Author Topic: New “glitch”: If you like your hospital, you might not be able to keep your hospital  (Read 816 times)

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Offline Rapunzel

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http://hotair.com/archives/2013/10/31/new-glitch-if-you-like-your-hospital-you-might-not-be-able-to-keep-your-hospital/

New “glitch”: If you like your hospital, you might not be able to keep your hospital
posted at 5:21 pm on October 31, 2013 by Allahpundit

How bad has it gotten? Dude.


    On how he would evaluate the Obama presidency so far:
Quote
    [Jimmy Carter]: “He’s done the best he could under the circumstances. His major accomplishment was Obamacare, and the implementation of it now is questionable at best.”


At best. And so, perhaps inevitably, we reach the Carter-nostalgia phase of the Obama presidency:

   
Quote
Americans who sign up for Obamacare will be getting a big surprise if they expect to access premium health care that may have been previously covered under their personal policies. Most of the top hospitals will accept insurance from just one or two companies operating under Obamacare…

    Regulations driven by the Obama White House have indeed made insurance more affordable – if, like Health and Human Services Secretary Kathleen Sebelius, you’re looking only at price. But responding to Obamacare caps on premiums, many insurers will, in turn, simply offer top-tier doctors and hospitals far less cash for services rendered…

    “Many companies have selectively entered the exchanges because they are concerned that (the exchanges) will be dominated by risky, high-using populations who wanted insurance (before Obamacare) and couldn’t afford it,” said Wilsensky, who is also on the board of directors of UnitedHealth. “They are pressed to narrow their networks to stay within the premiums.”

    Consumers, too, will struggle with the new system. Many exchanges don’t even list the insurance companies on their web sites. Some that do, like California, don’t provide names of doctors or hospitals.


Turns out you can’t expand coverage, cap patient costs, and expect providers to work for less, just like you can’t create the conditions for a major adverse selection problem and expect insurers to flood into the new market. “Some hospitals and doctors don’t even know if they are in the network,” says one expert, a point also made in the WSJ story I flagged this morning about consumers often having no idea who’ the providers are in each plan offered on the state exchanges. That’s not a newly discovered “glitch,” either; the NYT noticed two weeks ago that asking people to comparison-shop among dozens of different plans without telling them which doctors accept which ones leaves them in the dark about a key consideration of their coverage. Essentially, if you’re trying to decide between three or four different plans, the only way to tell if a provider accepts any or all of them is either to call various doctors you’d like to see and run through it with them (imagine being the receptionist fielding hundreds or thousands of those calls) or go to the individual corporate website, find the plan you’re interested in, and then hunt around on the site to see if a particular doctor carries it. This is, of course, the opposite of what the online exchanges were supposed to do; the whole point was to allow for simple, one-stop shopping where you can compare the particulars of different plans side by side.

From what I can tell, the feds’ solution to the provider problem thus far has been simply to not talk about it. Which makes sense from a PR standpoint: Given all the other flaming wreckage they have to deal with, why force the issue of coverage networks being smaller than everyone anticipated until it’s absolutely necessary, i.e. on January 1, when coverage takes effect? It’s irresponsible, though, insofar as they’re pushing consumers to focus on the cost and comprehensiveness of the coverage they’re buying on the exchanges and that’s going to lead them to overlook the provider-network component, which will end up being a nasty surprise later in some cases. You’ve got middle-class people deciding to buy Plan A instead of Plan B because the former’s a bit more affordable and meanwhile, unbeknownst to them, the fine print says that Plan A includes far fewer providers than Plan B does. If you think the media’s been tough on O-Care lately, wait until January when “rate shock” segues into “provider shock.”
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline rangerrebew

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Don't forget, many doctors and hospitals that do accept Obamacare are going to ask for the deductible up front. :thud:  The Cloward/Piven, communist plan is working beautifully. :2gunz:
Abraham Lincoln:

There is no grievance that is a fit object of redress by mob law.
--January 27, 1838 Lyceum Address

Don't interfere with anything in the Constitution. That must be maintained, for it is the only safeguard of our liberties. And not to Democrats alone do I make this appeal, but to all who love these
great and true principles.
--August 27, 1856 Speech at Kalamazoo, Michigan

Let us then turn this government back into the channel in which the framers of the Constitution originally placed it.
--July 10, 1858 Speech at Chicago

Offline musiclady

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This is absolutely true.

