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Insurers restricting choice of doctors and hospitals to keep costs down
Washington Post ^ | November 20, 2013 | Sandhya Somashekhar and Ariana Eunjung Cha

Posted on 11/20/2013 7:40:05 PM PST by Second Amendment First

As Americans have begun shopping for health plans on the insurance exchanges, they are discovering that insurers are restricting their choice of doctors and hospitals in order to keep costs low, and that many of the plans exclude top-rated hospitals.

The Obama administration made it a priority to keep down the cost of insurance on the exchanges, the online marketplaces that are central to the Affordable Care Act. But one way that insurers have been able to offer lower rates is by creating networks that are far smaller than what most Americans are accustomed to.

The decisions have provoked a backlash. In one closely watched case, Seattle Children’s Hospital has filed suit against Washington’s insurance commissioner after a number of insurers kept it out of their provider networks. “It is unprecedented in our market to have major insurance plans exclude Seattle Children’s,” said Sandy Melzer, senior vice president.

The result, some argue, is a two-tier system of health care: Many of the people who buy health plans on the exchanges have fewer hospitals and doctors to choose from than those with coverage through their employers.

(Excerpt) Read more at washingtonpost.com ...


TOPICS: Culture/Society; Front Page News; Government; News/Current Events
KEYWORDS: deathpanels; obamacaredoctors; obamacarehospitals

1 posted on 11/20/2013 7:40:05 PM PST by Second Amendment First
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To: Second Amendment First

I noticed most ObamaCarees are getting the bronze in Barry’s Healthcare Shopping Olympics. Not much gold and silver being handed out.


2 posted on 11/20/2013 7:43:09 PM PST by FlingWingFlyer (Repeal ObamaScam NOW!!!)
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To: Second Amendment First
Yes, its the insurers fault people are suddenly having health insurance troubles, not Obama's.

MSM leftwing lickspittles.

3 posted on 11/20/2013 7:44:24 PM PST by skeeter
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To: Second Amendment First

Patients should check with their local high schools and colleges to see if they offer free or low cost courses in third world foreign languages, including: Pakistani, Spanish, Indian, French, etc. so they can best communicate with their assigned health care professional.


4 posted on 11/20/2013 7:47:11 PM PST by RetiredTexasVet (The Progressives believe that the "Bill of Rights" was meant to only be a suggestion.)
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To: Second Amendment First

This is how government manages scarcity: limiting access.

The market does it by pricing and, as every thoughtful American knows, high prices cure themselves.

Free market health care here we come. The only obstacle is insurance companies and their elected cronies.


5 posted on 11/20/2013 8:00:42 PM PST by 1010RD (First, Do No Harm)
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To: FlingWingFlyer

And they will be the first to stick the providers with the $6,000 per head deductible when they go to the hospital.

Just wait another year, and sign up for O’Care again


6 posted on 11/20/2013 8:02:29 PM PST by digger48
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To: Second Amendment First

And you didn’t think Obamacare could get worse. Excbange plans are bascially
nothing more than Medicaid, only a WHOLE lot more expensive! The reason is that
obamacare says that exchange plans must cover care at “essential community providers ... that serve predominantly low-income, medically underserved individuals.” (Sec. 1311c(1)C)”. That means clinics, public hospitals and hospitals largely serving the Medicaid community.

Many exchange plans exclude the top-drawer academic hospitals like Cedars Sinai in Los Angeles, the Mayo Clinic in Minnesota and New York Presbyterian in New York City. This is EXTREMELY bad news for consumers who had access to esteemed hospitals and doctors under their old plans and then got pushed into the exchanges.


7 posted on 11/20/2013 8:03:10 PM PST by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
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To: Second Amendment First

This id “dog bites man” none news. Been going on for decades.


8 posted on 11/20/2013 8:06:00 PM PST by lightman (O Lord, save Thy people and bless Thine inheritance, giving to Thy Church vict'ry o'er Her enemies.)
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To: 1010RD

“This is how government manages scarcity: limiting access.”

See historical references to planned famines:

The English starving out the Irish.

The Russians starving out the Ukrainians, etc. etc. etc.


9 posted on 11/20/2013 8:07:33 PM PST by miserare (Sebelius is Obama's Mengele.)
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To: digger48

I think the “bronze” medal gets you those 300 to 400 pound nurses wearing XXXL SEIU T-Shirts.


10 posted on 11/20/2013 8:13:19 PM PST by FlingWingFlyer (Repeal ObamaScam NOW!!!)
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To: Second Amendment First

“Many of the people who buy health plans on the exchanges have fewer hospitals and doctors to choose from than those with coverage through their employers.”

That will be remedied soon. Negatively of course.


