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AP Shocker: Consumers Lose Doctors Due To O-Care

From the Associated Press:

Consumers losing doctors with new insurance plans

By KELLI KENNEDY | May 14, 2014

MIAMI (AP) — Some consumers who bought insurance under President Barack Obama’s health care law are experiencing buyer’s remorse after realizing that their longtime doctors aren’t accepting the new plans.

Why is all of this a surprise to the AP. Aren’t they supposed to be in the news business?

Before the law took effect, experts warned that narrow networks could impact patients’ access to care, especially in cheaper plans.

Warnings the AP studiously refused to report.

But with insurance cards now in hand, consumers are finding their access limited across all price ranges — sometimes even after they were told their plan would include their current doctor…

We have been saying this for months. Many exchanges don’t even list providers and facilities. Those that do list far more doctors than who are taking Obama-Care. In fact, those who are willing to accept Obama-Care from a new patient are as scarce as hen’s teeth.

Michelle Pool is one of those customers. Before enrolling in a new health plan on California’s exchange, she checked whether her longtime primary care doctor was covered. Pool, a 60-year-old diabetic who has had back surgery and a hip replacement, purchased the plan only to find that the insurer was mistaken.

Her $352 a month gold plan was cheaper than what she’d paid under her husband’s insurance and seemed like a good deal because of her numerous pre-existing conditions. But after her insurance card came in the mail, the Vista, California resident learned her doctor wasn’t taking her new insurance. "It’s not fun when you’ve had a doctor for years and years that you can confide in and he knows you," Pool said. "I’m extremely discouraged. I’m stuck." …

Sorry, but that’s nothing compared to patients who are getting life saving cancer treatment from a hospital and doctor, only to find that Obama-Care is not excepted by their hospital or doctors.

Narrow networks are part of the economic trade-off for keeping premiums under control and preventing insurers from turning away those with pre-existing conditions. Even before the Affordable Care Act, doctors and hospitals would choose to leave a network — or be pushed out — over reimbursement issues as insurers tried to contain costs.

Insurance trade group America’s Health Insurance Plans says studies show the biggest factor influencing consumer choice is price. Insurers say that if consumers want low premiums, their choices may be limited…

That is not what Obama said! That is not what the AP said!

Health and Human Services spokesman Fabien Levy says the law requires insurance companies to post their directories so consumers can see if their doctor is covered before they sign up. Officials say insurance companies ultimately decide what doctors and hospitals to include in networks, just as they did before the law. The federal government is closely monitoring plans to see if more guidelines are needed to ensure consumers have access to quality health care…

They are trying to blame the insurance companies when the only reason doctors and hospitals are refusing Obama-Care is because of the low fees the government is mandating.

This article was posted by Steve Gilbert on Friday, May 16th, 2014. Comments are currently closed.

6 Responses to “AP Shocker: Consumers Lose Doctors Due To O-Care”

  1. Don’t worry, Obama is going to fix it. He has put caps on insurance payouts. That’s gong to make patients much happier… as long as they’re willing to pay more out of pocket, and doctors are willing to work for nothing. Once the government owns all the doctors and can tell them when, where, and how to do their jobs, everything will be great.

    Ther would be fewer problems if we just sent all the sick people to Cuba for their brand of awesome care.

    http://www.thedailybeast.com/c.....youts.html

  2. canary

    ,,,” Levy says the law requires insurance companies to post their directories so consumers can see if their doctor is covered before they sign up.”

    Like the defunked Obama Care web site could possibly list directories.

  3. Rusty Shackleford

    Remember Hitlery care and what an utter, abysmal failure it was in legislation, to say nothing of it being introduced by someone who wasn’t even in the government? Yeah, that.

    Well now we have O-bummer-care and although it’s still an utter abysmal failure, it is “in-place” and being mainpulated by the government. It will never “crash” or “be done away with” because our socialist masters see too much fun and profit in it.

    So, by incremental steps, they are taking us to single-payer.

    Hate it, but because of our power-broker system, it cannot be destroyed. Even when all the citizens of this nation are struggling and being herded about, the power-brokers will find more and clever ways to “fix” it. (AKA: cost money)

  4. HEALTH CARE IN SOUTH KOREA (family member worked there for 1 year recently)

    ~$352 a month gold plan?? Try $75 / mo for non-residents, $25 / mo for residents, plan.
    ~Co-pay is 50%.
    ~Ear/nose/throat doctor (on every street corner) is four %!#@ dollars! yeah, 4!
    ~Three days medicine from ear/nose/throat doctor? $5.
    ~Seven days in the hospital for minor care. Take a guess? Take a WILD guess what 7 days in a non-contagious 8 man room cost? Scans, medicine, non-surgery care with 50% co-pay and 7 days out-patient medicine? $250!
    ~Major hospital outpatient care for influenza plus doctor visit plus medicine? $75.
    ~Broken bone. $150.
    ~M.R.I. $450.
    ~Childhood immunizations. $10.
    ~X-ray. $50.

    WHY?

    1. Universities crank out too many doctors each year, flooding the market.
    2. Doctors get tax breaks and medical machinery discounts for setting up their own private practice.
    3. Government CAPS salary of medical staff.
    4. Hospitals make money with medical tourism, subsidized by the government and by drug manufacturers, and satisfied returning patients, + donations.
    5. VAST internet network of reviews by satisfied/unsatisfied customers commenting on hospitals and doctors BY NAME. Bad reviews? No patients, no money, and lawsuits for defamation are almost unheard of.
    6. Lawsuits take YEARS to wind their way through the courts. Even small claims courts.
    7. No juries to handout lottery-sized judgments to plaintiffs. All cases are heard before a judge only, and lawyers are very expensive as they are everywhere. Loser pays all expenses.
    8. NATIONAL HEALTH INSURANCE. Everyone pays a little into the system whether they use it or not, whether they are healthy or not. Maximum: $25/mo.

    Not a perfect Capitalistic system, but one that works. No one is bankrupt for getting ill, and no one suffers financially because they have some minor infection and need to see a doctor. Get a sniffle in America, wait at the clinic behind 19 other people, see a doctor for $500/hour. –Try it some time without insurance, see what your bill comes to.

    This……..trash system in place right now will NEVER work. And I dare say, it never really worked for those caught in the middle, meaning, those that were not rich enough to absorb the cost of health care, and were not poor enough to get whatever they wanted for free.
    When I was a kid, we stuck in out for 7-10 days before mom dragged us to the hospital. We couldn’t afford to get sick being in the lower middle class. By this article, things have not changed much, other than getting worse.

    The AP is just pathetic. Do some research BEFORE the system collapses nerds!




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