Will the ObamaCare exchanges limiting access to top hospitals, medical centers affect the QUALITY of our health care?

Will the ObamaCare exchanges limiting access to top hospitals, medical centers affect the QUALITY of our health care?


OF COURSE, where do all the advances in procedures and technology come from?  Certainly NOT the government.


Health care



ObamaCare exchanges limit access to top hospitals, medical centers


Published December 09, 2013
FoxNews.com


If you like your hospital, you might not be able to keep it. 


In the latest surprise to emerge during the implementation of the Affordable

Care Act, people seeking insurance on the ObamaCare exchanges are finding the plans limit access to some of the best-ranked hospitals and cancer centers in the country. 


The access problem is a byproduct of the effort to drive down costs of subsidized coverage, prompting insurance companies to shy away from more expensive facilities. 


That doesn't necessarily mean someone buying insurance through ObamaCare is locked out of those hospitals. In some cases, patients could go "out of network" in order to use the medical center of their choosing -- but would have to pay more in the process. 


According to a former top health care adviser for the White House, that's how the program was designed. 


Challenged on "Fox News Sunday" over why Americans are losing access to their current doctors and hospitals, ObamaCare architect Ezekiel Emanuel claimed President Obama did not mislead on that point, despite his refrain that if people liked their doctors and policies they could keep them. 


"The president never said you were going to have unlimited choice of any doctor in the country you want to go to," Emanuel said. "He didn't say you could have unlimited choice." 


In a remark that has since generated considerable controversy, Emanuel
added: "If you want to pay more for an insurance company that covers your doctor, you can do that." 


Indeed, The Financial Times reported that most plans being sold on the exchanges in New York, Texas and California do not offer access to some of the top medical centers in those states.

http://www.foxnews.com/politics/2013/12/09/obamacare-exchanges-give-limited-access-to-top-hospitals/

What a joke. The assumption that government is going to make health care more difficult, and in this revisionist dream somehow we currently live in utopia health care system.

My wife tore her rotator. She went to her doctor who set her up with a Ortho specialist. The specialist wants an MRI to see what he is dealing with. Two weeks of waiting for the Insurance company to approve, and they tell her she needs to go through four weeks of PT at the local hospital. She is given muscle relaxants and an excercise regiment.....no improvement.....she felt the tear when it happened. Gong on a month in pain with a premium insurance company......and no treatment and utter disgust.....yep this utopia health care system cannot have government messing up how perfect our world is now......I am telling you Jon Stewart is calling.....he needs a straight man.

2seaoat wrote:What a joke.  The assumption that government is going to make health care more difficult, and in this revisionist dream somehow we currently live in utopia health care system.

My wife tore her rotator.   She went to her doctor who set her up with a Ortho specialist.  The specialist wants an MRI to see what he is dealing with.  Two weeks of waiting for the Insurance company to approve, and they tell her she needs to go through four weeks of PT at the local hospital.  She is given muscle relaxants and an excercise regiment.....no improvement.....she felt the tear when it happened.   Gong on a month in pain with a premium insurance company......and no treatment and utter disgust.....yep this utopia health care system cannot have government messing up how perfect our world is now......I am telling you Jon Stewart is calling.....he needs a straight man.

BITCH! stop your complaining tHIS IS THE SYSTEM you wanted. ACA has been in EFFECT for over 3 years now.

you act like aca just happened this year LOL... you are ignorant!

2seaoat wrote:What a joke.  The assumption that government is going to make health care more difficult, and in this revisionist dream somehow we currently live in utopia health care system.

My wife tore her rotator.   She went to her doctor who set her up with a Ortho specialist.  The specialist wants an MRI to see what he is dealing with.  Two weeks of waiting for the Insurance company to approve, and they tell her she needs to go through four weeks of PT at the local hospital.  She is given muscle relaxants and an excercise regiment.....no improvement.....she felt the tear when it happened.   Gong on a month in pain with a premium insurance company......and no treatment and utter disgust.....yep this utopia health care system cannot have government messing up how perfect our world is now......I am telling you Jon Stewart is calling.....he needs a straight man.

Sounds like it isn't as "premium" as you want us to believe.

Sounds too like you have a lousy primary care physician.

I had a physical where I pointed out a place on my face.  Two days later he did a biopsy and it was malignant.  He sent me to a dermatologist.  Within two weeks from when it was discovered, it had been removed and a plastic surgeon had done the skin graft.  Three days latter the "buttress" or whatever was removed.  I paid $35.00 and the total bill was slightly over $4,000.00.

Next appointment, 1 year.

With all your tales of woe you seem to be the character in the old Li'L Abner comic strip.

Sounds like it isn't as "premium" as you want us to believe.

I do not WANT you to believe anything, but we had the best Blue Cross Blue shield policy and now in retirement my wife has Signa's best PPO policy which we pay with some coverage for dental over 1200 a month. Sorry, you do not like what I am telling you......but the insurance companies are dictating my wife's treatment. If they are wrong after four weeks, she will have almost spent two months in pain because an agent from an insurance company is getting in between the Doctor and patient......you know.....the place you think government will occupy once the Affordable Care Act is in full throttle.....but bad news my friend......they will still be private insurance companies making those decisions......so adjust your fantasy, or continue posting nonsense.

