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Friday, November 1, 2013

Top Hospitals Opt Out


Obama stated:
“If you like your health care plan, you’ll be able to keep your health care plan. Period. No one will take it away. No matter what.”
From U.S. News and World Report:
Americans who sign up for Obamacare will be getting a big surprise if they expect to access premium health care that may have been previously covered under their personal policies. Most of the top hospitals will accept insurance from just one or two companies operating under Obamacare.

[...]

Chances are the individual plan you purchased outside Obamacare would allow you to go to these facilities....
Much more information at the link.

The loss of policies goes well beyond non-participating hospitals and the dumping of private health-insurance policies. Please see Mid-range estimate: 51% of employer-sponsored plans will get canceled.

WE THE PEOPLE have yet to plumb the full depths of the ObamaCare nightmare  Meanwhile, most mainstream media network anchors continue to intone Obama's very name in dulcet tones.

34 comments:

  1. Good job Obama, you really added another great accomplishment to you list of FAILURES!

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  2. My doctor has a small practice and just sent out a letter saying he was going to a cash only practice as of JANUARY 1,2014.

    Obama is out to punish the doctors too.

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    Replies
    1. My doctor, also with a small practice, is taking all insurance at this point. However, he has also recommended a monthly membership in Privia Health, a low-cost concierge plan with a monthly fee of about $45/person.

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    2. I was just wondering why Anita David changed her name from Lachenmeier-Thüring to David for posting here. Also why Anita. who is a Swiss citizen, would care about our health care system.

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  3. "Obama stated:"

    And this comes as a surprise?

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  4. While the headline is that the top hospitals are opting out, it means the smaller, local hospitals will be going bankrupt. Connect the dots. That is why they are opting out. They can't possibly survive otherwise with the reimbursements. The uncovered nasty plan of obamacare. Government owned hospitals.

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  5. Comrades, this is all good for the collective.

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  6. The number of doctors that are refusing to participate in Obamacare increases. Last numbers I saw only 12% I think of doctors have signed up to participate, 80 something % refusing, leaving a few undecided. As I've said before, you will rarely see a physician in the future, you will end up with nurse practitioners. The lawyers should be thrilled, because the chance for medical malpractice will skyrocket.

    Debbie
    Right Truth
    http://www.righttruth.typepad.com

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  7. so this is just the beginning of the cancellations...w/o the business waiver extension, half of all americans would be losing their insurance

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  8. I think Thersites is right. We haven't seen anything--yet.

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    1. from the linked source.... “The Departments’ mid-range estimate is that 66 percent of small employer plans and 45 percent of large employer plans will relinquish their grandfather status by the end of 2013,” wrote the administration on page 34,552 of the Register. All in all, more than half of employer-sponsored plans will lose their “grandfather status” and get canceled. According to the Congressional Budget Office, 156 million Americans—more than half the population—was covered by employer-sponsored insurance in 2013.

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    2. Thersites,
      The notifications should be received within a few weeks.

      Combine those cancellations with the ObamaCare reductions in networks and the result will be horrific.

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    3. Cancelling the health coverage of 50% of all Americans so that 15% can get cheaper coverage, and the 85% can pay more.

      Thanks, Barrack!

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    4. The Democrats were right about one thing... they needed to pass it before we would realize what an incredibly BAD deal was contained "within it".

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  9. RT...........

    "The lawyers should be thrilled, because the chance for medical malpractice will skyrocket."

    YES and anything as voluminous as the ACA is bound to be jam-packed with all sorts of other goodies for lawyers!

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  10. What does it matter?

    Life will go on s usual. The value of doctors and hospitals has been vastly overrated.

    We all have to die anyway. Why not sooner rather than later?

    Life in a Marxist state is not worth living anyway.

    If you're expecting a baby, ABORT IT. The poor little thing will have no chance to live well in the disgusting mess it will inherit.

    Let's face it, unless sme miracle can stop Obama and his Minions, we'll ALL be better off DEAD.

    ReplyDelete
    Replies
    1. Yes, life is finite.

      But I wonder how some parents are going to feel about their children not getting certain medical treatments that would make those children's lives better. I know several such children, and they really do have quality lives because they receive good medical care -- sometimes, very specialized medical care.

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  11. The headline is very misleading. These hospitals have not opted out of the ACA. All private insurance plans now have to meet ACA standards. The fact that some plans that are available on the exchanges don't have these hospitals in their networks is a cost issue, and providers on the exchanges are looking to offer low-cost options as well as high-cost options. There is nothing stopping an individual from signing up directly with an insurance company that has plans that have these hospitals in their networks. These "top hospitals" are not necessarily the best, just the most expensive. For example, Kaiser-Permanente hospitals here in CA rate just as high as Cedars-Sinai in many areas, and KP plans definitely are available on the Covered California exchange.

    I can't get past that this article is written by someone who doesn't understand insurance. Hospitals don't have insurance companies in their networks. Insurance companies contract with hospitals. If hospitals are worried that they are not participating providers in an insurance plan offered on the exchanges, then they need to contact the insurance company and negotiate a contract. As it is now, you have a big bill if you go out of network. Nice scare piece, though.

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  12. “ … Obamacare mandates a base-level of coverage for health care plans, ranging from the inclusion of substance abuse services to prescription drugs and mental health. And even if you’re a 59-year-old single male, you’ll still be required to carry maternity and newborn care coverage.”

