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View Diary: Good WaPo editorial on "Keep Your Own Doctor" (153 comments)

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  •  Your doctor is bidding for insurance company (2+ / 0-)
    Recommended by:
    smartdemmg, ladybug53

    business. You have this somewhat backwards. Your doctor and the local hospitals are bidding for the repeat customers and standardized payments that the insurance companies will pay. They are offering networks, of various sizes, in order to control costs and they are promising lower billing for the same services that some other hospital or provider is demanding high payments for.  This is going to be necessary if health care costs are not to continue to spiral out of control.  

    •  Whether the Doctor drops the Plan (3+ / 0-)
      Recommended by:
      annan, MsGrin, ladybug53

      or the Plan drops the Doctor ... it's going to be bad for the Patient.

      And the Plans ARE taking advantage of the  chaos and confusion surrounding the  ACA to narrow their networks, raise their co pays  premiums and deductable --  and call it Competition and Choice.

      Poor babies ... under the PACA they had to reduce their "keep" by 1/3 -- in return for their subsidies and The Mandate.

      You know the numbers as well as I

      Medicare and Medicaid operate on about a 3% "keep" for overhead, advertising and administration.

      Before PACA insurance companies kept between 30 and 40% of premiums paid,  to cover overhead, advertising, administration and profit.

      Under the PACA they're held to 20% maximum -- though "who is doing the audit" is a whole other matter.

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