SS increase: what to do In a sense, the whole claims system is a game. The insurers do everything they can to come up with excuses to deny or delay paying the fair amount on claims.
My doctor's office had a claim denied because they had not stated explicitly that the coding was in ICD-10 (the current coding system) rather than ICD-9, which had been
obsolete for years. They had to refile with no changes, just a declaration that it was coded correctly.
Medicare Advantage insurers game the government by trying to make their customers appear as sick as possible. The way the system works, "To provide an incentive for insurers to cover sicker patients, the plans are paid commensurately more for their care."
So the insurers push customers to accept a one time in-home visit from an insurer's clinician to find any condition that would get the insurer more money. Of course that's not what the insurers tell their customers the visit is for. And it raises all our costs.
"If you are healthy and the visit results in an increased risk score, you won’t have to pay more for your care. But the higher Medicare reimbursement your insurer receives may contribute to the nation’s rising health care costs."
https://www.health.harvard.edu/blog/medicare-advantage-when-insurance-companies-make-house-calls-201512168844In this game, I find I'm more on the side of the providers. Especially PCPs, where as
@sma3 noted, margins are razor thin. Which is not to say that I haven't seen gross abuses of the system by providers. But I haven't seen nearly the level of nickel and diming that the insurers do that drives up administrative costs. Just MHO.
Old_Skeet's November 2021 Market Briefings Hi Pudd,
Thanks for stopping by.
Comments and quetions for Old_Skeet should be directed to him on the Big Bang Board. I believe his handle "Old_Skeet" is still in "timeout" on the MFO Board.
Here is what I was able to locate for your questions. This is my thinking not saying that it is correct as applied to VYCAX.
Q: What is float adjusted market cap?
A: "The number of shares used for calculation is the number of shares "floating", rather than outstanding. An index that is weighted in this manner is said to be "float-adjusted" or "float-weighted", in addition to being cap-weighted. For example, the S&P 500 index is both cap-weighted and float-adjusted."
Q: What do options do for the fund?
A: "Options speculation allows a trader to hold a leveraged position in an asset at a lower cost than buying shares of the asset. Investors use options to hedge or reduce the risk exposure of their portfolios. In some cases, the option holder can generate income when they buy call options or become an options writer."
Assumption: Options lower the cost to position and maintain the fund within target ranges as it rebalances positions quarterly. In this rebalance process, most times, the fund generates capital gains (a source of income) which are subject to taxation on the share holder. In addition, the fund pays a dividend.
Best regards,
T. Rowe Price Summit Program Here's the benefits sheet on the old Select Client Services.
https://individual.troweprice.com/staticFiles/Retail/Shared/PDFs/FullBenefits.pdfSomething else missing on the new Summit Program benefits sheet is Turbotax. The online version was free at the $2
50K level, and downloaded products were free at the $1M level.
I'd say that they were more targeting the
mass affluent than the high net worth investors. Really, is that free subscription to Kiplinger's Personal Finance at the $1M level going to get you to double your $
500K investment with them?
T. Rowe Price Summit Program $250k seems to be lot of dough for the privilege of getting TRP’s closed funds.
As you know, Vanguard investors need $1M (Flagship status) to access certain closed Vanguard funds.
SS increase: what to do Many European countries do not use single payer systems.
Everyone in France must buy health insurance, sold by a number of nonprofit funds [i.e. multiple payers]. ...
Switzerland has a universal health care system, requiring all to buy insurance. The plans resemble those in the United States under the Affordable Care Act: offered by private insurance companies, community rated and guaranteed-issue, with prices varying by things like breadth of network, size of deductible and ease of seeing a specialist.
https://www.nytimes.com/interactive/2017/09/18/upshot/best-health-care-system-country-bracket.htmlSee also:
International Health Systems for Single Payer Advocateshttps://www.pnhp.org/single_payer_resources/international_health_systems_for_single_payer_advocates.phpEven with a single payer system (e.g. original Medicare), providers would still need to code claims to receive payment for services rendered:
What are ICD Diagnosis Codes Used For?
Help Medicare claims paying offices process Medicare claims
https://www.cms.gov/Medicare/Coordination-of-Benefits-and-Recovery/Mandatory-Insurer-Reporting-For-Non-Group-Health-Plans/NGHP-Training-Material/Downloads/ICD-Diagnosis-Code-Requirements-Part-I.pdf (see slide
5)
Codings are used not just for billing purposes but to keep accurate records and communicate clearly. From the UK's
National Health Service, describing a coder's job:
You begin by recording the stay of an elderly woman who had a hip operation two days ago. From her medical notes, you find out the ward she stayed on before surgery, how long her operation took, her recovery time and any other treatment she received. Then you use the special alphanumeric code you've been trained in and record everything on the computer system.
These records can be understood throughout the NHS and used to plan for future patient care.
https://www.stepintothenhs.nhs.uk/careers/clinical-coder