11 posted on 11/20/2013 8:15:40 PM PST by headstamp 2 (What would Scooby do?)
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To: 1010RD
Free market health care here we come.

I figure the biggest step toward that will be when employers start to toss their plans.

Then there will be about 85 million people who can participate in a consumer-driven market rather than employer-driven and costs will dive.

12 posted on 11/20/2013 8:16:41 PM PST by what's up
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To: Second Amendment First

If you like your doc....tough s#!t!
13 posted on 11/20/2013 8:19:56 PM PST by Jane Long (While Marxists continue the fundamental transformation of the USA, progressive RINOs assist!)
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To: Second Amendment First

If the law stands it won’t just be doctors being cut... benefits will be cut and deductibles will go even higher. Obamacare is revenge. Just like shutting down the World War II memorial. It cost more to close it than to leave it open... but it was closed because elite liberal hate the middle class. Obamacare came out of the same pool of hate.


14 posted on 11/20/2013 8:20:18 PM PST by GOPJ (Mandatory death sentences for convicted gangbangers? YES..time to talk about the death option..)
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To: Second Amendment First

“Many of the people who buy health plans on the exchanges have fewer hospitals and doctors to choose from than those with coverage through their employers.”

Many?

Sounds like propaganda from the D.C.-Fairfax Landfill.


15 posted on 11/20/2013 8:20:36 PM PST by Varsity Flight (Extortion-Care is the Government Work-Camp: Arbeitsziehungslager)
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To: Second Amendment First

And why aren’t Republicans calling this the Democrat War on Women for payback?

Taking away their doctor..


16 posted on 11/20/2013 8:21:48 PM PST by sickoflibs (Obama : 'If you like your Doctor you can keep him, PERIOD! Don't believe the GOPs warnings')
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To: Second Amendment First

Central planning always leads to shortages, but we just have to find out the hard way.


17 posted on 11/20/2013 8:31:27 PM PST by lurk
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To: what's up

We need a Congress and President that use the Commerce Clause to break the internal trade barriers in America. The states have destroyed the greatest free trade union in the world with all their regulating. Let me buy insurance and medical care in whatever state I wish and from whomever I wish. All that medical/healthcare licensing is just restraint of trade.


18 posted on 11/20/2013 8:32:26 PM PST by 1010RD (First, Do No Harm)
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To: Second Amendment First

Exactly how is that keeping costs down?


19 posted on 11/20/2013 8:38:14 PM PST by freekitty (Give me back my conservative vote; then find me a real conservative to vote for)
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To: freekitty

They’re contracting with providers who either: 1. Have a history of minimizing the amount spent treating each patient, or 2. are willing to accept a smaller payment than the physicians who treat employer insured patients.

They’re not actually saving money for their policy holders because the dough they save by cutting back services gets spent on all these marvelous new “benefits”. The “free preventive care”, for example, cranks up the monthly premium about 25 bucks.


20 posted on 11/20/2013 9:07:50 PM PST by ArmstedFragg (hoaxy dopey changey)
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To: Second Amendment First
From another thread today......

a lot of them have narrower networks of doctors and hospitals than the health plans most Americans are used to

....Yeah....and restricted networks.....so setting the stage for "internal passports" for anyone wanting to venture outside their allocated "network area"...just like in the old Soviet Union.

21 posted on 11/20/2013 9:18:28 PM PST by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: RetiredTexasVet
Patients should check with their local high schools and colleges to see if they offer free or low cost courses in third world foreign languages, including: Pakistani, Spanish, Indian, French, etc. so they can best communicate with their assigned health care professional.

include Ebonics, Austrian and various African dialects.

22 posted on 11/20/2013 9:20:41 PM PST by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: FlingWingFlyer
I think the “bronze” medal gets you those 300 to 400 pound nurses wearing XXXL SEIU T-Shirts.

You should be so lucky....

Nurse will see you now....


23 posted on 11/20/2013 9:25:52 PM PST by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: GOPJ
If the law stands it won’t just be doctors being cut... benefits will be cut and deductibles will go even higher. Obamacare is revenge

....some pointers on how it works in the UK.....

And just wait till they start issuing orders to the doctors to match client with the care required....and prescriptions....don't forget all those complex prescription orders.

I see not just amputations on the wrong limb....but on the wrong patient.

and don't expect quick response for a broken arm:

And so you have an acute appendix....?

Mark Wattson, 35, from Swindon may have been the victim of botched surgery after he had to have his appendix removed twice

To his shock, surgeons from the same team told him that not only was his appendix still inside him, but it had ruptured - a potentially fatal complication.

In a second operation it was finally removed, leaving Mr Wattson fearing another organ might have been taken out during the first procedure.

The blunder has left Mr Wattson jobless, as bosses at the shop where he worked did not believe his story and sacked him.

