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onpatrol98

(1,989 posts)
10. Heck...I don't know.
Reply to EC (Reply #9)
Mon Dec 9, 2013, 03:05 PM
Dec 2013

As I said, it's confusing to me.

Factcheck
ACA doesn’t 'set prices' on health insurance exchanges
Posted Dec 8, 2013, 5:28 pm

Robert Farley
Factcheck.org

--snip--
No statistics are publicly available to substantiate whether the plans on the exchange are offering more limited networks, but there is anecdotal evidence that some insurance providers are offering plans that restrict choices to a relatively small network of doctors and hospitals. As Jonathan Chait of New York magazine wrote, “It’s making customers more sensitive to price. Of course, the flip side of this dynamic is that the ruthless price competition is encouraging insurers to squeeze doctors and hospitals. The most affordable plans on the exchanges often exclude more expensive providers.”

Contrary to Santorum’s assertion, however, the Affordable Care Act does not set the price levels for care. The law requires insurance companies to spend at least 80 percent of premiums on health costs — as opposed to spending on administration, marketing, and profit. But the actual prices for medical services are set by insurance companies offering plans on the exchanges; and those same insurance companies decide what doctors and hospitals will be in the network. In Missouri, for example, Anthem BlueCross BlueShield excluded one of the state’s top hospital systems from policies it offered on the exchange.
--snip--

http://www.tucsonsentinel.com/nationworld/report/120813_aca_price_setting/aca-doesnt-set-prices-health-insurance-exchanges/

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