MAPD Nightmare doctors refusing carriers insurance in many states.

How many Humana/MAPD clients do you have?

  • +25

    Votes: 2 20.0%
  • +50

    Votes: 1 10.0%
  • +75

    Votes: 1 10.0%
  • +100

    Votes: 0 0.0%
  • +150

    Votes: 6 60.0%

  • Total voters
    10
I've spoken to folks every day this AEP whose doctor told them they're not taking Humana anymore ("too slow to pay"), or the only private hospitals in their area aren't taking MAPD plans anymore (just the crappy local public hospital), or XYZ Health Group is not going to be in-network with Humana next year. Between the network shrinkage, the # of Plan Exits, and the skyrocketing MOOPs, it's been rough at times. BUT, I'm optimistic things will improve greatly next year with a new regime at CMS.
 
I've spoken to folks every day this AEP whose doctor told them they're not taking Humana anymore ("too slow to pay"), or the only private hospitals in their area aren't taking MAPD plans anymore (just the crappy local public hospital), or XYZ Health Group is not going to be in-network with Humana next year. Between the network shrinkage, the # of Plan Exits, and the skyrocketing MOOPs, it's been rough at times. BUT, I'm optimistic things will improve greatly next year with a new regime at CMS.
This. This cause was and is the Democrat regime. They cut Medicare payments to doctors and hospitals....they also cut payments to insurers, while simultaneously forcing them to take on a million extra costs with the supposed "Inflation Reduction Act."

Obviously this is gonna force insurers to reign in some payments, which further cuts doctors and hospitals down. It's all connected. One domino falls, they're all going down with it. This is all deliberate chaos.

Doctors and hospitals will predictably feign that "it's all about looking out for the patients," while simultaneously bashing Medicare Advantage plans as a trojan horse strategy, when we all know it's all about the money.

Funny how it wasn't an issue before all of these cuts happened, but now it suddenly is. Regardless, the government/CMS are getting a full clean out soon, so I predict things will go back to normal.

I mean, I hope these hospitals and doctors realize that doing this is just cutting your nose off to spite your face.

Tons of people aren't suddenly going to switch over to Medigap and start paying $300-$400/month, when they're used to paying $0, just because you're not taking MAPD plans anymore.

They're just gonna find a doctor/hospital who does take it. Obviously nothing wrong with Medigap, either, but when people are used to $0, BELIEVE ME, 99% are gonna be staying there.
 
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