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WASHINGTON — In a policy change, the Obama administration is planning to pay doctors to coordinate the care of Medicare beneficiaries, amid growing evidence that patients with chronic illnesses suffer from disjointed, fragmented care.

Although doctors have often performed such work between office visits by patients, they have historically not been paid for it.

Starting in January, Medicare will pay monthly fees to doctors who manage care for patients with two or more chronic conditions like heart disease, diabetes and depression.

“Paying separately for chronic care management services is a significant policy change,” said Marilyn B. Tavenner, the administrator of the Centers for Medicare and Medicaid Services. Officials said such care coordination could pay for itself by keeping patients healthier and out of hospitals.
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Can’t wait to hear republicans cry “where is the money going to come from?” The very same republicans that have no problem spending hundreds of millions on obsolete military hardware.

They fly their planes regardless of how safe they appear to be. When you hear the republican mantra telling you we don’t need government regulation just look to UAL and Guam.

You will see what happens when the 1% controls your access to a commodity. Profit is their only concern. Once they have a monopoly in an area of product or service they work to affect the laws so that they can limit their liability that product or service defect.

They do that by buying off the politicians to get them to limit their legal product or service liability. The republican party takes the money and then passes legislation limiting their those companies liability or the ability of the victim to get good legal assistance.

The republican party limits the victim’s ability to get good or any legal assistance by telling their idiot constituents that lawyers are gouging them so they are legislating what a lawyer can charge his client,

What that does is make it unprofitable for a lawyer take a case that could involve years of litigation on a percentage basis without getting paid anything from the client during that period. If the percent a lawyer can charge won’t make up for the risk of pursuing such a case in the event of loss, the lawyer won’t take your case.

Tort liability usually involves years of litigation against the big insurance companies. They want to limit the number of victims who can afford to sue them. Lawyers need the flexibility to be able to tell their potential clients what percentage they need from the winnings to compensate for the risk of taking a case without charging a fee until they win.

Since if they lose they get nothing, and if the victim can’t get a lawyer he/she gets nothing, it is only fair to allow the lawyer to set a reasonable percentage fee which is usually 40 to 60% depending on how long the lawyer knows from the type of case the average in years he will be waging the legal battle without compensation.

It is still a win/win for the victim because 100% of nothing is nothing and that would be the victim’s position if he had to pay the lawyer for his work for 2 to 3 years fighting those insurance companies. So the next time you feel your legislator is fighting for you because he is passing legislation to limit the percent a lawyer can charge you know that you are being conned.

Your legislator is in the pocket of the insurance lobby and he is limiting the percentage a lawyer can charge you for a Tort case to make it financially prohibitive for the lawyer to take you on for free until the case is settled or won outright.

Hence, you will have a law not aimed at limiting the percentage a lawyer can charge you, but really a law limiting the quality of legal assistance you can get, if any, to pursue your legal grievance. That is a win/win for the insurance companies.

Therefore companies like UAL can afford to take chances with the lives of its customers because the benefits in terms of profits outweigh the potential loses in terms of Tort damages the victims or their families can pursue.

To corporations human lives are unimportant only profit is important. Look at the definition of a corporation. The Charter of every corporation is to Maximize its profits for its stockholders.

The highest Court in the land SCOTUS gave such a group “human status” so as to allow them to poison, maim, and kill real humans in the name of maxing profits for its stockholders. The members of that court that voted in favor of giving corporations that ability were saying that money is more important than life. They took the money from the corporation lobby to expose human lives to greed. We know them as S.T.A.R.K..

History will record them as the most corrupt members of SCOTUS in the history of that court. Remember these names S.calia, T.homas, A.lioto, R.oberts, K.ennedy. Their names will be infamous.

Your idiot president left my country vulnerable to bandits and any crazy fanatic with a grudge against any religious philosophy but his own.

I am a Sunni, but I want my country whole again. If the Shiites dominated government now in place would consent to share the power we could all make peace.

I applaud your new President Obama for telling Prime Minister Nuri as-Maliki that he will not help him unless he includes us Sunnis and the Kurds in an inclusive government. But I hope he will help my country stay whole by helping us drive out ISIS.