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Reimbursement rates can vary by plan and location.
Yes, I'm well aware.
What I am challenging is the assertion that none of the plans offered by the healthcare exchanges are any good. And that physicians are turning away patients who have purchased the exchange plans because they were purchased on the exchange.
Iowa may not have major carriers offering plans through the exchange, but there should still be a range of plans, from cheap with high deductibles to comprehensive plans with low or even no deductibles, and that among the range of plans there should be some that reimburse providers at acceptable levels. More than that, I'm wondering if Hawkeye's office, after determining if they have an agreement with an insurer, are also querying potential patients as to how they purchased their insurance plan. Because, as I pointed out, I don't inform medical providers as to where I purchased my insurance, I simply inform them of the particular insurance company and the identifying information of that policy. So that they can determine if they participate in that coverage, and they can confirm with the carrier that my policy is active and current.
You will be required to pay taxes on your " free" house.
Many who win " free" houses can't afford to pay the one- time tax nor pay ongoing property taxes. So the " free" house is quickly sold and the proceeds are taxed.
ACA "subsidies" are tax free, just like the EITC to the recipients.
Are you being obtuse on purpose, or do you really don't comprehend the recipients dont give a **** who's paying..
And what you're saying has NOTHING to do with my question to Hawkeye. It has NOTHING to do with whether providers are accepting plans that are good AND are available through ACA websites.
yes it does, because your argument cant be made unless ACA is the reason you were able to buy your policy, which clearly its not..
Is this experience on planet earth, or on another planet?
Can you tell me ONE Obamacare product that has increased physician reimbursement and has helped to reduce overhead?
1. ALL of the Obamacare products reimburse poorly for physicians relative to other products
2. MOST new Obamacare enrollees are medicaid
3. Obamacare products have INCREASED paper work and pre-auths, which takes time for my staff
4. Most of the Obamacare products deny meds we routinely prescribe, requiring more time for "appeals" and "peer-to-peer" calls.
Me thinks you are not in the healthcare field at all and are certainly not a physician, as I know of no physician that has had the experience you describe.
All healthcare insurance is Obamacare compliant.
Sounds like you are referring to Medicaid, not all healthcare insurance.
You certainly are not alone complaining about Medicaid reimbursements. Specialists and the American Hosputal Association do it all the time.
On one hand we have healthcare consumers complaining about unaffordable deductibles and co- pays. On the other hand, when government has full control of reimbursement rates as they do with Medicare and Medicaid, healthcare providers complain it's not enough.
" More than two-thirds of Obamacare enrollees unsatisfied with coverage "
I don't know of one person who is happy with it. The biggest complaint I've heard is that it's based income. Before, you could just budget more money for a better plan. I'm sticking with my old plan as long as I can afford it, which may not be too much longer.
Someone who doesnt undertand that the "gold" coverage, is no different than the "silver" or whatever other policy from the physician point of view given the reimbursement schedule is the same..
I don't know about that.
No MD has to accept any insurance, private or public.
There are some MDs who don't accept any insurance and expect payment in full from the patient at the point of service. Most will make a claim on behalf of their patient with the reimbursement flowing directly to the patient. Some of these providers cater to a wealthy patient base. Some tout " discounted fees " because they do not take insurance. In reality, the " discounted fee" tends to be more, a lot more, than the provider would have been reimbursed, had he accepted insurance.
MDs who choose to accept insurance reimbursement can and do pick insurers and plans they will participate in. Those MDs who are a part of the growing hospital healthcare system affiliation usually defer to the decisions of the hospital healthcare system as a part of their affiliation.
Why would an MD accept one plan and not another if reimbursement were not a factor?
What does that have to do with my question to Hawkeye? Is he turning down Blue Cross Blue Shield 500 Gold plan patients?
The Federal government created minimum national standards for healthcare insurance. States can and do have laws that go beyond the minimum standards.
Blue Cross offers hundreds of different plans throughout the U.S. It's possible that a BCBS 500 plan goes by a different name in his area.
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