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Nye Bevan

(25,406 posts)

31. Much more of a problem for Medicaid then Medicare.

Reply to PoliticAverse (Reply #28)

Tue Nov 19, 2013, 10:00 PM

Nov 2013

Medicaid reimbursement rates are much lower than Medicare, and so far fewer doctors will accept Medicaid.

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(Some) Fancy pants doctors won't accept PPO from the exchange [View all] flamingdem Nov 2013 OP

$100 > $0 Paulie Nov 2013 #1

The problem is that some are known to be the best for flamingdem Nov 2013 #4

I'm a little confused. What do you mean by ACA payments? Incitatus Nov 2013 #41

This doctors office will only accept plans that are independent flamingdem Nov 2013 #42

The same thing happened with the roll out of Medicare. nt tsuki Nov 2013 #46

Piratesmile posted something about that flamingdem Nov 2013 #48

There is no standard "ACA" payment. OrwellwasRight Nov 2013 #52

Also in California. I think it will work out. NYC_SKP Nov 2013 #2

Do you think the mini-crisis is the confusion about ACA flamingdem Nov 2013 #10

I think "many more in the system" is a red herring. I think non-PCPs are edgy about being paid. NYC_SKP Nov 2013 #12

Aha! Good and optimistic analysis flamingdem Nov 2013 #14

Docs want to get their share just like other greedy participants in health care system. Hoyt Nov 2013 #3

Here's the crazy thing - these fancy doctors DO take Medicare flamingdem Nov 2013 #6

Lots of doctors take Medicare, but not Medicaid. Nye Bevan Nov 2013 #17

A lot higher in some states. Hoyt Nov 2013 #30

what you just said dlwickham Nov 2013 #35

Well I guess if they think the 1% will take care of them, then I say go for it Doc. notadmblnd Nov 2013 #5

The fancy doctors will stellar reputations are often fully booked flamingdem Nov 2013 #8

Well then I guess you wouldn't have a chance of seeing one anyway, no? notadmblnd Nov 2013 #16

With my previous PPO that wouldn't be a problem flamingdem Nov 2013 #19

Then it's not an ACA thing and the ACA is not to blame notadmblnd Nov 2013 #23

I'm more pissed at the doctors than ACA flamingdem Nov 2013 #24

Seems to me that the most up to date Drs will be the ones who've recently gone into practice notadmblnd Nov 2013 #27

Certain doctors deal with the same issues over and over flamingdem Nov 2013 #39

Not necessarily. onyourleft Nov 2013 #68

It is NOT an "ACA policy." It's a regular insurance company policy. Lex Nov 2013 #7

I hope you're right. This is a question to ask one of the reps flamingdem Nov 2013 #9

Exactly. Viking12 Nov 2013 #11

Sorry, that is incorrect. Nye Bevan Nov 2013 #15

Source? Viking12 Nov 2013 #20

The policies and coverage must be identical. But not the networks. Nye Bevan Nov 2013 #22

There can be very different payment rates depending on plan and network. Hoyt Nov 2013 #43

No - that's not true. Yo_Mama Nov 2013 #36

Most of the policies on the exchange have much narrower networks Nye Bevan Nov 2013 #13

This could prove to be problematic flamingdem Nov 2013 #18

You have to do a lot of homework before choosing a plan. Nye Bevan Nov 2013 #21

I agree. I've already logged a number of hours on this flamingdem Nov 2013 #25

Your other option is to buy a policy off the exchange. Nye Bevan Nov 2013 #26

One of the ways that the Insurance organizations are keeping prices low on the exchanges... PoliticAverse Nov 2013 #28

Much more of a problem for Medicaid then Medicare. Nye Bevan Nov 2013 #31

One of the things the ACA did was to boost Medicaid reimbursement to be comparable to Medicare PoliticAverse Nov 2013 #34

This article is a good find flamingdem Nov 2013 #49

Sez who? frazzled Nov 2013 #29

How about a few thousand Google hits? Nye Bevan Nov 2013 #32

Yeah, but the first hit is a total fail frazzled Nov 2013 #37

Anthem's seems to be closer to 50% flamingdem Nov 2013 #51

50% not good? frazzled Nov 2013 #58

This issue has been widely discussed. Yo_Mama Nov 2013 #38

I'm beginning to wonder if this is more of the same flamingdem Nov 2013 #40

I wish I could find that article, because it discussed all the ins and outs Yo_Mama Nov 2013 #66

I think people underestimate the issues Medicare had to deal with but there was no cable news or Pirate Smile Nov 2013 #33

So if someone goes out of network their bill will be resolved in a couple of months ... slipslidingaway Nov 2013 #45

People need to look beyond the premiums to who is in your network ... slipslidingaway Nov 2013 #44

This is upsetting to me flamingdem Nov 2013 #47

"Gold" and "Platinum" do NOT mean better networks. Don't be misled. Nye Bevan Nov 2013 #56

Not sure how to answer your question ... slipslidingaway Nov 2013 #57

THere should be no fancy doctors in a healthcare system for all Rosa Luxemburg Nov 2013 #50

Say a successful doctor is netting $90,000 per year from his practice. Nye Bevan Nov 2013 #59

I've yet to see a doctor net $55,000 from their practice. Lex Nov 2013 #61

That would not be "greed." But, there are not many hardworking docs making just $90K. Hoyt Nov 2013 #70

Ignorant assumptions. Beausoir Nov 2013 #60

I can only imagine that Theodoric used trepaning flamingdem Nov 2013 #62

Staff should be hired by the state government including doctors Rosa Luxemburg Nov 2013 #78

How dumb. Trust me when I say that if you ever get sick, you do NOT want government trained Beausoir Dec 2013 #80

I hope you hit the sarcasm button Rosa Luxemburg Dec 2013 #81

I don't think it was "part of the plan" but rather something not fully addressed by the plan. hughee99 Nov 2013 #53

Besides, Kaiser is great! OrwellwasRight Nov 2013 #54

I've been using Kaiser for a couple of years. I like it. Problem is Hoyt Nov 2013 #65

Anyone who supports universal health care OrwellwasRight Nov 2013 #79

I can tell you UCLA, UCSF, and a lot of fine medical facilities in Ca lostincalifornia Nov 2013 #55

Thanks! I was planning on calling various departments at UCLA tomorrow flamingdem Nov 2013 #63

I may have misread some of the information. It is confusing. It implies only some of the plans lostincalifornia Nov 2013 #64

This UCLA bulletin lists a lot more plans - I'll call to be sure flamingdem Nov 2013 #69

Good, thanks lostincalifornia Nov 2013 #74

It was unfair to lock your thread flamingdem Nov 2013 #72

It was. I was concerned I gave incorrect information out in this thread, and was just to make lostincalifornia Nov 2013 #73

There have always been doctors who operate on a cash-only, no insurance basis. geek tragedy Nov 2013 #67

What's different - my "fancy pants" doctors won't accept my insurance company csziggy Nov 2013 #71

Related article: "Doctors are concerned about pay scales under health care law" PoliticAverse Nov 2013 #75

Here's why GladRagDahl Nov 2013 #76

sometime in the 90s... went from nonprofit state level bc/bs salin Nov 2013 #77