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I am shocked how stupid people are... Hospital must accept these Obamacare patients because they need the revenue.... Apparently you have zero idea of how the health system works and you come here talking complete idiocy and think you know something? Well, you don't, please do us a favor and stop talking absolute nonsense...
Of course they will accept patients with insurance that does not name them a PPO, no different than pre ACA. The patient will be charged out of network rates no different than in the past in those states that allow insurers and hospitals to negotiate and enter into proprietary PPO arrangements.
PPO relationships do not apply to emergency situations.
In my state, the plans on the exchange are the same as the ones from the insurers if you go to their sites directly. There is no buying on or off the exchange.
All depends on the state. Some states have enacted laws that limit the purchase of healthcare insurance to the state exchange. Most have no precluded consumers from buying ACA compliant plans/policies off the exchange.
Correct me if I'm wrong but insurance on the Obamacare exchanges do not have any out of network coverage like some private policies and/or employer policies has. Thus, if you go to an out of network doctor with Obamacare insurance, you are indeed footing the entire bill.
However, that's not the end of the story. The other side effect of Obamacare are the extremely narrow networks. This means that many hospitals and/or doctors will no longer be in-network for many insurance plans. While this may not seem odd, the networks have narrowed to the point that some areas of the country will have no hospital and/or doctors in their area that is in-network for their insurance.
There is something fishy about that article. The article reads as if there is a difference between plans offered on the exchange and other insurance plans. A person simply goes to the exchange if they want or need a subsidy, and qualify for a subsidy.
It must be a big surprise for you to learn that there is nothing new about that. Some hospitals take any insurance, but not all do, and never did. Most people call ahead to make sure their insurance covers the service they are seeking. If you have assumed that all hospitals take all insurances, then you simply do not understand how the system has worked. You seem to be asking for a single payer system where everyone is covered no matter where they go. ACA is not designed to be such system.
Most hospitals take any insurance. What matters is the PPO relationship between the hospital and the insurer. If one chooses to use an out of network hospital, one is going to pay more to do so. No insurer maintained PPO relationships with all hospitals This is not new with the ACA.
Are you saying that an insurance/health plan wont send an ambulance to a high cost hospital and have a patient transferred to their own hospital?? As an example would Kaiser pick up an outrageous bill at UCLA med center when they have their own hospital down the street? By the way UCLA, Childrens Orothopedic in Seattle, Cedar Sinai and others wont take the ACA unless they are forced to take some losses and lower their rates? Let them sit around for the next year with empty beds.
PPO goes out the window in the event of an emergency.
State laws very and determine which hospital a patient is taken to by ambulance.
UCLA, Childrens Orthapedic and Cedar Sinai have all entered into exclusive PPO arrangements with single insurers.
Those who choose to buy insurance from insurers who don't maintain an exclusive/semi exclusive PPO with these hospitals are able to use those hospitals and pay out of network rates, no different than before the ACA.
Hospitals should accept any insurance, and do. Well not the ones Michelle Obama worked at didn't since she sent the poor people to a sub-standard hospital just to get rid of them and their low paying companies.
Generally speaking, hospitals accept any insurance. Those patients who have insurance with an exclusive/semi exclusive PPO contract will pay less than those with insurance without such PPO affiliations.
The South Side ( Chicago) medical co-operative was formed in 2005 and works with people who use the ER as their primary MD for routine care, because they do not have insurance. It staffs ERs with patient advocates who match non-emergency patients with subsidized and charity options for routine healthcare.
It is absolutely incredible that anyone would believe that all those hospitals were all on anyone's previous health insurance network. I don't live in California so UCLA medical is not...and has never been in my insurance network.
I don't live in any of the states in which the 18 hospitals are located?
There are plent of quality hospitals in Texas that take care of the needs of Texans.
Texas has some of the best healthcare in the nation, especially for Cancer Treatment.
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