will the potential care disruption issues experienced with MAPD's be eliminated with the MSA MA plans that have recently been discussed in other threads?
No.
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will the potential care disruption issues experienced with MAPD's be eliminated with the MSA MA plans that have recently been discussed in other threads?
It depends . . .
But there is a big difference in a doctor making the decision, the patient making the decision, and the CARRIER making the decision for the patient.
UHC said ARC made the decision; “UHC said, “We are disappointed with ARC’s decision to end its participation in our network. Our top priority is ensuring our members transition smoothly and have continued access to the care they need.””
The article said it was a mutual decision that the contract would end.
The article said that UHC told the reporting organization that providers remained in network and were available through the end of the year.
The article further said that UHC communicated different information to a plan participant, saying the participant had to change doctors Oct 1 rather than Jan 1. That is carrier management of participant healthcare.
But the article says that UHC is forcing a patient to have a new doctor eff 10/1 even though the UHC / provider agreement says the changes do not happen until the end of the year.
UHC said ARC made the decision; “UHC said, “We are disappointed with ARC’s decision to end its participation in our network. Our top priority is ensuring our members transition smoothly and have continued access to the care they need.””
Are you sure?
On another note, I will agree that most news reports get half the truth, even when they interview "experts". There is most likely some version of the truth in the story.
EDIT - I found the TV news report including an interview with Mr Cerny. The letter from UHC is also shown. Also interviews the doc and credits him as CEO. FWIW many years ago our PED was recruited by KP to head up their PED department. He continued to see us and other private patients even though we did not have KP coverage.
Losing access to providers IS a real problem with mangled care plans. One former U65 client diagnosed with cancer shortly after she lost her grandfathered plan.
Good news is, she was able to get an Obamacare plan and keep her doctors.
For a year.
The carrier decided to pull out of her county. New carrier had smaller network that did not include her docs.
She is paying full price to keep her docs. No repricing. No deductible credit.
While losing access to specific health care can happen in OM it is more prevalent in mangled care plans.