(Thread IKs:
skooma512)
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Shear Modulus posted:what's the difference between a masters in management and a masters in business administration management lets you understand how to run things. business admin lets you get 150k by telling companies that if they invest all of their capital into bitcoin and don't pay their employees they're going to become apple 2
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Aug 6, 2023 23:23
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children and parents, both unaffordable luxuries in this day and age
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Aug 6, 2023 23:23
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Yeah it seems like the second you're thinking of getting on Medicaid, you gotta transfer all your poo poo to your kids so you have nothing on paper and the greed demons cranking the austerity siren can't give your fully paid off house to a bank because you had the temerity to age into infirmity without being a multimillionaire. Sicko country. Hell country.
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Aug 6, 2023 23:24
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There's a 5-year lookback for assets to be shielded from clawback so you'd better think ahead!
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Aug 6, 2023 23:29
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I’m confused—Medicaid is paid for by federal taxes and the distributed to states correct? why are they collecting on benefits that are already collected from taxpayers? what are they repaying?
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Aug 6, 2023 23:30
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LeeMajors posted:I’m confused—Medicaid is paid for by federal taxes and the distributed to states correct? why are they collecting on benefits that are already collected from taxpayers? what are they repaying? They have to repay a portion of their collections to the feds. quote:States return part of the money to the federal government based on their federal medical assistance percentage, according to a 2021 report from the Medicaid and CHIP Payment and Access Commission (MACPAC), an agency that advises Congress.
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Aug 6, 2023 23:32
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Willa Rogers posted:Sure would be nice if anyone anywhere cared at all to do something about medicaid's clawbacks. Jesus loving christ. And apparently estate recovery was part of the original medicaid law. What a Great Society - "we'll cover you until youre close enough to retirement age, and then we have no use for you. In fact give it all back to us, how dare you stay alive."
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Aug 6, 2023 23:33
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Cool world when millionaires don't have to repay their PPP "loans" but granny's estate gets looted bc she was a stupid old who was poor.
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Aug 6, 2023 23:34
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burn the house down and move on
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Aug 6, 2023 23:34
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Tsitsikovas posted:Jesus loving christ. And apparently estate recovery was part of the original medicaid law. What a Great Society - "we'll cover you until youre close enough to retirement age, and then we have no use for you. In fact give it all back to us, how dare you stay alive." https://www.seniorliving.org/history/1960-1969/ quote:Program costs had continued to escalate, and payments for OAA exploded from $36 million in 1950 to $280 million in 1960, a 680% increase. The new Kerr-Mills program didn’t rein in any of the costs, it created new ones. Along with adding new classes of beneficiaries, the Kerr-Mills program had eliminated the only control on spending that existed up to that time — the cap on payments set by OAA. From this point forward, states could set payments to nursing home providers as high as they wished, and the federal government, which had no control over rates, was mandated to pay its part of the cost.
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Aug 6, 2023 23:36
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Willa Rogers posted:Cool world when millionaires don't have to repay their PPP "loans" but granny's estate gets looted bc she was a stupid old who was poor. Just dump everything into Medicaid trusts to avoid the clawback and have no assets under your name (just like attorneys, CPAs, doctors, etc.) - bing bong, so simple!
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Aug 6, 2023 23:39
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Willa Rogers posted:Cool world when millionaires don't have to repay their PPP "loans" but granny's estate gets looted bc she was a stupid old who was poor. Apparently the estate recovery program was part of the original law but was opt-in on a state by state basis, until 1993 when it was made mandatory. quote:Since the beginning of the Medicaid program in 1965, states have been permitted to recover from the estates of deceased Medicaid recipients who were over age 65 when they received benefits and who had no surviving spouse, minor child, or adult disabled child. Twelve states report having had an estate recovery program in effect before 1990 that was based on the original Medicaid law. [...] quote:Highlights of the 1993 Estate Recovery Mandate:
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Aug 6, 2023 23:39
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Tsitsikovas posted:Jesus loving christ. And apparently estate recovery was part of the original medicaid law. What a Great Society - "we'll cover you until youre close enough to retirement age, and then we have no use for you. In fact give it all back to us, how dare you stay alive." States have been authorized to implement estate recovery programs since 1965, when Medicaid first began. However, prior to 1990, only 12 of the states had established Medicaid estate recovery programs.[10] The federal government has made it a requirement for states to implement an estate recovery program for Medicaid in the Omnibus Budget Reconciliation Act of 1993.[10][1] That was done with primary concern towards recipients who received long-term care services, which had required the applicant to have very low asset levels. The Act allowed recipients and their spouses to retain a home and certain other modest assets, to avoid their total impoverishment, while they are alive. Estate recovery collected the assets from the estate when both recipient and spouse had deceased.[9] The Act also gave states the option of recovering other Medicaid expenses.[1]
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Aug 6, 2023 23:41
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you gotta sign over/bequeath/"sell" all your assets to your kids before you die
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Aug 6, 2023 23:41
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this all sounds like the problem lies with the providers bilking the government and individual states allowing it since theyll just get matching grants. Political win win that of course leads to ballooning costs later on (hey this sounds familiar). The solution to all this is to go more socialist, not more predatory.
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Aug 6, 2023 23:44
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Willa Rogers posted:States have been authorized to implement estate recovery programs since 1965, when Medicaid first began. However, prior to 1990, only 12 of the states had established Medicaid estate recovery programs.[10] same page buddy. gently caress the triangles and the clintons.
