The New York Times article noted “Restricting consumers to a fixed network of doctors and hospitals, called in-network coverage, helps keep costs down, and for the first year, none of the 16 insurance companies in New York’s exchange deviated from that model.”
“Advocates for consumers had lobbied hard for out-of-network coverage, saying that some patients needed more choices, particularly since the networks are being kept small to further reduce costs. Under the current in-network system, someone who lives part of the year out of state, or a student at a college out of state, are not covered while they are away, except for emergency care.”
A Kaiser Health news story noted “Federal rules ensure that none of the millions of people who signed up for Obamacare can be denied insurance — but there is no guarantee that all health services will be covered.”
“A 2011 GAO report sampling data from a handful of states before the health law took effect found that patients were successful 39 to 59 percent of the time when they appealed directly to the insurer. When appealing to a third party (such as the state insurance commissioner), patients also were often successful in getting the service in question – winning as many as 54 percent of such decisions in Maryland, for example. ”
“Though the views were spectacular, the cardiac arrest team could not get there as quickly as it could to the regular wards.”
The New York Times article asked the questions “What is going on here? Is This a Hospital or a Hotel?”
“The Henry Ford health system in Michigan caused a stir after it hired a hotel industry executive, Gerard van Grinsven of the Ritz-Carlton Group, in 2006 to run its new hospital, Henry Ford West Bloomfield. There are some medical arguments for the trend — private rooms, for example, could lower infection rates and allow patients more rest as they heal. But the main reason for the largess is marketing.”
“Every year between 210,000 and 440,000 Americans die as a result of medical errors and other preventable harm at hospitals, according to researchers.”
These numbers are equivalent to a jumbo jet crashing every day with no survivors. Based on these figures, medical errors could be considered the third-leading cause of death in America, behind heart disease (more than 590,000 a year) and cancer (more than 570,000 a year).
Don’t assume that you can continue to see your doctor…
A City Journal article noted that “… having health insurance is not the same thing as getting good health care, or any health care. In fact, it doesn’t matter how many Americans obtain insurance under the ACA. Most will have difficulty finding a physician.”
“Those who do get coverage through the exchanges and pay their premiums will also struggle to get medical care. The ACA requires insurers to accept every patient regardless of risk, provide expansive benefits packages, and eliminate caps on lifetime benefits. Looking to control costs, most insurers are offering exchange plans that severely limit the number of doctors and hospitals patients can visit. Some state exchanges—including New York’s—don’t offer a single plan that covers visits to out-of-network doctors or hospitals.”
The City Journal article noted ”… having health insurance is not the same thing as getting good health care, or any health care. Many Americans could lose their employer-provided insurance if firms decide that paying the ACA penalty—and maybe giving small raises to their employees—is cheaper than offering health insurance as a benefit of employment or reduce workers’ hours (the ACA does not mandate coverage for part-time employees).”
New York State is ahead of the curve on addressing the financial consequences of out-of-network care, a more and more likely scenario with “narrow” networks.
The New York Times article noted: If you “… are stuck with a surprise bill, patients will be responsible only for whatever their co-pay would be if the doctor were in-network.”
Here’s a cartoon story against ObamaCare, “Dear President Obama” by Mark Martin, as featured in Kaiser Health News.
Hundreds of new health insurance plans have been created to comply with the Health Care Reform (Obama Care) requirements. Price is, of course, a major consideration but you probably want to make sure you can continue to see your current doctor and use your local hospital.
An article in the Albany Times Union explored the problem.
So why are you delaying your colonoscopy again? Colonoscopy! Ugh! But…
The Wall Street Journal article reported “The incidence of colon cancer, declining since the mid-1980s, plunged a further 30% last decade among Americans 50 and older as more people had colonoscopies…”