Do you hear HMO very much anymore? You do. Okay. All right. Okay.

Health Chatter
Health Insurance

Exclusive provider organization, EPO, is a managed care plan where services are covered only if you use physicians, specialists, or hospitals in that particular plan's network. Okay? Next, health maintenance organizations. H-M-O. Now, Barry, I don't know if that terminology is used very much anymore. Do you hear HMO very much anymore? You do. Okay. All right. Okay.

Health Chatter
Health Insurance

It's a type of health insurance plan that usually limits coverage to care from doctors who work for or contract with them. It generally won't cover out-of-network care except in an emergency. Okay. An HMO may require you to live or work in a service area to be eligible for the coverage.

Health Chatter
Health Insurance

It's a type of health insurance plan that usually limits coverage to care from doctors who work for or contract with them. It generally won't cover out-of-network care except in an emergency. Okay. An HMO may require you to live or work in a service area to be eligible for the coverage.

Health Chatter
Health Insurance

And the HMOs often provide integrative care and focus on prevention and wellness, which is a point I brought up earlier. Point of service. It's a type of plan where you pay less if you use doctors, hospitals, and healthcare providers that belong in the plan's network. Point-of-service plans require you to get a referral from your primary care doctor in order to see a particular specialist.

Health Chatter
Health Insurance

And the HMOs often provide integrative care and focus on prevention and wellness, which is a point I brought up earlier. Point of service. It's a type of plan where you pay less if you use doctors, hospitals, and healthcare providers that belong in the plan's network. Point-of-service plans require you to get a referral from your primary care doctor in order to see a particular specialist.

Health Chatter
Health Insurance

This lends itself to having a good, trusted relationship with your own doc because that'll really help if you need to see a specialist in that case. Now, one other thing that we haven't touched on yet, but let's... let's at least put it out there is single payer. All right. So by having a single payer, would we cut through all of this and hopefully get rid of the confusion?

Health Chatter
Health Insurance

This lends itself to having a good, trusted relationship with your own doc because that'll really help if you need to see a specialist in that case. Now, one other thing that we haven't touched on yet, but let's... let's at least put it out there is single payer. All right. So by having a single payer, would we cut through all of this and hopefully get rid of the confusion?

Health Chatter
Health Insurance

What's your initial sense of that Clarence? Do you think that confusion would be a lot, would be decreased? if we went to single payer, just to start the conversation?

Health Chatter
Health Insurance

What's your initial sense of that Clarence? Do you think that confusion would be a lot, would be decreased? if we went to single payer, just to start the conversation?

Health Chatter
Health Insurance

Okay. Barry, what do you think?

Health Chatter
Health Insurance

Okay. Barry, what do you think?

Health Chatter
Health Insurance

So does the data really... justify that? In other words, when you say long waiting times, is there data that basically says that that's actually the case in all these countries that have single payer?

Health Chatter
Health Insurance

So does the data really... justify that? In other words, when you say long waiting times, is there data that basically says that that's actually the case in all these countries that have single payer?

Health Chatter
Health Insurance

So let me ask you this. You know, I'll give you, I'll use myself as an illustration. I needed to set up an appointment to see my doc for just a physical. Okay. I called to get an appointment. And the soonest that they could get me in was, are you ready? October of this year. All right. October. October. October. Okay.