94% or private health plans continue to subscribe to managed care networks they can’t see nor audit. Someone else is deciding what prices consumers must pay for health care and insurance companies make sure they do.
Why do most managed care networks pay primary care physicians less than Medicare when they pay hospitals 250-500% of Medicare? Who decides that?
Why do carriers pay out-of-network hospitals 105-115% of Medicare when they pay in-network hospitals double and triple that? Who decides that? Shouldn’t it be the other way around?
How is value calculated? Or does value matter?
Why do carriers second guess physicians by requiring pre-certification? Who decided that was a good idea?
There is no free market in American health care finance. Consumers are getting screwed and they don’t care. They are assured “Don’t worry, you have insurance” as if that’s a good thing.
