ObamaCare Clusterfuck: Doctors discovering they will be paid less from Exchange plans
Imagine that. Kaiser Health News:
Many doctors are disturbed they will be paid less -- often a lot less -- to care for the millions of patients projected to buy coverage through the health law’s new insurance marketplaces.
Some have complained to medical associations, including those in New York, California, Connecticut, Texas and Georgia, saying the discounted rates could lead to a two-tiered system in which fewer doctors participate, potentially making it harder for consumers to get the care they need.
If you're Walmart running a clinic, that's not a bug. It's a feature. Anyhow, what's wrong with a two-tiered system? The poor deserve to suffer!
And it also looks like doctors find the insurance industry just as opaque as the rest of us do (and how else to rent seekers extract their rent, anyhow? Except by creating artificial complexity in the dark).
The conflict sheds light on the often murky world of insurance contracts in which physicians don’t always know which plans they’re listed in or how much they’re being paid to treat patients in a particular plan. As a result, some doctors are just learning about the lower pay rates in some plans sold in the online markets, or exchanges
“If you’re a physician and you’ve negotiated a rate from insurance, shouldn’t it be the same on or off the exchange?” said Matthew Katz, executive vice president of the Connecticut State Medical Society. “You’re providing the same service.”
Well, apparently ObamaCare gave the health insurance companies more market power. Fancy that!
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.
The best way to keep "premiums" "affordable" would be to have zero premiums, and pay for health care on your 1040, like the Canadians do. (And then we can talk about progressive taxation.) Remind me what's wrong about putting the democratic process in charge of the market, instead of putting the market in charge of the democratic process?