So you are a health plan selling policies on the reform law insurance exchanges and you do a lousy actuarial and pricing job and you are losing lots of money; so how to fix that. Let's screw the doctors by cutting their reimbursement 4.5%; that is exactly what Highmark, a Pennsylvania Blues plan is doing. Gutless, lame, pathetic; call it whatever you want, the regulators should stop it. It isn't the doctors' fault that Highmark can't price.
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
The Healthy Skeptic is a website about the health care system, and is written by Kevin Roche, who has many years of experience working in the health industry. Mr. Roche is available to assist health care companies through consulting arrangements through Roche Consulting, LLC and may be reached at [email protected].
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