Family Health Care

A Family that fights for health care together...

My sister and her friend Jim have something to say about health care. I told them I would post it here. The President has seen it and so should you.
National Health Care policy proposal
The United States National Health Care policy will comprise the following:

All citizens who are at present insured by the federal government shall be placed in a pool, such that the health care experience of all will be pooled. This group consists of:
US Congressmen and their staffs
The US Military and eligible veterans
All other federally employed persons
Presently insured dependents of the above
Medicare recipients
Medicaid recipients
SCHIP recipients
The combined medical experience of this base group shall form the base amount of dollars for which the United States government shall self-insure. This base amount will be divided by this number of federally insured citizens, including insured spouses, Medicaid recipients, and children and this will form the base premium amount which shall be paid by these citizens to the US government. These payments which will initially fund the self-insurance treasury held by the US Government in behalf of the pool.
Every year, a rolling 12 months of medical payment history will be tallied and the individual premium will be recalculated.
The above will have to be divided up into Family vs. Individual experience and payments.
It will also prove useful to divide both the medical payments and resultant premiums into (as few as possible, but no more than five) economic regions of the country, since both medical fees and affordable payments are likely to vary by general geographic location.
Similarly, the reasonable and customary medical fees will be determined by what has been the reality in the geographical areas in which the expense was incurred, thus being supportive of fees recovered by medical practitioners in these areas.
To help in controlling avoidable healthcare costs and encouraging patient wellness, within their geographic area, primary care doctors will receive a bonus payment semiyearly for every patient who began the six-month period as that doctor’s patient and has remained his/her patient and has not had need for any nonstandard tests (TBD) or operations for health purposes, i.e. those not accident or calamity related. For every consecutive six-month period that these criteria are met, the primary care doctor will receive a progressive bonus. Once these requirements are not met, the bonus payment progression schedule terminates. The schedule will begin again in the subsequent six-month period, with whoever is now the doctor of record. This bonus program is meant to serve as an incentive to have primary care doctors thereby help to control overall healthcare costs and strengthen their role as each patient’s healthcare coach and overall coordinator of healthcare services.
All paperwork will be submitted by the doctors' offices to the payment agency, be it run by the government or subcontracted by them. The payment agency will be responsible for crosschecking the paperwork with the patients’ health records as input by the service providers, and if the cross-match is successful, all doctors will be paid for their services on a monthly basis. The payment agency will review with all involved parties any discrepancies in a timely manner and resolve them for rapid payment.


Inspired by President Barack Obama
Devised by James J. Dyer
Drafted by Colleen McMahon

Submitted November 14, 2009