Friday, September 30, 2016
Why no blog yesterday? Did you really expect me to write one? I would have done so if I did not have a date with the “Water boarder” (Dental Hygienist) in the morning and being overwhelmed with the train wreck.
The Hoboken terminal reminds me of the day’s eons ago when the CRNJ terminated at the Jersey City Terminal where one could catch a ferry to Cortland St and walk to the subway or another to the 23rd St. dock.
*There will be no report by me on the Council meeting Monday night. With its typical sensitivity for
ALL residents of Plainfield, (few as they may be now) this meeting is schedules on one of the most holy Jewish holidays.
I will review the agenda tonight and comment on it sometime this week end.
*Did you see where the CarePoint Hospital System has sued BCBS Horizon, alleging the payer owes CarePoint $76 million in unpaid and underpaid claims?
Horizon in return is charging CarePoint-a for profit system that includes hospitals in in Bayonne, Hoboken and Jersey City, with having “a history of “price gouging” and calling the lawsuit part of a deliberate strategy to maximize its profits. Instead of negotiating with the insurance company to determine reasonable rates, Horizon said CarePoint has instead billed customers and insurance company’s excessive charges that drive up the cost of healthcare for everyone, regardless of their insurance coverage.”
This dispute started last year when Horizon created its OMNIA two tier plan with a limited primary group that includes in our area the Atlantic Health Care System as well as the RWJ/St Barnabus group JFK and St, Peter’s were excluded to the 2nd tier.
Likewise there was a two tier system of medical providers that a patient could use at a lower “co-pay” and a second tier where the patients copay would be higher.
This is more than a simple suit because it represents what is wrong with health care today; it is a dollar based industry run by two competing factions. The insurance companies who want to control the cost of care by limiting procedures and choice of doctors and medicines; and the Hospital industry try to control all aspects of reimbursement including their own captive doctors.
You and I, the patient are the losers.