re: Obamacaid denying more care. e.g., "If you like your doctor" . . . Too Bad !

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So, this lady is having a tough time. But she can rejoice because her tough time is paying for the care of the meth addicted couple down the street who never worked a day in their lives.

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Trickle up poverty.

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maddvector

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factcheck.org/2013/09/obamacare-myths/

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Yep.

Folks at FactCheck.org kind of shite-the-bed on that piece, didn't they?

So it was Obama who failed to file the paperwork:

"While she had signed up for new health coverage -- because her insurance carrier dropped her old plan -- the company's internal paperwork apparently wasn't filed."


Thanks, Obama.

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I don't understand why all doctors don't take all insurance plans. The more plans they take, the more money they make, so why not take all plans?

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Because the plans do not reimburse at the same rate.
Often, exchange level reimbursement does not even cover costs.

E.g.,
Say customary Billable rate for a given service is $500.
Insurance companies in the traditional market negotiate and contract for a reduced rate, say $390-$450.
Meanwhile Medicare pays $250/Medicaid $180.
MD/Clinic/Facility overhead costs for the service run $240-$250.

In come the Exchanges.
So for example Aetna decides to participate in the Exchange. It determines actuarial risks given Obamacare dynamics are thru the roof at its normal $400 negotiated rate. One way to mitigate those is to simply mimic the Medicaid reimbursement schedule. Aetna is aware that providers likely would not accept $180 as a contracted rate for a $500 service. So, under auspices of "confusion during the Obamacare roll out," Aetna simply lists all its current providers as participants in the Aetna Exchange Plan. The claim is, "we did not have time to work out the details, so we just used our current ppo lists."

Unwitting customers get on the Exchange Website. They see an Aetna Plan, see the associated supposed provider network, and sign up. When they need treatment though, they find their clinic refuses to accept medicaid-level reimbursement for nonmedicaid patients. They find they've been sold the proverbial pig-in-a-poke.

It is gross misrepresentation. It is malfeasance. There should be associated civil and perhaps even criminal penalties. There will not be though.
Care to guess why?