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Obamacare is going to fail, here is a good reason why....

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In parts of California, for example, low reimbursement rates have resulted in a doctor rebellion, as nearly seven out of 10 doctors refuse to participate in the exchanges.

San Diego broker Neil Crosby said that "65 to 70 percent of the providers have declined the reimbursement schedules the carriers are offering. They will not be providers in the exchange marketplace."

My medical group is one where we are refusing the Obamacare exchange reimbursement schedules. They are paying on average 40 to 50% less than other current carriers. It's great if you have insurance, its going to suck if nobody, including me, will take your insurance and provide you with medical coverage.

http://voiceofrussia.com/news/2013_11_27/Driving-hours-to-see-physician-docs-rebel-against-Obamacare-top-hospitals-opting-out-3278/

Read more: http://voiceofrussia.com/news/2013_11_27/Driving-hours-to-see-physician-docs-rebel-against-Obamacare-top-hospitals-opting-out-3278/

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In parts of California, for example, low reimbursement rates have resulted in a doctor rebellion, as nearly seven out of 10 doctors refuse to participate in the exchanges.

San Diego broker Neil Crosby said that "65 to 70 percent of the providers have declined the reimbursement schedules the carriers are offering. They will not be providers in the exchange marketplace."

My medical group is one where we are refusing the Obamacare exchange reimbursement schedules. They are paying on average 40 to 50% less than other current carriers. It's great if you have insurance, its going to suck if nobody, including me, will take your insurance and provide you with medical coverage.

Driving hours to see physician: docs rebel against Obamacare, top hospitals opting out - News - World - The Voice of Russia: News, Breaking news, Politics, Economics, Business, Russia, International current events, Expert opinion, podcasts, Video

Read more: Driving hours to see physician: docs rebel against Obamacare, top hospitals opting out - News - World - The Voice of Russia: News, Breaking news, Politics, Economics, Business, Russia, International current events, Expert opinion, podcasts, Video

Thank you many times over for posting this real life (not anecdotal) information. I posted a link to that on another thread. Many people are going to find the providers they have are a long distance away, or that clinics are not participating. MO talks about food deserts....will this be a health care desert?

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Private insurers have always maintained 'preferred' networks, which often meant traveling past other providers/hospitals to get to the ones that were "in network" for your insurance plan, this is a major way insurers create competition for low costs, exactly what conservatives say is vital for a good healthcare system, now all of a sudden it doesn't seem so great.

The argument against single payer was that it took away the market driven aspects that a private insurance system provided. A central part of that market driven system is that insurers give preference to the best prices and cover services provided by higher cost providers at a much lower rate if at all. Do I take this to mean there's been a shift in views that now favors a single payer system or a much more regulated private system in order to ensure all plans cover all providers and facilities equally?

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In other words, you're complaining because Obamacare doesn't exert enough government control, and leaves the issue of accessibility to be determined primarily by private insurers profit forecasts which significantly limits access, rather than defining a minimum expectation of access through regulation. Welcome to the club.

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I, for one, am happy care providers still have the freedom to make the choice. If it means financial ruin, why should they participate?

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My physician and all the UCLA and UCSD physicians accept the Blue Shield PPO sold on the exchange as do the hospitals.

Of course Kaiser clinics and hospitals will care for people who choose the Kaiser insurance sold on the Covered California Exchange.

in Los Angeles good Samaritan, UCLA, and The Dignity Health hospitals are planning for the patients.

True Cedars Sinai (no longer a Jewish hospital according to the CEO) is not planning to accept patients with the Covered California plans.

they do take medicare. Medicare for all would be better than the ACA.

Edited by herring_RN

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Is the ACA actually dictating the reimbursement rates or is it the insurance companies themselves?

What I honestly don't understand is how anti ACA folks are griping that the premiums are too expensive, and now are complaining that the provider reimbursements are too low.

If premiums are too high and reimbursements too low- where is the money going?? Could it be.....to the insurance companies??

Single payer all the way!

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I, for one, am happy care providers still have the freedom to make the choice. If it means financial ruin, why should they participate?

This certainly didn't sound like you were "happy" about the situation:

Thank you many times over for posting this real life (not anecdotal) information. I posted a link to that on another thread. Many people are going to find the providers they have are a long distance away, or that clinics are not participating. MO talks about food deserts....will this be a health care desert?

Or this:

Sounds like lots of folks on exchanges will find it much more difficult to get care within their own neighborhood.

Survey finds doctors rebelling against Obamacare, famous hospitals declining to join | WashingtonExaminer.com

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Really, you need to quit deciding what I feel or don't feel. Truth be told, I am just fine with obamacare imploding on itself. Many of us thought it was bas from the start, and we ar being proven correct.

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I am really trying to let you express what you feel or don't feel, but you seem to disagree with yourself. I'd much prefer you to explain your views rather than having to guess them only to be criticized for guessing.

It's a pretty straightforward question; do you think it's a good thing or a bad thing that insurance companies are free to limit access to providers and facilities for a financial advantage? (and vice versa)

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I am really trying to let you express what you feel or don't feel, but you seem to disagree with yourself. I'd much prefer you to explain your views rather than having to guess them only to be criticized for guessing.

It's a pretty straightforward question; do you think it's a good thing or a bad thing that insurance companies are free to limit access to providers and facilities for a financial advantage? (and vice versa)

Where do you see me disagreeing with myself? What I see is a Crappy law that isn't delivering what was promised. And those who were so in favor of it (and obama for proposing it) are now finding out how flawed it is. They wanted it and voted for it....now they are unhappy. I don't have a problem with insurance companies making a profit...neither do I think care providers should be forced to participate. There are PSA's out now encouraging people on how to talk about it over their turkey dinners. That screams desperation if you ask me.

your question is worded so as to make the insurance companies the bad guys. I don't find it a straighforward question.....and any answer to it would not tell you how I feel about Obamacare. Like i said, if you would just take what i say regarding my own opinions at face value and let it go, this won't

worry you over much. My opinion about obamacare in general is straightforward.....i don't like it; it is a crappy law that is going to fail. And maybe was so designed to do just that....with single payer in mind as then"savior."

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Is there a reason it's a "crappy law"? If one of the reasons it's crappy is that it doesn't change or do away with the already existing system of "networks" between Providers and Insurers then which of those other options would you prefer?

Edited by MunoRN

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