Margaret Wente Obamacare, where the liberal dream crashes and burns
The biggest threat to Obamacare is not Republicans. The biggest threat is Murphy’s Law, along with its corollary, the Law of Unintended Consequences. These are the most powerful laws in the world. They are even more powerful than the Affordable Care Act, and they are the nemesis of all master plans. Evidently, the President and his merry band of wonks had never heard of them.
In a bid to cut costs, insurers selling cover on the new exchanges in states including New York, Texas and California will not offer patients access to two renowned cancer centers - Memorial Sloan Kettering in Manhattan and MD Anderson Cancer Center in Houston, according to The Financial Times.
Access to Cedars-Sinai in Los Angeles, one of the top research and teaching hospitals, may also be limited, as the insurers attempt to steer customers away from hospitals or doctors they consider too expensive.
Some hospital officials are worried about what they call an unintended consequence of the new law.
'We're very concerned. (Insurers) know patients that are sick come to places like ours,' Thomas Priselac, president and chief executive officer of Cedars-Sinai Health System in California told the FT. 'What this is trying to do is redirect those patients elsewhere, but there is a reason why they come here. These patients need what it is that we are capable of providing.'
But the bureaucrats at the Centers for Medicare and Medicaid Services (CMS) decided to issue a rule in March making insurers responsible only for paying claims during the first 30 days of the debtors’ grace period. Who’s on the hook for the other two months? Well, customers are entrusted to foot the bills for additional services. But if they blow off the payments, it’s up to physicians and hospitals to collect.
As one hospital rep told me: “It’s potentially catastrophic.” Private practices are already being hit hard with slashed reimbursements, the electronic-medical-records mandate, ICD-10 medical-diagnostic-code changes, and increasing federal intrusions on how they provide care.
New problems emerged on Friday, with a Capitol Hill source drawing attention to an apparent scam in the system. The source detailed how, after telling the user the password was incorrect, the site directed the individual to a “forgot password” page — which then asked for highly personal information.
“On that page I was asked for my check card number and my ATM pin,” the source said. “I was fairly confident this was a scam so I called customer service. After a 103 minute hold time, I was told that this was indeed a scam.”
The explanation is not exactly reassuring:
Some shoppers are being directed from the insurance website to an outside site that appears nearly identical to the real exchange, officials confirmed Friday. The fraud is widespread enough that they’re considering adding disclaimers to its website to warn users against divulging their check card or PIN numbers.
The Federalist offers advice on How to Opt Out of Obamacare Know your options and become savvy self-pay patientsPosted by Jill Fallon at December 9, 2013 9:49 AM | Permalink