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Aug 6, 2023 23:45
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Oglethorpe posted:you gotta sign over/bequeath/"sell" all your assets to your kids before you die I think if you do it too close to your death then they just take it from the kids lol
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Aug 6, 2023 23:50
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One thing I saw mentioned in the clawback rabbit hole was how the ACA forces pre-medicare olds into medicaid if your income meets the threshold, making them subject to clawbac. The only alternative would be paying crazy-high non-subsidized private insurance rates--something most people not making the $18k income ceiling under expanded medicaid would be able to do--or going without insurance at all. So a handful of states, in their beneficience, have exempted 55-64 yr olds from clawback, but woe to the 65+ yr olds who needs LTC & are poor.
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Aug 6, 2023 23:51
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slave to my cravings posted:I think if you do it too close to your death then they just take it from the kids lol yeah you gotta be on the ball way before hospice or something
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Aug 6, 2023 23:51
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Five years before you can even apply for medicaid after shielding your assets. Unless, of course, you're well enough off to hire an estate lawyer to create bullshit trusts.
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Aug 6, 2023 23:52
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Oglethorpe posted:you gotta sign over/bequeath/"sell" all your assets to your kids before you die nah, you set up a medicaid trust for your assets and pray that you don't have to be put in a home for five years
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Aug 6, 2023 23:53
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Tsitsikovas posted:Apparently the estate recovery program was part of the original law but was opt-in on a state by state basis, until 1993 when it was made mandatory. why would republicans do this??
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Aug 6, 2023 23:53
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what the gently caress is even the point of Medicaid then lol god this country loving suuuuuuuuuucks so loving badly. the only people who love it are cultist freaks.
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Aug 6, 2023 23:53
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spacemang_spliff posted:why would republicans do this?? That same bill included clinton's tax increases so only dems voted for the bill, lol. 
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Aug 6, 2023 23:54
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LBJ needed to hose the olds to fund his bloodlust erection in Southeast Asia, OP.
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Aug 6, 2023 23:56
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Willa Rogers posted:That same bill included clinton's tax increases so only dems voted for the bill, lol. democrats controlled both branches of congress and the whitehouse when this passed lol
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Aug 6, 2023 23:58
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https://www.factcheck.org/2014/01/medicaid-estate-recovery-program/ Q: Does the Affordable Care Act allow states to confiscate the estates of seniors on Medicaid when they die? A: No, but a 1993 federal law requires states to recover Medicaid costs for long-term care from the estates of deceased Medicaid beneficiaries over the age of 55. FULL ANSWER The Seattle Times published an article on Dec. 15, under the headline “Expanded Medicaid’s fine print holds surprise: ‘payback’ from estate after death,” that said: “If you’re 55 or over, Medicaid can come back after you’re dead and bill your estate for ordinary health-care expenses.” The Times is right that the state of Washington has this power, but it was not in the “fine print” of the Affordable Care Act (as the story itself makes clear). this piece is pro-obamacare lol
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Aug 7, 2023 00:01
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LeeMajors posted:what the gently caress is even the point of Medicaid then lol Medicaid has great outcomes for the majority of the population who need it, because when you're poor you'll go get help and regular preventative care when you know you're not going to get creamed by a copay. My wife went in Friday for a diagnostic procedure. We got a nice letter from the hospital saying that the copay for facility services was $502.90 but we'd get a 12% discount if we paid day of service. The whole thing was incredibly distasteful and for a very large proportion of America, A $502.90 copay turns into "well, we need the car this month so I guess I'll go without and hope for the best." Medicaid eliminates those copay price shocks. The real issue is that A> for profit nursing homes know how to take advantage of the system, and B> Medicare doesn't cover nursing home stays. So you've got to get on Medicaid to get that covered when you're old.
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Aug 7, 2023 00:01
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Homeless Friend posted:all who fly in the sky should be punished imo. Where are my drones shooting down Canada geese?
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Aug 7, 2023 00:05
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https://twitter.com/JoeBiden/status/1688327111478538240?t=cfDnDJ38wFFUkAi6dhcnHg&s=19
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Aug 7, 2023 00:15
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commitments
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Aug 7, 2023 00:17
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net work error posted:https://twitter.com/JoeBiden/status/1688327111478538240?t=cfDnDJ38wFFUkAi6dhcnHg&s=19 love these posts about manufacturing jobs like they're guaranteed to be good jobs and weren't absolute trash before unions came about there's zero reason for a manufacturing job to pay more than $15/hr today
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Aug 7, 2023 00:19
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slave to my cravings posted:commitments I'd be surprised if one chips act fab fully opens
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Aug 7, 2023 00:20
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Pittsburgh Fentanyl Cloud posted:there's zero reason for a manufacturing job to pay more than $15/hr today lmfao
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Aug 7, 2023 00:20
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Mustached Demon posted:I'd be surprised if one chips act fab fully opens By the time one ever gets up it'll be outdated
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Aug 7, 2023 00:23
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Unions are neutered and unions are the only reason factory jobs ever became well-paying in the US
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Aug 7, 2023 00:24
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net work error posted:By the time one ever gets up it'll be outdated eh fab tech moves slower than you think, not like we'll see 450mm wafers anytime soon
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Aug 7, 2023 00:27
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spacemang_spliff posted:why would republicans do this?? I'm just as stunned as you 
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Aug 7, 2023 00:27
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Tsitsikovas posted:I'm just as stunned as you gosh, she was only 46 years old back then and she was loving over 250m people wrthealth care policy now you can be 40 years old and have articles about how you're 'failing to launch' and 'expecting to buy your first home soon'
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Aug 7, 2023 00:29
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| # ? May 24, 2024 21:00 |
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Pittsburgh Fentanyl Cloud posted:Unions are neutered and unions are the only reason factory jobs ever became well-paying in the US also automation. people like mold makers got paid well before cnc because you have to be smart plus have dexterity. not everyone could do it. the byproduct would allow machine to replace people making widgets.
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Aug 7, 2023 00:29
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