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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
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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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