“Can’t force doctors to take ObamaCare patients”… oh really, O’Reilly?

According to the head of California’s  largest medical association  “seven out of every 10 physicians in California are rebelling against the state’s ObamaCare health insurance exchange and won’t participate”. Source

Why?

Simple economics: the reimbursement rates are too low.

ObamaCare Exchange reimbursement levels appear to mirror Medicare & Medicaid rates.

And, for example, Medicaid only reimburses doctors 72 cents out of each dollar of costs.

You can’t make it up in volume.

 

image

======

Similarly, some high profile hospitals – e.g. Sloan-Kettering, Cedars Sinai – are opting out of the Exchange programs.

Why?

Reimbursements rates are too low.

Most conservative pundits are saying that the shrinking doctor & hospital networks will force ObamaCare to its knees … since people will revolt when they can’t use “their” doctors or the best hospitals.

Further, O’Reilly, et. al., have been saying “… and there’s nothing Obama can do about it.”

I beg to differ Mr. O’Reilly …

 

Let’s take the hospitals first.

If they are not-for-profit hospitals, then by ObamaCare statute, the IRS can take away a hospital’s tax exemption if it tries to charge patients more than the average amount paid for services by insurance companies and Medicare. Source

Read that last line carefully.

It says the “average” between Medicare and private insurance (i.e. market) rates … i.e. lower than private insurance rates.

A race to the bottom, below cost, right?

OK, so NFP hospitals can lose their tax exempt status.

But, what about doctors who opt out.

Simple.

Remember the 16,000 new IRS agents that ObamaCare is funding?

Easy to imagine a few of those agents being deployed to audit non-participating doctors.

After all, many auto dealers who opposed the auto bailout ending up.

These Chicago guys play hardball.

* * * * *
Follow on Twitter @KenHoma                         >> Latest Posts

One Response to ““Can’t force doctors to take ObamaCare patients”… oh really, O’Reilly?”

  1. Andrew L. Says:

    Even easier than an audit. As you are already seeing in Massachusetts, state boards will simply connect licensing to patient/insurance acceptance.

    If you don’t take the mandated patients at the mandated rates, you can’t be a doctor.

Leave a Reply

Fill in your details below or click an icon to log in:

WordPress.com Logo

You are commenting using your WordPress.com account. Log Out / Change )

Twitter picture

You are commenting using your Twitter account. Log Out / Change )

Facebook photo

You are commenting using your Facebook account. Log Out / Change )

Google+ photo

You are commenting using your Google+ account. Log Out / Change )

Connecting to %s