THCB

ACA Database: Are There Any Plans in the Works to Force Doctors to Accept Obamacare?

flying cadeuciiAfter several attempts at trying to find doctors who accept my lame-o ACA health plan (Blue Cross Blue Shield advantage HMO), I finally reached my limit today when a rather important appointment got cancelled unless I wanted to pay cash, because “we don’t accept your policy”.  When I googled “none of my doctors accept my Obamacare health insurance”, your article came up.

Do you or does anyone else know if there is some kind of plan of action for doctors to be forced to accept these ACA plans?  This year alone, I have yet to visit ONE of my previous doctors who will accept an ACA plan (and I didn’t even get the cheapest plan!).  Having had past surgeries, I feel it imperative to “go with who you know”, in that I want to see my past surgeon when there is a problem a year later that might need to be addressed.  Beyond frustrated!  And I don’t even live in a small town!!  I am in Dallas, Texas, with thousands of doctors!

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TXNurse20spikejackDoctorFedUpCooldudeAllan Recent comment authors
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TXNurse20
Member
TXNurse20

This is why we all need to take better and more consideration when we vote. The ACA is a step in taking back the power from the large wealthy pharmaceutical and insurance corporations. We shouldn’t give up, but push the Federal government to enforce ACA better, force insurance and drug companies to lower costs and leave the medical decisions in the hands of the Doctors and the patients.

DoctorFedUp
Member
DoctorFedUp

13th amendment – doctors are NOT your slaves.

Cooldude
Member

Obamacare should be repealed. Healthcare is suffering. Insurance costs are skyrocketing, with less coverage. Plus, if you are in the group of people who couldn’t afford it before and didn’t qualify for help your probably still there. Oh, fining people who don’t have insurance is an idiot move. If you can’t afford insurance you can’t afford that fine. We need some common sense in the white house.
Natural Healthy Life Ideas

maggiemahar
Member

Your doctors are refusing to take Obamacare because they are in Texas. This is not fair to you–or anyone else in Texas–but this is all about a very conservative political ideology which is telling people (including doctors ) that they should do everything they can do to oppose Obamacare. In New York City (where I live) all of the doctors I see ( high-end doctors who charge private insurers very high fees), accept Obamacare’s the lower fees that state regulators have approved. In time, this will change. Patients in Texas will put more and more pressure on their legislators to… Read more »

JC197
Member
JC197

Maggie, the docs in NYC do take Obamacare due to money driven medicine of seeing large volumes of patients to make more money. I met docs in NYC and quite a few of them work 7 days a week, with the rule that they won’t go home as long as patients keep coming. One clinic I know works 24 hours in shifts to save on rent money. I don’t know but that’s pretty greedy/hungry to me (as are many folks I have seen in NYC and that’s why I left there.) Some bad docs are actually paying patients with Medicaid… Read more »

JC197
Member
JC197

I don’t know whether this article is a joke or for real but let me explain the math behind the whole thing and hope it makes sense. The healthcare situation is much like the housing bubble. People go around expecting to buy McMansion with no money down, no income/asset and expect to live like a king and cash out with half a mil in profit in a few years. Americans want everything and want to not pay for it too. It ‘s gotta come from somewhere. It’s the same sense of entitlement with healthcare. People say “I want the doc… Read more »

BobbyGvegas
Member

“The notion of healthcare is a right and should be free is retarded.”
__

The conflation of a “right” with “coming at no cost” is doubly so.

maggiemahar
Member

I hope you realize that the majority of doctors enjoy incomes that put them in the top 1%–
after overhead, student loans, etc.

JC197
Member
JC197

Maggie, given the talent and the opportunity cost of about a McDonald’s franchise, and working 60 hours a week or more, I think the docs can go into any profession and be at the top 1%. Theoretically, they should be making as much as McDonalds franchise owner without question. Do people question why Micky Dee owners make and call them greedy and money driven? When dropouts like Snowden are making 250K, and illegals with no skills are demanding $15 an hour, you asking the top student of a university class who will commit to spending 500K, and another 8 years… Read more »

DoctorFedUp
Member
DoctorFedUp

JC197, you are my hero!

Allan
Member
Allan

Maggie writes: “ the majority of doctors enjoy incomes that put them in the top 1%–“

I wonder what that means? Does Maggie not believe in merit based pay? Should government decide how much everyone gets paid?

