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New health plans sold through exchanges not accepted at some prestigious NYC hospitals
The Washington Post / The Associated Press ^ | November 21, 2013

Posted on 11/21/2013 5:51:51 PM PST by 2ndDivisionVet

NEW YORK — New Yorkers buying a health plan on the state’s new insurance exchange should read the fine print if they’re interested in getting care at some of the city’s top hospitals.

Not all are participating in the new plans created by the Affordable Care Act. As of this week, not one of the plans for sale on New York’s health benefit exchange would cover treatment at Memorial Sloan-Kettering Cancer Center, one of the world’s largest and most respected cancer hospitals...

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


TOPICS: Business/Economy; Culture/Society; Government; US: New York
KEYWORDS: newyork; obamacare; obamacarehospitals; socializedmedicine
Every day there's more to laugh at.
1 posted on 11/21/2013 5:51:51 PM PST by 2ndDivisionVet
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To: 2ndDivisionVet

Those hospitals are reserved for the nomenkultura, govt employees and union people who have the good health policies. The rest of us our out in the cold.


2 posted on 11/21/2013 5:57:46 PM PST by Oldexpat
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To: Oldexpat
I've heard about some of these hospitals upgrading to all private rooms with big flat screen TVs and comfortable fold out couches for relatives and visitors. Also, fewer patients per nurse.

The Soviets called their monopolistic crony capitalist system 'Communism'. We call our monopolistic crony capitalist system 'Free Market Capitalism'.

Some say po-tay-to, some say po-tah-to...

3 posted on 11/21/2013 6:14:02 PM PST by who_would_fardels_bear
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To: 2ndDivisionVet

What a mess. With higher deductibles and rates, and less coverage, fewer people will seek treatment. Hospitals and doctors will have to charge more - a vicious circle.


4 posted on 11/21/2013 6:37:34 PM PST by fivecatsandadog
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To: Oldexpat

Not sure the hospitals can continue to exist without accepting the Obamacare plan.

Many people will have to go to hospitals that do accept the plan because not all of us can afford a hospital stay that isn’t covered by insurance. Some kind of insurance.


5 posted on 11/21/2013 6:56:53 PM PST by Venturer (Keep Obama and you aint seen nothing yet.)
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To: 2ndDivisionVet

This is because Obamcare does not intend to cover cancer. Get preggers, you are covered.


6 posted on 11/21/2013 6:58:52 PM PST by dforest
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To: 2ndDivisionVet

Just when you didn’t think Obamacare could get worse. Exchange plans are basically
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 but it’s 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 11/21/2013 7:45:48 PM PST by catnipman (Cat Nipman: Vote Republican in 2012 and only be called racist one more time!)
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To: 2ndDivisionVet

It’s lamented by the Democrats that the hc sign up site contractor was low bid so there for they could not put there best people on Oct due to cost considerations???
You get the idea these hospitals feel the same way about the money.
Imagine that/ s


8 posted on 11/22/2013 4:10:01 AM PST by Recompennation (Constitutional protection for all not just selectively for Democrats.)
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To: 2ndDivisionVet

Not a fair criticism. MSK and other leading NYC hospitals have never had network deals with most HMO or PPO style plans. People who want to use those hospitals have always had to deal with out of network and usual and customary limitations — typically amounting to a reimbursement of about 20% of the bill.


9 posted on 11/22/2013 4:16:53 AM PST by only1percent
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