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View Diary: Justin Amash (R) gets Town Hall question: "Why would we want to trust insurance companies...?" (170 comments)

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  •  patient preference driven by... (15+ / 0-)

    What my health insurance considers in-network.  

    Although Hospital B is newer, 5 minutes closer to my home, and is known for high-quality insurance considers it out-of-network.  My deductible and coinsurance are 2x what they are for in-network.  

    So I would ask to go to Hospital A, in-network, which is notorious for medical mistakes, and hope the mistake they make on me this time is smaller than the last one.

    True patient preference?  Hospital A would go out of business.

    •  And why is one "in-network" and one isn't? (5+ / 0-)

      They have already negotiated their prices.

      What a racket. And I don't mean number 1 or 2 from the list below.

      a loud noise or clamor, especially of a disturbing or confusing kind; din; uproar: The traffic made a terrible racket in the street below.
      social excitement, gaiety, or dissipation.
      an organized illegal activity, such as bootlegging or the extortion of money from legitimate business people by threat or violence.
      a dishonest scheme, trick, business, activity, etc.: the latest weight-reducing racket.
      Usually, the rackets. organized illegal activities: Some say that the revenue from legalized gambling supports the rackets.

      This better be good. Because it is not going away.

      by DerAmi on Sat Aug 31, 2013 at 10:39:38 PM PDT

      [ Parent ]

      •  Playing hardball (0+ / 0-)

        I've been told by someone in the industry that as a negotiating tactic, hospital A/health system A offers significant discounts to the insurance co under the condition that they exclude the competition (hospital/health system B).

        Why am I not surprised...

        I once had my insurance with Hospital/System B. Billing for childbirth & pre-approval for major surgery was a breeze.

        Then my employer changed, and my coverage.  

        Misdiagnosis, lack of follow up care and messed-up billing with Hospital A cost me dearly in time, energy, $ and internal organs.

    •  I do get that (4+ / 0-)

      and it is part of the reason we ask, though not such an issue in NY as our healthcare regulations are pretty  progressive already. I'm just a bit defensive when it comes to my profession. My apologies.

      To tweet or not to tweet. I tweet therefore I am.

      by RadicalParrot on Sun Sep 01, 2013 at 01:55:55 AM PDT

      [ Parent ]

      •  Not an indictment... (0+ / 0-)

        Of you or your profession.  By any means.

        It's not news that the system is broken. I'm sorry you get caught up in it on a regular basis. It stinks to have to present people with bad choices.

        I have a cousin who's an EMT/firefighter. Thank you for what you do.

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