Seaoat better the ins co screwing me than the ins co and govt tag teaming me with obamacare

I can pay even more fir even less coverage , wow nice concept .... Not. We are turning our insurance industry upside down just to make sure that less than 1/2rhe current uninsured can have substandard care at a discount price while those of us with good plans now can be dropped by insurance and double out costs and deductibles to make up for again those who can't, won't, or do not want insurance. Only the govt could come up with that stupid of an idea.

2seaoat wrote:What a joke.  The assumption that government is going to make health care more difficult, and in this revisionist dream somehow we currently live in utopia health care system.

My wife tore her rotator.   She went to her doctor who set her up with a Ortho specialist.  The specialist wants an MRI to see what he is dealing with.  Two weeks of waiting for the Insurance company to approve, and they tell her she needs to go through four weeks of PT at the local hospital.  She is given muscle relaxants and an excercise regiment.....no improvement.....she felt the tear when it happened.   Gong on a month in pain with a premium insurance company......and no treatment and utter disgust.....yep this utopia health care system cannot have government messing up how perfect our world is now......I am telling you Jon Stewart is calling.....he needs a straight man.

Perfect example of what I have been saying for years.........insurance companies dictate health care not physicians.

http://abcnews.go.com/GMA/YourMoney/health-insurance-premiums/story?id=8978954

Health Care Premiums Also Used for Lavish Salaries, Luxury Items, Underwriters
Nov. 3, 2009
By KATE SNOW, ELIZABETH TRIBOLET and SUZAN CLARKE

"A significant portion of health insurance premiums go not for actual medical care but for private jets, generous CEO salaries and underwriters who decide when to drop patients who become too expensive, according to a Senate committee report.

Sen. John D. Rockefeller, D-W.Va., chairman of the Senate Committee on Commerce, Science and Transportation, wrote to 15 of the biggest health insurance companies in August, asking them to provide information on how much of policyholders' monthly premiums was spent on medical care versus the amount that went to administrative costs and company earnings.

VIDEO: Newly compiled figures show how much of your dollar goes toward medical care.
null
Such figures are known in insurance industry-speak as "medical loss ratios." But when insurance companies balked, saying the information was confidential and proprietary, Rockefeller's investigators went digging through public documents and found that much of policyholder premiums was going to nonmedical costs.
The insurance industry has long pointed to federal data that says about 87 percent of every dollar that people spend on premiums goes toward actual medical care, but Rockefeller's investigators found the average for the top six insurance companies is closer to 82 cents on the dollar for medical care.

That five-point difference represents billions of dollars.

And when investigators broke down the information by insurance type, they found that people who buy individual insurance from those companies rather than being part of a small or large business, get the least bang for their buck.

On average just 74 cents of every premium dollar for individual coverage goes to medical care.

Coventry Health Care had the lowest figure at 66 cents..."

Floridatexan wrote:And when investigators broke down the information by insurance type, they found that people who buy individual insurance from those companies rather than being part of a small or large business, get the least bang for their buck.

No.o..o...o...!!!!!

Weren't you supposedly enlightened progressive liberals screaming how important it was to enforce the deadline for the individual mandate because it was what was going to make your glorious health care legislation work?

I do believe so!

So what you're really saying is that your arguments for enforcing the individual mandate on time were really all about what money was most important to the top management of the health care industry so they could take bigger bonuses...

*****RAZZING CHUCKLE*****

https://www.youtube.com/watch?v=Nh6k3T0gP54

 

VectorMan wrote:ObamaCare looks to be in a death spiral. It is so corrupted it won't be able to survive. I wonder if Barry is losing any sleep?

Lol... no. Last week he blamed big govt for his govt expansion not working... that logic doesn't leave room for a conscience.

2seaoat wrote:Sounds like it isn't as "premium" as you want us to believe.

I do not WANT you to believe anything, but we had the best Blue Cross Blue shield policy and now in retirement my wife has Signa's best PPO policy which we pay with some coverage for dental over 1200 a month.   Sorry, you do not like what I am telling you......but the insurance companies are dictating my wife's treatment.  If they are wrong after four weeks, she will have almost spent two months in pain because an agent from an insurance company is getting in between the Doctor and patient......you know.....the place you think government will occupy once the Affordable Care Act is in full throttle.....but bad news my friend......they will still be private insurance companies making those decisions......so adjust your fantasy, or continue posting nonsense.

Its CIGNA, not SIGNA LOL

PkrBum wrote:

VectorMan wrote:ObamaCare looks to be in a death spiral. It is so corrupted it won't be able to survive. I wonder if Barry is losing any sleep?

Lol... no. Last week he blamed big govt for his govt expansion not working... that logic doesn't leave room for a conscience.

*****CHUCKLE*****

https://www.youtube.com/watch?v=q9Yhq1EwO5E

 

The insurance company's will still make the decision's on your health care.

DeFuniak Springs hospital is still in the network if any of you need emergency treatments.

ppaca wrote:The insurance company's will still make the decision's on your health care.

DeFuniak Springs hospital is still in the network if any of you need emergency treatments.