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Obamacare question choice of doctors

Old 09-30-2013, 05:05 PM
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Default Obamacare question choice of doctors

Do you think Quality of doctors is related to what they will except in fees.

In order for Exchange plans to keep premiums down they will decrease doctors fees below Medicare levels.

My feeling is the better doctors will not accept such low fees.

What do you think?
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Old 09-30-2013, 05:17 PM
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I live in the healthcare world. Things are crazy right now, there is a lot of uncertain people worried about what is going to happen, but there is opportunity as well.

When the Dr's find out they are going to take a significant hit, alot of them will start looking into all kinds of different ways to deliver healthcare, 2 of the largest primary groups in SC consisting of about 400 dr's have stopped taking medicaid. Almost no where but the hospital for those folks to go to. Here in SC I think there will be 2 or 3 insurances on the exchange, this whole crazy plan is eliminating competition, and oh I just got my letter, my current plan is being dropped. Guess what there will be doctors that people currently use that they will no longer be able to go to because they are no in the plan.

My costs are going up almost 50%, so I am looking into a self funded plan for the companies I own.

Crazy times,



Originally Posted by gumpire View Post
Do you think Quality of doctors is related to what they will except in fees.

In order for Exchange plans to keep premiums down they will decrease doctors fees below Medicare levels.

My feeling is the better doctors will not accept such low fees.

What do you think?
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Old 09-30-2013, 05:20 PM
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Not to mention how many older Doctors are just going to retire. I wonder how many years of experience this already failing experiment is going to cost?
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Old 09-30-2013, 05:22 PM
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My wife's GP stopped taking United Healthcare several months ago because their reimbursement rates are now below Medicare's. It really sucks for her because she has had some major health issues and he has been there for her. Our plan for now is to pay cash until she finds another GP or we switch to a different carrier through the SHOP program.
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Old 09-30-2013, 05:25 PM
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Originally Posted by I Fish 2 View Post
Not to mention how many older Doctors are just going to retire. I wonder how many years of experience this already failing experiment is going to cost?
I think Obama is doing his very best to destroy this country's health care system and drive a wedge in between have and have nots, but I don't think this plan is really going to be the deciding factor on old doctors retiring, if they love what they are doing they'll keep doing it, if they are thinking about fishing more, this is just the excuse they have been looking for, and my hat is off to them.
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Old 09-30-2013, 05:26 PM
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Obama care is (supposedly) all about medical insurance....however...it looks like the medicare reimbursements are about to be cut again, some of it has to do with obama care and some of it doesn't....ALOT of docs are talking about not taking medicare patients....plenty of hospitals don't take medicare now and are surviving....the administration at the hospital where I've working in the ER for the last 10 years is shaking in it's boots, ....the basic problem is almost no one has a real good understanding or idea how this will actually shake out....
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Old 09-30-2013, 05:30 PM
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I am not taking this the political route, I think they want government based healthcare, so the first step is put this mess in and when it is a disaster then they go to one payer system. The insurance industry is going through a major consolidation.

Mods if this makes it political then delete.
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Old 09-30-2013, 05:33 PM
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I agree..

I was wondering if u think the doctors that are willing to accept such low fees are the lesser quality docs? In general

Last edited by gumpire; 09-30-2013 at 05:34 PM. Reason: Sp
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Old 09-30-2013, 05:39 PM
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Originally Posted by gumpire View Post
I agree,

I was wondering if u think the doctors let are willing to accept such low fees are the lesser quality docs?
Not necessarily. It may also separate the entrepreneurs from those who have amassed enough wealth and are in it more to help people.

I know quite a few doctors who are on the fence about retiring right now. The real problem those in their mid-60's are having is figuring out how to cut costs in their practices while revenue is decreasing. The additional compliance costs don't help either. They still enjoy seeing patients but hate the admin side.
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Old 09-30-2013, 05:50 PM
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If Washington thinks this is so good they need to be on it as well after all if it is good enough for the people you represent it has to be good enough for the people the brought it to us
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Old 09-30-2013, 06:02 PM
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http://www.nj.com/politics/index.ssf..._river_default
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Old 09-30-2013, 07:11 PM
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Originally Posted by gumpire View Post
I agree..

I was wondering if u think the doctors that are willing to accept such low fees are the lesser quality docs? In general
Uh, do you know anybody that goes to the VA? From what I gather, these dr.s bid on their position, as in, the lowest bidding dr. gets the job. I work with a lot, and I mean 85 out of 100, former military. They go to the VA for band-aids, and not much more. When things get serious, they go private practice. Do the lower paying schools get the best teachers?
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Old 09-30-2013, 07:42 PM
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My uncle owns a small business, he just received a letter this past week telling him his current plan is being canceled due to the Affordable Care Act. He is being transferred to a different plan and guess what, it will cost him more. So much for helping the middle class!
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Old 09-30-2013, 08:12 PM
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My wife is in her 4 year of medical school and this subject is a very touchy one among them. She's starting to interview for residency talk so it will be interesting to her what she comes home to tell me.
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Old 09-30-2013, 08:43 PM
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I was wondering if u think the doctors that are willing to accept such low fees are the lesser quality docs?

Guess what they call the high quality Doctor who will not accept insurance reimbursements?

Hungry ...
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Old 10-01-2013, 02:42 AM
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My sister is a nurse at a hospital and they had a meeting last week and said they will be cutting hours back as a result of Obamacare, her nurse friends at other hospitals all said the same thing, hours cut and layoffs.
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Old 10-01-2013, 06:03 AM
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I believe the established doctors will be able to choose weather or not to accept Medicare and Medicaid if the reimbursements rates are too low. The new doctors coming in will probably have no choice until they establish their practice. There is a lot of overhead to run a practice now adays and some doctors maybe looking to be employed organization like Cleveland clinic where they just get their pay check and not have to worry about running a business.
Depending on how this plan goes is weather or not we will see a decline in students pursuing to be a doctor.
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Old 10-01-2013, 07:38 AM
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The huge medical group my wife and I use would go out of business if it weren't for Medicare patients. The test equipment is being used to capacity, and they're making it all up in volume. You don't get to spend a lot of time with the doctors, but they too are thriving on volume. This group is so busy that they had to add another pavilion and now have valet parking because you can't even find a place to park. Oh, they also have satellite locations in neighboring towns. They may cry, but it's only crocodile tears.
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Old 10-01-2013, 07:52 AM
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the problem is the exchanges will be paying doctors at or below medicare. Now this is a fazed in over the next year or so, but when that kicks in the big groups are going to feel the pain. The next big pain point will be when they start to reduce payments and deny payments for ancillary services, a lot of these large groups more then 50%of their revenues come from ancillary services.
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Old 10-01-2013, 08:58 AM
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Until the consumers (patients) of the product (healthcare), and not the insurers, are responsible for the cost of the service, the price of the service will never be linked to the quality of the service and a demand for the service cannot be established. So, for now, no, the quality of the doctor service will not change based on pay scale.

Instead, what is happening is Medicare is judging what is "good quality" and they are tying reimbursement incentives to these measures. Eventually the measures will become requirements and if not met, no pay.

Last edited by camnbo; 10-01-2013 at 09:28 AM.
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