    The word for this is idiotic. I’m not certain what the Gang of Pelosi was thinking, or even if they were, but this damn thing isn’t about health insurance. It’s about something else entirely. I feel sorry for any twit who can’t see this for what it is, and I'll even go so far to say they not only deserve Barack Obama, the usurper, but they also deserve whatever health coverage he now mandates for them, especially if it causes them not to have any at all.

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  13. " I'll even go so far to say[ they] not only deserve Barack Obama, the usurper, but[ they] also deserve whatever health coverage he now mandates for them, especially if it causes them not to have any at all."

    OK, fine and dandy but the rest of us don't!

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  14. You’re right JonBerg, but elections do have consequences —even for those who decided to stay home because they don’t like Mormons. They not only screwed themselves, they screwed everyone else, too.

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    Replies
    1. And instead of getting a Mormon, we got a Moslem. Good thinking.

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  15. Sam, Marine,

    As you both know, I sure as Hell didn't care about Mormon, whatever, Romney had a real background that could have started our path to recovery. Anyone who "stayed home" to let this (fill in the blank).......... continue our downfall should be castrated!

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  16. Liberalmann, in all his wisdom [**cough**] is trying to lecture us about concepts relating to insurance.

    Well, HERE is a little something about the narrowing of Kaiser's network, a narrowing that has affected 500,000 people here in the D.C. area: "Kaiser Dumps The Five Most Important Hospitals In Fairfax County, Virginia." We have zero Kaiser hospitals here, and what Kaiser has just done will force a lot of people to go out of network because, now, only 4 hospitals here are in the Kaiser network.

    What happens with networks is exceedingly important! There are times when a person's need for medical care requires that a person step out of the network and shell out. I had that experience myself when the best neurologist for my unusual injury was not in my network (BlueCross BlueShield).

    Liberalmann also opined: There is nothing stopping an individual from signing up directly with an insurance company that has plans that have these hospitals in their networks.

    Yes, there is something that prevents a person from signing up for a particular network. The cost of the policy! Many of the policies offered by the ObamaCare web site are subsidized; sign up for policies by another method, and those subsidies may not be available at all.

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  17. Republicans are afraid of Obamcare because they know it will improve the overall healthcare of the nation and once fully implemented will lower the nation's healthcare bill. If they really thought it was going to be a disaster, they wouldn't be trying to block the implementation. They would allow it fail, ride to victory at the polls,and overturn it. What they're doing now in the House makes no sense,

    It's amazing what you people post the Republicans have no ideas, they are the party of "NO", and that they are happy with the status quo and then you people turn around and claim that ot us Progressive’s who complain.
    I think that Me. Obama has nothing but good intentions. I am sick and I am tired and disgusted with you folks who refuse, for one reason or another, to buy Health Insurance at a lower rate and that the whole country can benefit for this plan. .
    Most countries in the world are a combination of capitalism and a social safety net. Most people realize that taking care of children, the old, and the sick is the right thing to do. That is why universal healthcare, Social Security, and aid to dependent children is important.

    I hope someday your hard heart will change, and you will realize this.
    The idea is a good one.

    And I read that starting next year (2 months away) the Republicans want to drastically cut the Food Stamp program, This is going to be catastrophic on epic levels.

    Love, peace and harmony is sorely lacking in the Republican party

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    Replies
    1. Shaw Keewee,
      You mewled: I read that starting next year (2 months away) the Republicans want to drastically cut the Food Stamp program, This is going to be catastrophic on epic levels.

      Ah! The smell of ignorance this morning!

      According to the Huffington Post, a source that I'm sure you accept:

      Friday's reduction, however, is the result of Democratic legislation that hastened the expiration of a 13.6 percent benefits boost provided by the 2009 stimulus bill. In 2010, congressional Democrats used the food stamp money to pay for other spending priorities. Though this week Democrats have offered token legislation to prevent the cut, they have broken the promises they made in 2010 to replace the money before the cut could take effect. At $5 billion, it's an annual reduction 25 percent larger than what has been sought by Republicans. Experts say it's the first-ever month-to-month benefit decrease for the SNAP program.

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    2. Shaw,

      Are you PROUD to be a member of the party that is responsible for cancelling over HALF of American's healthcare?

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    3. This was out there for a few years. I don’t know why you’re finding it a big surprise now except that Fox News is telling you to get enraged. You think they’re really looking out for average Americans?


      • Deductible too high
      • Co-pays too high
      • Out-of-pocket maximum too high
      • Plan has yearly or lifetime benefit limits
      • Co-insurance isn’t high enough
      • Plan has coverage exclusions that are no longer permitted (such as for mental health care)
      • Plan doesn’t include prescription medicines, charges too much for them, or has prescription coverage limits (John knows this last one very well)
      • Plan doesn’t include preventive and well-care doctor visits for no charge

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    4. I don't need prescription coverage. The Walgreen's Pharmacy Club is a better deal that prescription coverage is; prescription coverage can double the premium. Not worth it!

      My out-of-pocket maximum is less than the lowest priced policies on the ObamaCare web site. The same is true for my annual deductible.

      Those two FACTS are just for starters.

      PS: There is no getting around the fact that Obama lied about who could keep their policies.

      PPS: I don't watch Fox News. CBS News has plenty of stories showing the fraud that ObamaCare is.

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  18. Interesting: "Mother Knows Best - Mother Jones Predicts Doom for Democrats."

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  19. The Obamacare nightmare has just begun. People are just starting to see and feel the harmful effects of Obamacare. Hate to say this - I guess some people need to feel the pain in order to wake up to reality? Although, this whole scheme was to lead us to a single-payer system. Will the American people wake up or fall for the Democrats dirty plan?

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