explanade
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- Joined
- May 10, 2008
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- 7,442
NY public radio talk show had a short segment and got some callers complaining about the high deductibles, which results in higher costs for people earning enough not to get too much subsidies but don't get employer-provided coverage:
The Brian Lehrer Show: Obamacare's First Birthday - WNYC
I know high deductible plans seem to be better received here, because it reduces premiums while mostly providing protection against catastrophic events which could drain retirement savings.
The other part of it is that a lot of providers are opting out or wanting to opt out as insurers reduce reimbursement rates. Not clear if this was happening before the ACA but some are alleging that the insurers are using the "cover of Obamacare" to really slam providers.
OTOH, there are stories of some providers gaming the system by billing for services with very minimum or little consent ahead of time by patients.
For instance, a hospital in network insists on assistant surgeons who are out of network and end up billing patients much higher fees than the primary surgeon/doctor with whom the patient had been planning the procedure:
http://www.nytimes.com/2014/09/21/us/dr ... -well&_r=1
Then there are cases of specialists whose services are tacked onto emergency care at hospitals which are in network but again, allow a lot of "independent contractors" who've opted out of insurers networks, often because they couldn't agree on reimbursement rates. So they get to charge whatever rates they want and patients who receive care at emergency room are often not in a position to consent:
http://www.nytimes.com/2014/09/29/us/co ... ealth&_r=1
The Brian Lehrer Show: Obamacare's First Birthday - WNYC
I know high deductible plans seem to be better received here, because it reduces premiums while mostly providing protection against catastrophic events which could drain retirement savings.
The other part of it is that a lot of providers are opting out or wanting to opt out as insurers reduce reimbursement rates. Not clear if this was happening before the ACA but some are alleging that the insurers are using the "cover of Obamacare" to really slam providers.
OTOH, there are stories of some providers gaming the system by billing for services with very minimum or little consent ahead of time by patients.
For instance, a hospital in network insists on assistant surgeons who are out of network and end up billing patients much higher fees than the primary surgeon/doctor with whom the patient had been planning the procedure:
http://www.nytimes.com/2014/09/21/us/dr ... -well&_r=1
Then there are cases of specialists whose services are tacked onto emergency care at hospitals which are in network but again, allow a lot of "independent contractors" who've opted out of insurers networks, often because they couldn't agree on reimbursement rates. So they get to charge whatever rates they want and patients who receive care at emergency room are often not in a position to consent:
http://www.nytimes.com/2014/09/29/us/co ... ealth&_r=1