People won't have a choice if they want to be covered come January 1.

They'll have to go to an approved hospital, and their favorite smaller hospital is most likely not going to be on the list.

If you think people are mad now..................   **nononono*
Character still matters.  It always matters.

May 3, 2016 - the day the Republican party left ME.  I am now without a Party, and quite possibly without a country.  May God have mercy!

Offline olde north church

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This is absolutely true.

People won't have a choice if they want to be covered come January 1.

They'll have to go to an approved hospital, and their favorite smaller hospital is most likely not going to be on the list.

If you think people are mad now..................   **nononono*

That's okay.  The payers will continue docile as lambs.
Why?  Well, because I'm a bastard, that's why.

Offline Chieftain

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  • Your what hurts??
Don't forget, many doctors and hospitals that do accept Obamacare are going to ask for the deductible up front. :thud:  The Cloward/Piven, communist plan is working beautifully. :2gunz:

Quote of the day.  The goal of Obamacare is to collapse the entire health insurance industry by making conditions for them to operate so impossible they do exactly what they are doing now: cancel policies by the millions.  When things become so bad in the public, they will demand that the Government act to "do something" to fix the massive problems, and the answer will be Federal "Single payer" health "coverage" that really would bankrupt the country.

But today we have an even bigger fly in the ointment, and that is the 93 million employer plan people who will start getting cancellation notices this time next year in advance of the expiration of the employer mandate, all of it right before the midterm elections.

So look for a growing movement among Democrats to delay the entire implementation of Obamacare for a year, until Spring of 2015 after the mid-terms.  Some Democrats can clearly see the end of the runway approaching very rapidly, and with well over 2 million policy cancellations already, along with ever increasing coverage of how Obama outright lied during both of his elections campaigns, Democrats are beginning to run for cover in the Senate and increasingly in the House.  At this point the very worst thing the Republicans can do is agree to any more delays in implementing, and continue to highlight the ways the Democrats have insisted this be done all along and stick with it.

But even if the Democrats turn on Obama his ego will never allow him to back down and admit defeat on what was his personal signature issue for the last five years.  He will never admit defeat and he will retain a loyal core of apologists and progressives who will continue to try and impose all of this no matter what.  I think it is going to take what Obamacare promises to deliver en masse to the American people before many of them will finally wake the hell up and see what has happened.  The problem is that if it takes bringing down the Republic to wake people up then they probably don't deserve the Republic in the first place.

None of this will end well.

Offline Rapunzel

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There is a woman on Cavuto right now -- she is pissed!  She had a Blue Cross 80/20 plan and a $1700 deductible which cost her $200 + a month... this is the plan Obama says isn't any good and she has been "migrated" without her permission to a plan with $737 monthly payment and $3500 deductible....... she is very , very angry!
“The time is now near at hand which must probably determine, whether Americans are to be, Freemen, or Slaves.” G Washington July 2, 1776

Offline rangerrebew

  • America defending Veteran
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  • “It’s easier to fool people than to convince them
There is a woman on Cavuto right now -- she is pissed!  She had a Blue Cross 80/20 plan and a $1700 deductible which cost her $200 + a month... this is the plan Obama says isn't any good and she has been "migrated" without her permission to a plan with $737 monthly payment and $3500 deductible....... she is very , very angry!

Lenin: Put the middle class between the grinding wheels of inflation and taxation. :chairbang:
Abraham Lincoln:

There is no grievance that is a fit object of redress by mob law.
--January 27, 1838 Lyceum Address

Don't interfere with anything in the Constitution. That must be maintained, for it is the only safeguard of our liberties. And not to Democrats alone do I make this appeal, but to all who love these
great and true principles.
--August 27, 1856 Speech at Kalamazoo, Michigan

Let us then turn this government back into the channel in which the framers of the Constitution originally placed it.
--July 10, 1858 Speech at Chicago


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