I’m reading a ton of story’s nationwide of standoffs between big hospital systems and Mapd insurers fighting over rate increases . There’s no more “ it’s all bs they always come to an agreement “ Everyone digging their heels in and the patients in the crossfire . Hell i sound like Somarco . lol . But I’ll be offering more med supps to people that can afford it .
I think were on the cusp of chaos in mapd networks as insurers and hospitals fight
- Thread starter DonP
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ValeRosso
Guru
- 523
Personally I think we are a long ways away before a perfect storm. Since those insurance companies who are fighting for every single penny like their life depends on it just so their c-suite can all take home fat million dollar bonuses, they'll continue to be dropped by hospitals and doctors until they only accept a couple MAPD plans
Competition be fierce.
Competition be fierce.
InsuranceGuy29
Guru
- 405
As long as PPO's are available, it's really not a huge deal. If it was just HMO's like pre-2016, then yes...major deal. The difference in copays on most Medicare Advantage PPO's between "in-network" and "out-of-network" is not some monumental difference. People are already getting most of these plans at $0/month. If they have to pay a little bit more for a few copays, it's not the end of the world. It would obviously be preferable if they didn't have to, but the benefits of the plans are still great.
InsuranceGuy29
Guru
- 405
To be fair, hospitals are no different. They are businesses with Chairmen, CEOs, Presidents, etc. They are no different from any Wall Street corporate structure. It's all about extracting as much money from insurers and patients as possible.
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Until it happened to me last fall I never really believed how bad it was. UHC is ruthless at wanting you to just die rather than pay for a hospital admission. Bad stuff.
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That’s not correct necessarily now . I’ve seen several bitters fights were the hospitals are refusing to bill out of network for the patients . There accusing the ins company of oweing them money for out of network billing from before . Also up North many of plans sold are HMO’s .Nationwide I bet 75% of all dsnps are HMO’s . In Fla go look at all the plans . I bet 60-80% are HMO’s
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UHC is wanting pcp's on ALL applications now, including ppo's.
Medicare want's all physicians to belong to a group, we are going
to have massive network issues this aep, imo
Medicare want's all physicians to belong to a group, we are going
to have massive network issues this aep, imo
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