70% Ca. doctors will not participate in obama's unaffordable care act

California's state-run Obamacare health insurance exchange, Covered California, is touted by the Obama administration as a model of the policy's success. That was, in fact, the political strategy all along, as Obama's non-profit organization, Organizing for Action, focused on helping California's rollout effort. But in addition to inflated web traffic numbers and privacy concerns, Covered California now faces an acute doctor shortage.

An estimated 70% of California doctors will not participate in the Obamacare-compliant health insurance policies offered by Covered California, according to the California Medical Association, as reported by the Washington Examiner. Though Covered California claims that 85% of doctors will participate, many doctors listed as participating are expected to decline payment, having learned that reimbursements will be very low.

Doctors Boycotting Obamacare in California


this could be a disaster given Ca. demography
Since most of the plans on the exchange are sold by the companies and their brokers, how is a doctor going to know if the plan was purchased directly from the company or off the exchange?

This article sounds like utter nonsense.
 
They will certainly not be below net cost: you can't even make an argument for that.

But it will be a great brake for cost containment.

That is what you are crying about.


As I made as simple as I could in post #22, providers and provider groups work off of negotiated contracts. Often they will drop insurers when the net benefits of the plan (and there's a ton of variables in any given provider contract) drop below the standards and thresholds of the provider or group. This is just the way it works, every single day.

I realize you have some obligation to defend this horrific law, Jake, but you're making points based on pure thin air. There are going to be providers who are not going to accept plans in the ACA because they make no economic sense for them to do so. Plus, now, the providers know damn well they're going to be flooded with low-LOW-reimbursement Medicaid cases. This is going to get worse, regardless of your denials.

I don't know how much more plain I can make it, but I strongly suggest you'll deny it based on, well, whatever it is you're basing this stuff.

.

Why aren't they going to 'accept the plans' exactly? And how is this any different than before?

There's a LONG list of elements involved in a provider contract with an insurance company. It begins with reimbursement but goes much deeper. A provider or provider group isn't going to sign a deal that doesn't pay them enough or allow them enough value on the other parts of the deal. They just say no, and deal with other insurers.

The insurance companies, as a result of the ACA, have had to cut back on everything including the deals they can offer providers. The biggest cost driver of them all is guaranteed issue, they can no longer look at pre-existing conditions. So the providers ask themselves, "should I sign this lousy deal or make other, easier provisions for bringing in sufficient net income?" It's as simple as that. And the patients are just out of luck.

And again, these providers know the Medicaid flood is coming. Truth be told, I have absolutely no idea how they're going to deal with this.

And this was all predictable from Day One.

.
 
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They will certainly not be below net cost: you can't even make an argument for that.

But it will be a great brake for cost containment.

That is what you are crying about.


As I made as simple as I could in post #22, providers and provider groups work off of negotiated contracts. Often they will drop insurers when the net benefits of the plan (and there's a ton of variables in any given provider contract) drop below the standards and thresholds of the provider or group. This is just the way it works, every single day.

I realize you have some obligation to defend this horrific law, Jake, but you're making points based on pure thin air. There are going to be providers who are not going to accept plans in the ACA because they make no economic sense for them to do so. Plus, now, the providers know damn well they're going to be flooded with low-LOW-reimbursement Medicaid cases. This is going to get worse, regardless of your denials.

I don't know how much more plain I can make it, but I strongly suggest you'll deny it based on, well, whatever it is you're basing this stuff.

.

Why aren't they going to 'accept the plans' exactly? And how is this any different than before?

because they have much lower reimbursement rate
 
As there is not a left wing loon (working without talking points) with the capacity to refute the article...I will do it for him. for the sake of fair discussion.

The quote is from Insurance Bokers who foresee that the government will soon take their jobs.

Doesn't mean they are Liars (like our president)...just means they are prejudice...like every body in Obama's huge propaganda machine. The Citizens (and the Congress) have just about given up trying to get the Truth out of this White House.

Things are so partisan that an American despairs of getting the Truth about anything.

It's not partisan in this case, it's business and the doctors will not refuse patients. They're paying customers.
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.
 
http://www.nytimes.com/2013/11/29/us/lack-of-doctors-may-worsen-as-millions-join-medicaid-rolls.html

ObamaCare Medicaid Expansion

all the statistics - for the interested.
The main is this:
medicaid-doctor-payments.jpg
 
California's state-run Obamacare health insurance exchange, Covered California, is touted by the Obama administration as a model of the policy's success. That was, in fact, the political strategy all along, as Obama's non-profit organization, Organizing for Action, focused on helping California's rollout effort. But in addition to inflated web traffic numbers and privacy concerns, Covered California now faces an acute doctor shortage.

An estimated 70% of California doctors will not participate in the Obamacare-compliant health insurance policies offered by Covered California, according to the California Medical Association, as reported by the Washington Examiner. Though Covered California claims that 85% of doctors will participate, many doctors listed as participating are expected to decline payment, having learned that reimbursements will be very low.

Doctors Boycotting Obamacare in California


this could be a disaster given Ca. demography
Since most of the plans on the exchange are sold by the companies and their brokers, how is a doctor going to know if the plan was purchased directly from the company or off the exchange?

