Healthcare

Physicians, Patients, Insurance companies … guess Who Is The Bad Guy?

From some physicians perspectives insurance companies only want to squeeze them so they can make a bigger profit while at the same time shifting more cost to patients. You should read the full blog post at the link below. 

This is not a unique position and has been around since health care costs took off back in the 1970s and employers began putting pressure on insurers to manage costs even when they acted as claims administrators for self-insured plans.  From the following perspective smaller insurance companies will change the situation in favor of doctors. Say what? 

Do you believe insurers force substandard care? That doesn’t say much for the integrity of health care providers does it? 

Health Insurance Mergers Prioritize Profits, Posing A Threat To Physicians And Patients – Forbes

Make no mistake, the insurance companies are intentionally creating an environment that negates patient-centric care and punishes physicians for attempting to provide it. They’re lying to consumers, forcing the hands of physicians, and creating a new-normal environment of substandard care — all in the interest of profit. They’ve gotten too big and in the process are failing us. Breaking up these mega insurers into smaller companies may be the only way to enable choice and negotiating power.

To avoid more of these disastrous mergers and create a more consumer / patient-centered system, we need more healthcare professionals engaged in policymaking. We need physicians, nurses, and other clinicians as congressional representatives, senators and key decision-makers. Healthcare is arguably the most important issue facing our country: we need the right people in power to ensure the wellbeing of patients and physicians as our rapidly aging population moves forward into the future.

Excerpt from Forbes.com

A version of this post was originally featured on Care For Your Mind Blog: Health Insurance Mergers: Increased Profit, Not Better Care

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Categories: Healthcare

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1 reply »

  1. This is one interesting point of view. It is my understanding that the insurance pay by the procedure thus encouraging more procedures. You have insurance companies demanding x-rays before MRIs even when your doctor will tells you that an x-ray will not show a soft tissue injury. There are doctors who willing accept less than their “published rate” from insurance companies and Medicare so are they over charging? Lawyers will be accused of malpractice if a physician does not order the one rare test that could have detected an illness, thus more tests. And then there are people like me who will not object to a doctor if the insurance covers it. After all you trust this man so why would you not follow his advice?

    What I do understand is if there were a bunch of smaller insurance companies, costs would be much higher. Insurance as a rule needs a very large pool of people to spread the risk and I do see how you do that with very small pools.

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