By the way, before the ACA was passed plenty of doctors didn’t accept many types of insurance policies so the claim that it is due to “a very conservative political ideology” appears false. Generally most businessmen, and doctors included in that description will put away ideology and accept a fee that coincides with what they feel they are worth.

spikejack
Member
spikejack

Maggie, my doctor deserves to be in the 1% if that is in fact where he is at. He puts in 14-15 hour days, is an amazing at diagnosis, will keep me in the office until he is satisfied he has answered all my questions and addressed my issues, he has 30+ years of experience, research and continuing education. I myself am not in the 1% but I don’t damn anyone for working hard and educating themselves to provide excellent care for being in the 1%. I do damn the insurance companies, with their uneducated paper pushers, raking in profits… Read more »

DoctorFedUp
Member
DoctorFedUp

You are either a doctor yourself, or a brilliant person that “gets it.” Either way, I’d vote for you for President. Everything you said is 100% correct.

spikejack
Member
spikejack

Great description of what is happening. Here is another analogy: Lets say you have someone come and clean your house. They spend 4 hours for $25 per hour. When they leave and say they would like to be paid for their service: your home is clean and tidy, they did a good job. But, you tell them”Fill out this paperwork and explain in great detail just exactly what you did and then come back in 4 weeks and I’ll pay you”. So off they go, submit the paperwork and then come back to be paid and you say “uh, I’m… Read more »

BobbyGvegas
Member

The ACA is simply a huge insurance regulation reform law with a few QI and P4P reimbursement reform pilots thrown in. The private for-profit insurance industry has to be regulated one way or another. ALL commerce gets regulated one way or another.

Doctors and hospitals remain free to accept or reject insurance plans from among the thousands of ACA-compliant offerings as they see fit. There’s no insurance plan or company called “ObamaCare.” Again, this post headline was pure clickbait.

Terry_Flowers
Member

ACA (Obamacare) is not an insurance policy. It is a misrepresentation to say that doctors maybe forced to accept Obamacare. There may be some policies that are sold through the exchanges that were established by ACA that some physicians may choose not to accept. But there are also policies that are not sold through ACA that physicians may not choose to accept. As long as we, as a nation, treat health care as a commodity to be bought and sold at a profit…especially health care financing (health care insurance) we will pay far too much for far too little. Take… Read more »

lawyerdoctor
Member
lawyerdoctor

Yep, all you mean ol’ doctors who thought you were practicing medicine in a capitalist system, welcome to the United States of Obama!!!

You had better get ready for that IRS Audit!!!

BobbyGvegas
Member

“Force doctors to accept Obamacare”?
__

Clickbait headline.

BobbyGvegas
Member
Bicycle_Girl74
Member

The fact that so many doctors are refusing such policies is because they reimburse below what providers charge. Of course, the obscene amounts providers charge is the primary problem and the ACA did absolutely zero to change this. No one in the medical lobby wanted to hear the term “price caps”.

maggiemahar
Member

Bicycle– You are night–when the ACA was passed, no one could address the fact that some providers overcharge by 200% to 300%. If legislators had addressed that issue the ACA would never have passed. (As we all know, lobbyists control Congress–and both doctors and hospitals have very, very powerful lobbyists.) But now that the ACA has passed, state insurance regulators are being much tougher. Particularly in states like California, they are refusing to let insurers join the exchanges if their premiums are too high. This means that if some doctors and hospitals are over-charging, insurers can no longer just raise… Read more »

Allan
Member
Allan

Maggie writes: “some providers overcharge by 200% to 300%.” What do you mean ‘overcharge’? If that is someone’s fee they are not overcharging. If they charge higher than their stated fee, that is overcharging. Please help me with your definition of overcharge. I am not debating the fact that some physicians charge incredibly high rates. I am not debating the impact of those high rates. I am solely questioning your use of the word ‘overcharging’ as if there is some tablet written by the heavens that dictates the individual charges that should be made by each individual physician. “Also Medicare… Read more »

spikejack
Member
spikejack

Go Allen!
Maggie, if an individual is not smart enough to choose a doctor they can afford then it does not mean the doctor should charge them less. Posted rates are posted rates. Allen is right. Overcharging would only be if they charged you more than they said would.

Christine_Carrillo
Member

What many consumers don’t realize is that 90% of the time insurers have the exact ACA plan offered privately. Same price, same coverage, just more doctors. When you shop for insurance, it’s super important that you buy the plan that covers your specific dr’s & meds upfront, not the other way around. Doctors can’t be forced to accept ACA plans, and it’s unlikely that will happen, however, it is likely that a ruling could force insurers to offer offer more dr’s in their network, and/or force them to increase dr fees so they are closer to what they would receive… Read more »

Bicycle_Girl74
Member

Christine, your response seems a bit disingenuous at best when you know darn well that policies sold off the welfare exchange are grossly more expensive since there is no subsidy to offset the true cost of the policy. And yes, all these policies have the same useless coverages that you can’t opt out of. It’s comforting to know that as a happily married, child-free-by-choice woman in pristine health, that I am now covered for maternity/newborn care and pediatric dental. As a drug-free, mentally sound individual, it’s also comforting to know my rehab and psych services are also covered…..All this security,… Read more »

lawyerdoctor
Member
lawyerdoctor

Dear Bicycle_Girl,

I think I love you . . .

however, even though you are happily married, child-free-by-choice, and in pristine health, based your pic you do not look very well. It’s probably good that you have health coverage, even if your deductibles are sky-high (like mine).