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Old friends on the trail
8 hours ago
Progressive musings from that most ironic of places, Rapid City, South Dakota.
The Medical Society’s Mo Auster said that the idea that insurance companies and individual doctors engage in a genuine negotiation — whether concerning fees or medical decisions — is a fiction. Since the insurer’s terms are “pretty much ‘take it or leave it,’” he said, a doctor’s only influence over the process was his or her ability to run a practice without signing up with a network. “The extent to which that ability is minimized,” Auster said, “further enhances the negotiating leverage of the health insurance company to basically take the clinical control away form the doctor.” (Out-of-network coverage in New York? We left it up to the insurers, Remapping The Debate (10/30/2013) (emphasis mine)