Logic Insurance, Insurance Companies Create Narrow Networks - Regarding the article “Surprises in Health-Law Bills” (U.S. News, June 12), the insurance companies create narrow networks and sell these as affordable insurance.
When the limited number of the in-network physicians cannot take care of all the patients, some patients will be seen by out-of-network physicians. Then populist bills force doctors to accept the fees that they didn’t accept by a contract.
This cynically plays into the hands of the insurance companies. Now they will only have to set up a narrow network with the lowest possible rate, and this will define the fees for everyone. This is akin to forcing star lawyers to accept the fees of colleagues with less experience or to make an airline accept the lower ticket prices of another airline flying the same route. (Insurance company article source and author: Zoltan Trizna, M.D., Ph.D. - Austin, Texas)
Insurance Companies Create Narrow Networks
Never mind that there aren’t enough doctors in the networks or some specialties are underrepresented. Never mind that many doctors don’t participate in such networks because they would be paid less than what “customary” charges are.When the limited number of the in-network physicians cannot take care of all the patients, some patients will be seen by out-of-network physicians. Then populist bills force doctors to accept the fees that they didn’t accept by a contract.
This cynically plays into the hands of the insurance companies. Now they will only have to set up a narrow network with the lowest possible rate, and this will define the fees for everyone. This is akin to forcing star lawyers to accept the fees of colleagues with less experience or to make an airline accept the lower ticket prices of another airline flying the same route. (Insurance company article source and author: Zoltan Trizna, M.D., Ph.D. - Austin, Texas)
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