- My Forums
- Tiger Rant
- LSU Recruiting
- SEC Rant
- Saints Talk
- Pelicans Talk
- More Sports Board
- Fantasy Sports
- Golf Board
- Soccer Board
- O-T Lounge
- Tech Board
- Home/Garden Board
- Outdoor Board
- Health/Fitness Board
- Movie/TV Board
- Book Board
- Music Board
- Political Talk
- Money Talk
- Fark Board
- Gaming Board
- Travel Board
- Food/Drink Board
- Ticket Exchange
- TD Help Board
Customize My Forums- View All Forums
- Show Left Links
- Topic Sort Options
- Trending Topics
- Recent Topics
- Active Topics
Started By
Message
re: More and more doctors opting out of Obamacare
Posted on 10/29/14 at 1:39 pm to mmcgrath
Posted on 10/29/14 at 1:39 pm to mmcgrath
quote:
What I am saying is that from the study in the OP more than 40% of the doctors specified that one of the reasons they were not participating in one of the plans is that no one contacted them to participate.
quote:
A survey by The Medical Society of the State of New York found that 40 percent of more than 400 physicians who had responded so far said they chose not to participate in a health insurer’s exchange plan, and one-third said they did not know whether they were participating or not.
Two-thirds indicated they had received no information about reimbursements; of those who did ge that information, “a significant majority indicated that the reimbursement generally was well below what the insurer pays in other contracts,” according to a statement from the society’s president Dr. Sam Unterricht.
1
Posted on 10/29/14 at 1:49 pm to Eurocat
quote:
Finland
I wish the USA was like this./
Yeah, I wish the U.S. was like Finland too.
Universal Healthcare will dramatically accelerate the bankruptcy of the U.S. while simultaneously plummet the effectiveness of our healthcare system.
Sounds awesome.
Posted on 10/29/14 at 1:52 pm to NC_Tigah
quote:Yet a different study that you are bringing into the mix... without a link?
A survey by The Medical Society of the State of New York
The one in the OP is from the Medical Group Management Association (MGMA).
Posted on 10/29/14 at 1:52 pm to Asgard Device
quote:
I didn't know you could "opt out" of the ACA regulations
Yes, as long as you don't receive federal funding (i.e. medicare and medicaid patients.)
Posted on 10/29/14 at 1:56 pm to Revelator
So most doctors I would go to aren't stupid.
Then there are the ones I wouldn't set foot near like like Howlin Howie and josslin Joscelyn Eldars.
Posted on 10/29/14 at 2:03 pm to MSMHater
quote:Not yet. But the conversation has occurred.
BCBSTX basically blackmailed us into taking their exchange plans. Said it was "all or nothing". They were the only payer that did that.
Initially, BCBS exchange plans here tried to automatically include any group participating in its other plans. As in your case, BCBS also intimated participation would be an all-or-nothing pretext. They were initially evasive regarding their exchange-plan reimbursement schedule. However once plans for Medicaid-level reimbursement were ferreted out, the largest MD network in the region refused to join. Many others followed suit.
BCBS quickly backed down from any plan to exclude them from its other plans.
There is a caveat though. Insurance Regulations here hold that if, due to lack of available covered services, a patient has no reasonable option but to pursue out-of-network care, then insurance companies must reimburse those out-of-network providers/facilities at 100% of their unadjusted rate.
Posted on 10/29/14 at 2:04 pm to MSMHater
quote:From the look of this chart linked in the OP here ... LINK ... it appears that there is a large demand of the ACA plans in Texas, so that might have something to do with it.
On topic, but side conversation:
BCBSTX basically blackmailed us into taking their exchange plans. Said it was "all or nothing". They were the only payer that did that.
You see anything similar?
Posted on 10/29/14 at 2:29 pm to mmcgrath
quote:The quote was from a citation in your MGMA survey.
Yet a different study that you are bringing into the mix... without a link?
The one in the OP is from the Medical Group Management Association (MGMA).
[iii] Roni Caryn Rabin, Doctors Complain They Will Be Paid Less BY Exchange Plans, Kaiser Health News (Nov. 19, 2013); available at https://www.kaiserhealthnews.org/stories/2013/november/19/doctor-rates-marketplace-insurance-plans.aspx.
Sorry.
Assumed you'd read it.
It's been linked here before.
Here you geaux.
quote:
Doctors Complain They Will Be Paid Less By Exchange Plans
By Roni Caryn Rabin
November 19, 2013
Many doctors are disturbed they will be paid less — often a lot less — to care for the millions of patients projected to buy coverage through the health law’s new insurance marketplaces.
Some have complained to medical associations, including those in New York, California, Connecticut, Texas and Georgia, saying the discounted rates could lead to a two-tiered system in which fewer doctors participate, potentially making it harder for consumers to get the care they need.
Doctors Complain They Will Be Paid Less By Exchange Plans
“As it is, there is a shortage of primary care physicians in the country, and they don’t have enough time to see all the patients who are calling them,” said Peter Cunningham, a senior fellow at the nonpartisan Center for Studying Health System Change in Washington D.C.
If providers are paid less, “are [enrollees] going to have difficulty getting physicians to accept them as patients?”
========================
A survey by The Medical Society of the State of New York found that 40 percent of more than 400 physicians who had responded so far said they chose not to participate in a health insurer’s exchange plan, and one-third said they did not know whether they were participating or not.
Two-thirds indicated they had received no information about reimbursements; of those who did ge that information, “a significant majority indicated that the reimbursement generally was well below what the insurer pays in other contracts,” according to a statement from the society’s president Dr. Sam Unterricht.
LINK
This post was edited on 10/29/14 at 2:32 pm
Posted on 10/29/14 at 2:44 pm to NC_Tigah
quote:No it isn't. The citation is from a position paper by the American Action Forum.
The quote was from a citation in your MGMA survey.
Posted on 10/29/14 at 4:06 pm to Revelator
quote:So... Let's recall one of the key premises of Obamacare--access to preventative care.
Over 214,000 doctors won't participate in the new plans under the Affordable Care Act (ACA,)
Doctors opting out means that PTs will be seeing lower quality docs who will be less apt to find and correctly diagnose early stage diseases. FAIL.
It also means that PTs will face longer wait times and service overcrowding. Both have already been cited by ACA proponents as reasons many do not seek care until it becomes urgent, or they seek routine care from ERs instead of cheaper settings. FAIL número dos.
I fully expect the next step will be forcing docs to take Obamascare plans as a condition of license. And the results will not be as expected.
Posted on 10/29/14 at 4:09 pm to Eurocat
quote:Why? If it's so good, stay there.
I wish the USA was like this./
Posted on 10/29/14 at 4:13 pm to asurob1
quote:
But then again, I give a shite about my countrymen.
How many people do you buy healthcare for? Posted on 10/29/14 at 4:18 pm to DeltaDoc
quote:Just like the school system in GNO. There will be the "public" medical system you are taxed for, but avoid like the plague. Meanwhile, you also pay for private school/medicine out of pocket. Essentially you just pay twice. With half of it being wasted--not only for you--but wasted for others as well.
How do you guys see this working out?
Page 5 of 5
Popular
Back to top
Follow TigerDroppings for LSU Football News