Obamacare, the home edition

Some doctors wary of taking insurance exchange patients

Jayne O’Donnell, USA TODAY 10:34 a.m. EDT October 28, 2014 | USA Today

Now that many people finally have health insurance through the Affordable Care Act exchanges, some are running into a new problem: They can’t find a doctor who will take them as patients.

Because these exchange plans often have lower reimbursement rates, some doctors are limiting how many new patients they take with these policies, physician groups and other experts say.

“The exchanges have become very much like Medicaid,” says Andrew Kleinman, a plastic surgeon and president of the Medical Society of the State of New York. “Physicians who are in solo practices have to be careful to not take too many patients reimbursed at lower rates or they’re not going to be in business very long.”

More: USA Today

It’s all up to the physicians, is it? Sure, blame doctors. But if they were adding as many people as they claimed they were going to, how is this not predictable? Let’s see, more patients, same amount of doctors, reduced rates. But it was all upside, right?

Narrowing the networks. Like what doctors control the networks? Don’t we get it? Its all about limiting choice and availability to bring the cost down. The best part of this whole smokescreen is who to blame? The insurance company blames the doctors. Doctors can blame the networks for their payment rates and the fact that they can’t handle the patient load. Never mind those rate hikes, too. All this finger pointing and guess who is not on the front burner to blame?

They claimed to be adding 30 million more people, by command.I suppose next they could tell airlines they have to increase the number of passengers on planes. Voila!

The problems were predictable. Back in Hillarycare days, Democratic Senator Daniel Patrick Moynihan said that “anyone who thinks [Hillarycare] can work in the real world as presently written isn’t living in it.” That seems where back to the future has brought us. Is it any wonder it is still plagued with problems? (even as many times as it has been rewritten) Ramble off.

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