Here are all the articles I've written about Doctor. Enjoy!

June 23rd, 2015

ACA woes?  Hospitals and Docs feel it too!

Life since the Affordable Care Act is an interesting environment.  Everything is changing at such a rapid pace, no one knows how to keep up.  Hospitals are in the same boat, too!

In a recent study, 75% of hospitals have reported an increase of emergency room traffic since the ACA started.  Not only that, but there’s a huge increase in the number of people in Medicaid (in CA it’s Medi-Cal).   BUT doctors don’t want to take new Medicaid patients because Medicaid pays doctors so poorly.

So just because more people have access to health insurance, it doesn’t necessarily mean they have access to timely medical care.     And that, my friends, is true no matter what health insurance you have or whenever you try to see a doctor!

My assistant was sick a few weeks back, and she had the WORST time getting an appointment to see her doctor!  I think doctors offices may be feeling strapped for time too!

Some food for thought while we peel back the many layers of this onion.  And keep in mind to plan ahead when you can, keep ahead of illness so you’re not scrambling when you really need help.  Check out the article with more info from the President of the American College of Emergency Physicians:

http://www.benefitspro.com/2015/05/04/er-visits-keep-climbing-under-ppaca.…

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October 20th, 2014

Will YOU Be My Doctor?!

ALL networks are getting skinner and anorexic, reducing your choices for 2015.

In 2014, the biggest problem with doctor networks came with plans purchased on Covered CA.   It was hard to determine if your doctor took the Covered CA plans.  The Covered CA search engine was incorrect and removed from the website.    Some doctors only participated in networks used by off-exchange plans.

The same problem may continue in 2015.  It could be tricky to navigate for consumers who get a plan through Covered CA.   For a little bit of guidance with Covered CA doctor networks, the LA Times created a map for you.  Click here!

But remember, not all plans/networks are available in all geographical areas.  And, networks can change from day-to-day.

One bit of good news:   Anthem Blue Cross has made it clear that doctors MUST be in both off-exchange individual networks AND on-exchange Covered CA networks,  or they will not be doing business with Anthem Blue Cross at all!

Double check with all your doctors in which networks they will be participating for 2015 before making a decision about your health insurance!  Listen to your Insurance Mom . . . mother knows best!…

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