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View Diary: Georgia's attempt to expand health plan choices a big bust (45 comments)

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  •  Why would providers want to take on more insurers? (11+ / 0-)

    Every insurer has its own weird rules and quirks that require an office specialist to manage or you will simply lose collections. Just offering out-of-state policies without building a provider network means everything the medical consumer uses is out of network and much more expensive. This whole concept is deeply flawed.

    I practiced in an academic group of 16 physicians. There were over 50 people dedicated to coding and billing, and those operations absorbed a significant amount of our department's revenue. I discussed this with a Canadian colleague who was situated in a similar academic group in Toronto. Their 16 physicians had "one gal that takes care of everything." Incidentally, the Canadian academic was better paid and had considerably more free time and real academic time than I did.

    The point is, adding more insurers to the mix fixes nothing; it serves only to further distort a phony market. Eliminating all insurers but one, and making that one either a unit of government or a real non-profit is the only way out of out national healthcare dilemma.

    •  All great points (2+ / 0-)
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      celdd, MPociask

      Not so sure that the concept would involve new insurers as this was explained in the article:

      In theory, the law would allow a Georgia-registered insurer to scour the nation and find a bare-bones plan to offer private market customers in Georgia — presumably at a cheaper price.

      Because the law still requires Georgia licensing and oversight, it does not create a completely free-market scenario. It essentially just allows insurers licensed in Georgia to get around the state’s benefit mandates.

      This proxy method for currently established and in network insurers is also suspect.  Thanks for your expert observations.

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