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Number of uninsured has not met expectations. and if you talk to the folks who implemented the afford believe care in massachusetts, it happens toward the end. there is time to educate the population and have to get out there and get people engaged on how to enroll and be a part of the system. with a etna. i give them the side eye here. as an insurer and the reason they are coming out. they understand that the health care industry worked when they picked and chose who they get health care coverage. and now they are regulated. with what the law did set up to bring the uninsured in the system and give insurance companies more business and right now, they have 11 percent of those who signed up for healthcare.gov, only 11 percent previously did not have insurance and that math is ....
The motto is account believe care. they have proven to be successful at mayo and other m big institutions who know how to manage themselves well.ev if you believe somebody hasc to ration, the a government g can rationov through obamacare. they are exposed to some of the costs of their decisions or the doctor can ration care by being capitated and bearing the cost of what they are delivering. the they are favoring the doctor being capitaded. that means individual payment. they are taking care of a a whole population of payments and if they do more for theking patients they will lose money. that s the least transparent place for the next success ofony nexus to reside with the doctor. as a patient you may not know what is offered to you. at least you can see what thedon government is doing and if you are forced to make the considerations you know the choices you are making. thanks so much for being here. still ahead, if the obamacare ....
Conditions and want to go to a specialty institution and even get a second opinion, youit won t be able to do that. those aren t going to be accessible. they are great institutions with great doctors and great care. people from all over the world go to those hospitals. t are you saying if i want to go to one of those and it is not in. network i will have to pay t substantially out of my pocket for my cancer care? is that what is happening? tha sub stan that h substantially and it will bell b prohibitively costly for p people.y they won t be able to do it. another thing happening as a result ofng this law and that. is the integration of medical networks, hospitals and physicians. tell us what is happening there. you described it as the deathcrb of dr. marcus welbie, md, the family physician. the three or four doctor practice. doctors are owned entities of hospitals and health care systems. it makes it easier to regulatei the physicians if they are part of systems you can ....
Regulate the system rather than regulating down to the doctor. that s primarily why they are doing it. also because they want toor transfer risk to physicians.o they want physicians to beys bearing the risk for the cost of the care they are delivering. what is theg incentive for doctors to sign up with these big networks ? for there is no incentive other than the fact their overhead costs are going up and the reimbursement is going down. so by signing up with the big net works they become salaried and they know what they will earn next year jie. you have written there is an awful lot of evidence to suggest when doctors sign up for the networks their productivity goes down.etwo why so? they become shift employees. they work 9 to 5? they are 9 to 5ers. they just hand it off to the next physician and you lose productivity in the form of that handoff, if you will. some of the architects of obamacare would respond to what you are saying is, look, ....
Called medicaid plus which is k the lowest level of care. that means there are loware. reimbursments by the federal government? right. the plans are notim paying the doctors a lot. in fact, they are going back and renegotiating the contracts and cutting what they are paying the doctors. we are hearing anecdotes that it is happening in the m medicare advantage program which is a private form of medicare care. is that happen thrg too? right. so remember there were $158 billion worth of cuts to the medicare program. to the administration papered over those cuts with some money they gave the plans ahead of the election. part of the affordable care f act. right. now the cuts are coming due. what the plans are doing is instead of raising premiums they are cutting access tocutt doctors. they are skinnying down their networks as well. this does save money. give as you sense of the magma tude here. are you talking thousands? are you talking tens of thousands? are you talking about m ....