Saturday, November 30, 2013

ObamaCare Health Insurance Plans Are The Substandard Plans: Nearly Half Are HMOs With Narrow Doctor And Hospital Networks: In Some Plans, Fewer Than Half The Doctors And Hospitals Are Included In The ObamaCare Networks Than In Non-ObamaCare Plans

From The Wall Street Journal, "ObamaCare's Plans Are Worse: How the Affordable Care Act raises prices and limits medical choices:"
The reason this furor [over ObamaCare] will continue even if the website is fixed is that the public is learning that ObamaCare's insurance costs more in return for worse coverage.

Mr. Obama and his liberal allies call the old plans "substandard," but he doesn't mean from the perspective of the consumers who bought them.
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Meanwhile, ObamaCare's plans are limited to essentially four. Yes, four. The law converts insurance products on the ObamaCare exchanges into interchangeable commodities that finance the same standard benefit at the same average expense over four tiers known as bronze, silver, gold and platinum.
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In any case all four tiers are scrap-metal grade, because the rules ObamaCare imposes to create a supposedly superior insurance product are resulting in an objectively inferior medical product. The new mandates and rules raise costs, so insurers must compensate by offering narrow and less costly networks of doctors, hospitals and other providers in their ObamaCare products. Insurers thus restrict care and patient choice of physicians in exchange for discounted reimbursement rates, much as Medicaid does.

Nearly half of the ObamaCare plans are tightly managed HMOs, according to a McKinsey & Co. analysis. In states like California, Missouri and New Hampshire, many networks are 40% or 45% the size of those offered for normal commercial coverage. Patients face the prospect of waiting months and driving miles to clinics and county hospitals.

Narrow networks can be a useful cost-control tool, to the extent people choose to give up medical options in return for lower premiums. But that's rarely what people want when they're choosing with their own money. Some 82.5% of eHealth customers in 2012 purchased preferred provider organization plans (PPOs) that are structured so patients can visit virtually any physician.

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