This article sounds like utter nonsense.

The doctor will know as soon as he or she looks at the reimbursement rates.
 
California's state-run Obamacare health insurance exchange, Covered California, is touted by the Obama administration as a model of the policy's success. That was, in fact, the political strategy all along, as Obama's non-profit organization, Organizing for Action, focused on helping California's rollout effort. But in addition to inflated web traffic numbers and privacy concerns, Covered California now faces an acute doctor shortage.

An estimated 70% of California doctors will not participate in the Obamacare-compliant health insurance policies offered by Covered California, according to the California Medical Association, as reported by the Washington Examiner. Though Covered California claims that 85% of doctors will participate, many doctors listed as participating are expected to decline payment, having learned that reimbursements will be very low.

Doctors Boycotting Obamacare in California


this could be a disaster given Ca. demography
Since most of the plans on the exchange are sold by the companies and their brokers, how is a doctor going to know if the plan was purchased directly from the company or off the exchange?

This article sounds like utter nonsense.

The doctor will know as soon as he or she looks at the reimbursement rates.

which DIFFER. A lot.
 
As there is not a left wing loon (working without talking points) with the capacity to refute the article...I will do it for him. for the sake of fair discussion.

The quote is from Insurance Bokers who foresee that the government will soon take their jobs.

Doesn't mean they are Liars (like our president)...just means they are prejudice...like every body in Obama's huge propaganda machine. The Citizens (and the Congress) have just about given up trying to get the Truth out of this White House.

Things are so partisan that an American despairs of getting the Truth about anything.

It's not partisan in this case, it's business and the doctors will not refuse patients. They're paying customers.
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.

BTW, the paperwork is as much, or sometimes, even MORE important in the physicians refusal to accept obamacare.
 
It's not partisan in this case, it's business and the doctors will not refuse patients. They're paying customers.
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.

BTW, the paperwork is as much, or sometimes, even MORE important in the physicians refusal to accept obamacare.

Why would the paperwork be more than it was with any other insurance company? You're just creating problems here.
 
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.

BTW, the paperwork is as much, or sometimes, even MORE important in the physicians refusal to accept obamacare.

Why would the paperwork be more than it was with any other insurance company? You're just creating problems here.

Yet you want the government in control?
 
California's state-run Obamacare health insurance exchange, Covered California, is touted by the Obama administration as a model of the policy's success. That was, in fact, the political strategy all along, as Obama's non-profit organization, Organizing for Action, focused on helping California's rollout effort. But in addition to inflated web traffic numbers and privacy concerns, Covered California now faces an acute doctor shortage.

An estimated 70% of California doctors will not participate in the Obamacare-compliant health insurance policies offered by Covered California, according to the California Medical Association, as reported by the Washington Examiner. Though Covered California claims that 85% of doctors will participate, many doctors listed as participating are expected to decline payment, having learned that reimbursements will be very low.

Doctors Boycotting Obamacare in California


this could be a disaster given Ca. demography
Since most of the plans on the exchange are sold by the companies and their brokers, how is a doctor going to know if the plan was purchased directly from the company or off the exchange?

This article sounds like utter nonsense.

The doctor will know as soon as he or she looks at the reimbursement rates.
Yes, but the plans I've seen are the same whether bought directly from the company or the exchange. They even have the same name. This does not make sense. I think there's a lot to more to story.
 
As I made as simple as I could in post #22, providers and provider groups work off of negotiated contracts. Often they will drop insurers when the net benefits of the plan (and there's a ton of variables in any given provider contract) drop below the standards and thresholds of the provider or group. This is just the way it works, every single day.

I realize you have some obligation to defend this horrific law, Jake, but you're making points based on pure thin air. There are going to be providers who are not going to accept plans in the ACA because they make no economic sense for them to do so. Plus, now, the providers know damn well they're going to be flooded with low-LOW-reimbursement Medicaid cases. This is going to get worse, regardless of your denials.

I don't know how much more plain I can make it, but I strongly suggest you'll deny it based on, well, whatever it is you're basing this stuff.

.

Why aren't they going to 'accept the plans' exactly? And how is this any different than before?

because they have much lower reimbursement rate

Vox, that is why the subsidies are involved. No one on the far right here is thinking clearly.
 
When the paperwork triples and the payment schemes are 40 cents on the dollar, it is poor business practice to accept them.

BTW, the paperwork is as much, or sometimes, even MORE important in the physicians refusal to accept obamacare.

Why would the paperwork be more than it was with any other insurance company? You're just creating problems here.

no, my ignorant, living in a box Sarah.

anything connected to the government - IS much more paperwork.anything. obamacare is a great disaster for ANY physician and to expect that anybody would want to tie himself/herself up to it is ridiculous.

Many established ones don't even want to take Medicare, although that at least reimburses decently.
But the bureaucratic nightmare... now it is the demand for EMR - which has increased serious mistakes already.
 
What's all this?

Medical Mutiny in the People's Democratic Socialist Republic of Kalipornia?

Scandalous!
 

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