282) Obamacare empowered insurance companies to reduce their customers’ choices of doctors and hospitals
In September 2013, the Los Angeles Times reported: "The doctor can’t see you now. Consumers may hear that a lot more often after getting health insurance under President Obama’s Affordable Care Act. To hold down premiums, major insurers in California have sharply limited the number of doctors and hospitals available to patients in the state’s new health insurance market opening Oct. 1.
New data reveal the extent of those cuts in California, a crucial test bed for the federal healthcare law. These diminished medical networks are fueling growing concerns that many patients will still struggle to get care despite the nation’s biggest healthcare expansion in half a century.
Consumers could see long wait times, a scarcity of specialists and loss of a longtime doctor".
In September 2013, the New York Times reported: "Under President Obama’s health care law, many insurers are significantly limiting the choices of doctors and hospitals available to consumers.
From California to Illinois to New Hampshire, and in many states in between, insurers are… restricting the number of providers who will treat patients in their new health plans. Insurers have created smaller networks of doctors and hospitals than were typically found in commercial insurance".
Consumers should be prepared for “much tighter, narrower networks” of doctors and hospitals, said Adam M. Linker, a health policy analyst at the North Carolina Justice Center, a statewide advocacy group.
The Health Research Institute of PricewaterhouseCoopers, the consulting company, said that “insurers passed over major medical centers” when selecting providers in California, Illinois, Indiana, Kentucky and Tennessee, among other states.
Juan Carlos Davila, an executive vice president of Blue Shield of California, said the network for its exchange plans did not include the five medical centers of the University of California.
Daniel R. Hawkins Jr., a senior vice president of the National Association of Community Health Centers, which represents 9,000 clinics around the country, said: “Insurers have shown little interest in including us in their provider networks.”
Dr. Bruce Siegel, the president of America’s Essential Hospitals, formerly known as the National Association of Public Hospitals and Health Systems, said insurers were telling his members: “We don’t want you in our network. We are worried about having your patients, who are sick and have complicated conditions.”
In New Hampshire, Anthem Blue Cross and Blue Shield, a unit of WellPoint, one of the nation’s largest insurers, touched off a furor by excluding 10 of the state’s 26 hospitals from the health plans that it would sell through the insurance exchange.