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Obama-Care Won’t Let You Go To Sloan Kettering

From the Financial Times:

New Affordable Care US health plans will exclude top hospitals

By Stephanie Kirchgaessner | December 8, 2013

… Amid a drive by insurers to limit costs, the majority of insurance plans being sold on the new healthcare exchanges in New York, Texas, and California, for example, will not offer patients’ access to Memorial Sloan Kettering in Manhattan or MD Anderson Cancer Center in Houston, two top cancer centres, or Cedars-Sinai in Los Angeles, one of the top research and teaching hospitals in the country.

We reported this weeks ago, but it’s nice to have the news confirmed.

Experts say the move by insurers to limit consumers’ choices and steer them away from hospitals that are considered too expensive, or even “inefficient”, reflects the new competitive landscape in the insurance industry since the passage of the Affordable Care Act, Barack Obama’s 2010 healthcare law…

Yes, Sloan Kettering is notorious for its inefficient treatment of cancer. It’s not good enough for Obama-Care patients.

In reality, thanks to Obama-Care the better hospitals are now going to be the exclusive preserves of the political and economic elite. (Cf. how Michele Obama and Valerie Jarrett and David Axelrod developed a program to keep the poor out of the University Of Chicago’s Medical Center.)

It could become another source of political controversy for the Obama administration next year, when the plans take effect. Frustrated consumers could then begin to realise what is not always evident when buying a product as complicated as healthcare insurance: that their new plans do not cover many facilities or doctors “in network”. In other words, the facilities and doctors are not among the list of approved providers in a certain plan.

Under some US health insurance plans, consumers can elect to visit medical facilities that are “out of network”, but they would probably incur high out of pocket costs and may need referrals to prove that such care is medically necessary.

None of the Obama-Care plans for New York State pay one red cent for out of network hospitals or doctors. And this is probably true for the vast majority if not all of the Obama-Care exchange plans.

The development is worrying some hospital administrators who see the change as an unintended consequence of the ACA…

There is nothing "unintended" about it.

The top lobby group for US health insurance plans, America’s Health Insurance Plans, said the new healthcare law brought “new costs” to the industry and that selecting hospitals and physicians that meet “quality standards” was one way of making health plans more affordable for consumers…

Mr Priselac at Cedars-Sinai in Los Angeles says the creation of ever more narrow provider networks by insurers is being driven by price alone, and not by quality. He says the hospitals that are being excluded are leaders in innovation, which saves billions of dollars for the healthcare system in the long run.

“There is confusion between price and efficiency,” he says. “The major teaching and research hospitals are more expensive not because they are inefficient but because of what they do.”

BS. Mr. Obama and Ms. Sebelius know what medical treatment should cost. They know gouging when they see it.

This article was posted by Steve Gilbert on Monday, December 9th, 2013. Comments are currently closed.

2 Responses to “Obama-Care Won’t Let You Go To Sloan Kettering”

  1. Because FU, that’s why

  2. canary

    Obama care is the Apartheid Care Act (ACA).
    Speaking of California, the entire state has been selling personal information of all it’s citizens who only look at the site of health care gov and do not buy.

    Also, all the Congressional members and their staff who at least try to sign up are getting extensions on signing up. And if California is an example, there will be no difficulty in learning which have at least attempted to sign up.


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