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The PPACA prohibits the expansion of physican owned hospitals. It prevents building of newly owned physician hospitals as well.
Think about that. How would lawyers feel if they made a law that prevented lawyers from owning their own law offices especially those super law firms.
While in this case blue cross blue shield payments will remain the same to the doc regardless if it's insurance from exchange or outside. You must look at the future. As soon as insurers gain enough monopoly or duolopy control of a market on the ACA exchanges (right now individual maket makes up 5% of their revenue). It's expected to grow to 25% in the next 5-7 years.
Insurers like blue cross blue shield can tell docs to take it from behind and low ball them.
You got ACA proponents "experts" say narrow networks mean more patients. That docs can see more patients. You get the explanation and rationization?
They want you to work more for less? Are you crazy?
The average lawyer super partner at mega law firms make in excess of $600-700k. How would they like it if they were asked to see 30% more clients to make the same money? I don't see law firms decreasing their prices? Heck I don't see the spa heater company decreasing their prices either.
The PPACA prohibits the expansion of physican owned hospitals. It prevents building of newly owned physician hospitals as well.
Think about that. How would lawyers feel if they made a law that prevented lawyers from owning their own law offices especially those super law firms.
While in this case blue cross blue shield payments will remain the same to the doc regardless if it's insurance from exchange or outside. You must look at the future. As soon as insurers gain enough monopoly or duolopy control of a market on the ACA exchanges (right now individual maket makes up 5% of their revenue). It's expected to grow to 25% in the next 5-7 years.
Insurers like blue cross blue shield can tell docs to take it from behind and low ball them.
You got ACA proponents "experts" say narrow networks mean more patients. That docs can see more patients. You get the explanation and rationization?
They want you to work more for less? Are you crazy?
The average lawyer super partner at mega law firms make in excess of $600-700k. How would they like it if they were asked to see 30% more clients to make the same money? I don't see law firms decreasing their prices? Heck I don't see the spa heater company decreasing their prices either.
Nope...no one will tell me what to charge.
Most people in business for themselves are very independent.
Along with others, I posted links to articles reporting that reimbursement rates are lower for exchange plans. From the Kaiser Health News ---
"Insurance officials acknowledge they have reduced rates in some plans, saying they are under enormous pressure to keep premiums affordable. They say physicians will make up for the lower pay by seeing more patients, since the plans tend to have smaller networks of doctors."
"Some plans". There are also "some" non-exchange plans with identical reimbursement rates as "some" exchange plans. There are also "some" non-exhange plans with worse reimbursement rates than "some" exchange plans.
Key word-SOME-plans. Blue Cross says otherwise for this situation.
This doctor is taking a political or ideological position. His right. However, when people say reimbursement for exchange plans are the same as other plans, not always true.
This doctor is taking a political or ideological position. His right. However, when people say reimbursement for exchange plans are the same as other plans, not always true.
BLUE + CROSS said it was. Read the link in the OP!
BLUE + CROSS said it was. Read the link in the OP!
They said it was true for what? Since BC has presumably hundreds of different policies, what plan are they comparing it too exactly?
If you read the words carefuly, you'll find that BC is actually comparing that plan, to the very same plan.
Blue Cross Blue Shield says his reimbursement rate would be the same regardless of where the plan is purchased so Julie thinks this is a political statement.
Of course the payment is the same regardless to where THAT PLAN is purchased.. You buy a PLAN.
Are insurance companies selling the same plans, outside of ACA? I dont think so.
BLUE + CROSS said it was. Read the link in the OP!
I know what BC said about this case. My point is that when people say the reimbursement rates for exchange and non-exchange plans are always the same, that's not true.
"A recent survey by Medical Group Management Association shows that many physicians are concerned about the low reimbursement rates they will receive if they choose to participate in plans being sold on health insurance marketplaces. More than 1,000 physician group practices that represent more than 47,500 doctors responded to the survey."
I know what BC said about this case. My point is that when people say the reimbursement rates for exchange and non-exchange plans are always the same, that's not true.
"A recent survey by Medical Group Management Association shows that many physicians are concerned about the low reimbursement rates they will receive if they choose to participate in plans being sold on health insurance marketplaces. More than 1,000 physician group practices that represent more than 47,500 doctors responded to the survey."
The insurance company said otherwise in this situation, regardless of how many physicians think differently.
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