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.

RightRing | Bullright

ObamaCare, the final frontier

IRS Scandals Threaten Funding, Oversight for Obamacare

Saturday, 15 Jun 2013 — Newsmax
 
By Sandy Fitzgerald, Newsmax & Stephen Ohlemacher, The Associated Press

WASHINGTON — Mounting scandals at the Internal Revenue Service are jeopardizing critical funding for the agency as it gears up to play a big role in President Barack Obama’s health care law.
Obama sought a significant budget increase for the IRS for next year, when the agency will start doling out subsidies to help people buy health insurance on state-based exchanges. Congressional Republicans, however, see management problems at the IRS as an opportunity to limit the agency’s funding just as it is trying to put in place the massive new law.
Republicans have been fighting the health care law ever since Democrats enacted it in 2010 without a single GOP vote. Unable to repeal the law, some Republicans hope to starve it by refusing to fund its implementation.
The IRS scandals are giving them a timely excuse.
“I think it’s safe to say they’re not going to get the kind of increase they’re asking for,” said Rep. Ander Crenshaw, R-Fla., chairman of the House appropriations subcommittee that funds the IRS.
“The question is, based on their bad behavior, are they going to end up with less money?” Crenshaw said.
The Internal Revenue Service’s track record will get a lot worse when Obamacare starts this fall, Republican Sen. Orrin Hatch warns in an op-ed piece in the Wall Street Journal.
“If the IRS can’t manage an increase of 1,700 applications for tax-exempt status that the agency said spurred its targeting of conservative groups, how will the IRS handle its massive new role in implementing ObamaCare?” the Utah senator, who is the ranking minority member of the Senate Finance Committee.
…/
“The IRS needs to repair the plane while it’s in flight right now,” said Paul Cherecwich, chairman of the IRS Oversight Board, an independent board within the agency. “Should the current budget environment continue, the IRS will have to continue to have to do more with less while rebuilding taxpayer trust. It has no choice, and it won’t be easy.”
Like many federal agencies, the IRS has seen its budget and workforce shrink since 2010, when the agency was allotted $12.1 billion. This year, the IRS is expected to spend $11.2 billion. Obama’s proposed budget for next year is $12.9 billion — a 14 percent increase over current spending.
About $440 million would go toward implementing the health care law. That would include hiring nearly 2,000 employees, according to an analysis of the president’s budget proposal by the Government Accountability Office.
“We are working to get to the bottom of what happened at the IRS, hold the responsible parties accountable, make sure it cannot happen again, and restore public trust and confidence in the IRS and its ability to administer the tax code fairly and efficiently,” said White House spokeswoman Amy Brundage.
“For years Republicans in Congress have made repeated attempts to stop and slow down the Affordable Care Act. This is just the latest attempt to put up roadblocks to implementing the law,” Brundage said. “The health law is the law of the land, and we are working to implement it well, so millions of Americans will have access to affordable and quality insurance.”
Starting next year, the IRS will administer subsidies to help millions of individuals buy health insurance. The subsidies, technically tax credits because they are administered through the tax code, will help low- and middle-income families buy health insurance through the state-based exchanges.
Under the new law, nearly everyone in the U.S. will be required to have health insurance starting in 2014, or face penalties. The IRS will collect those penalties.
“The American people will see over the next six months the lengths the Republicans will go to destroy the implementation of the Affordable Care Act,” said Rep. Jim McDermott of Washington state, a senior Democrat on the House Ways and Means Committee. “I’ve expected it from the first day this (IRS) issue came up.”
“I’m sad about it, it’s awful,” McDermott added. “But sometimes in a democracy people have to learn the hard way, and the American public is going to learn.”
http://www.newsmax.com/Newsfront/irs-scandal-obamacare/2013/06/15/id/510118?s=al&promo_code=13D70-1

H/T to Dave for the article
 
Sometimes “people have to learn the hard way”, and we are going to learn? My arrogance detector just busted.(or was that the hypocrisy meter?) I believe McDummy said it all.

The White House says “Access to affordable and quality insurance”? What a joke, when neither of those are really true. It’s outrageously expensive and it drives the quality of care down. (She attempts to substitute “insurance” for care, which doesn’t save her)