Mr Wattson told of the moment he realised there had been a serious mistake.

'I was lying on a stretcher in terrible pain and a doctor came up to me and said that my appendix had burst,' he said.

'I couldn't believe what I was hearing. I told these people I had my appendix out just four weeks earlier but there it was on the scanner screen for all to see.

'I thought, "What the hell did they slice me open for in the first place?"

'I feel that if the surgery had been done correctly in the first place I wouldn't be in the mess I am today. I'm disgusted by the whole experience.'

Mr Wattson first went under the knife on July 7 after experiencing severe abdominal pain for several weeks. He was discharged but exactly a month later he had to dial 999 after collapsing in agony. Mr Wattson

Mr Wattson was readmitted to the Great Western Hospital in Swindon after his appendix ruptured.

Nurse will see you now

130,000 elderly patients killed every year by ‘death pathway’, claims leading UK doctor

by Thaddeus Baklinski Thu Jun 21, 2012 10:02 EST Tags: euthanasia, patrick pullicino, uk

LONDON, June 21, 2012 (LifeSiteNews.com) - An eminent British doctor told a meeting of the Royal Society of Medicine in London that every year 130,000 elderly patients that die while under the care of the National Health Service (NHS) have been effectively euthanized by being put on the controversial Liverpool Care Pathway (LCP), a protocol for care of the terminally ill that he described as a “death pathway.”

Sit back and enjoy your Obamacare.

24 posted on 11/20/2013 9:28:27 PM PST by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: Second Amendment First

Don’t have too much sympathy for the hospitals who successfully lobbied to ban doctor owned specialty outpatient facilities and hospitals which provide better service cheaper.


25 posted on 11/20/2013 9:30:32 PM PST by Kozak ("Send them back your fierce defiance! Stamp upon the cursed alliance! To arms, to arms....."e)
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To: spokeshave
LONDON, June 21, 2012 (LifeSiteNews.com) - An eminent British doctor told a meeting of the Royal Society of Medicine in London that every year 130,000 elderly patients that die while under the care of the National Health Service (NHS) have been effectively euthanized by being put on the controversial Liverpool Care Pathway (LCP), a protocol for care of the terminally ill that he described as a “death pathway.”

The USA about 6 times the population of UK....

so equivalent figures are 780,000 euthanized a year in the USA.

26 posted on 11/20/2013 10:01:18 PM PST by spokeshave (OMG.......Schadenfreude overload is not covered under Obamacare :-()
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To: Second Amendment First

Knew that was coming. So what does the 2300 pages of ACA law and the now 10,000 pages of regulations say about the above?


27 posted on 11/21/2013 3:50:49 AM PST by A Navy Vet (An Oath is Forever!)
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To: RetiredTexasVet

Patients should check with their local high schools and colleges to see if they offer free or low cost courses in third world foreign languages, including: Pakistani, Spanish, Indian, French, etc. so they can best communicate with their assigned health care professional.
.
.
This is so true. My wife over the past 3 yrs has had an Indian internist, Pakistani Pulmonologist and now another Indian internist. She has COPD and her newest Dr. only went over history, labs and talked to her this last visit. Never even broke out the stethescope to listen to her lungs or heart, just renewed some prescriptions. The nurse spends more time getting vitals and list of medications than the Dr spends. I am sure they will bill the customary $300.00 plus for the visit. She has real problems understanding their sometimes thick accents. This is a very rural area with only 1 hospital. Finding non foreign physicians is practically impossible, the US Dr’s in the area stay fully booked up.


28 posted on 11/21/2013 4:23:26 AM PST by redcatcherb412
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To: Kozak

“Don’t have too much sympathy for the hospitals who successfully lobbied to ban doctor owned specialty outpatient facilities and hospitals which provide better service cheaper.”

I couldn’t agree more.


29 posted on 11/21/2013 4:45:41 AM PST by pieceofthepuzzle
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To: RetiredTexasVet

oh that’s too funny.....but probably very true.


30 posted on 11/21/2013 6:21:52 AM PST by ealgeone (obama, border)
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To: Second Amendment First

OK, this confirms my suspicions. The MAIN BENEFACTORS of obamacare are lawyers.

Followed closely by insurance companies.

Patients? What do we get?


31 posted on 11/21/2013 9:37:13 AM PST by Veto! (Opinions freely dispensed as advice)
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To: Second Amendment First

How long before the Dems propose taking Obamacare premiums out of the people’s PAYCHECKS, like they started doing shortly after implementing the income tax? You know it is coming!


32 posted on 11/21/2013 2:12:10 PM PST by 2harddrive
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To: Second Amendment First

33 posted on 11/21/2013 2:21:53 PM PST by Bratch
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