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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]The Carefirst post sounds pretty harsh. Really hope they work it out.[/quote]

Harsh? It sounds rather calm and measured. I hope they take Hopkins down. I don’t particularly care whether it’s through private insurance companies or a move to a single-payer system, but someone needs to get health care costs under control.[/quote]

“Take Hopkins down”…so you’d rather everyone suffer a discontinuity of care? I am also for a single payer system and MD is probably one of the closest use cases to it with its all payer rates that you’d see and this is still happening. I also find it disingenuous that Carefirst says they’re a not for profit company in the very beginning and suggests you call their member services who I find less than helpful most of the time. [/quote]

Discontinuity of care? Find a new doctor. What would you do if your doctor moved away or retired? Surely you don’t expect insurance companies to write health care systems a blank check.

And fwiw, Carefirst was spectacular when we had a very expensive traumatic medical emergency. I remember being worried when they assigned a case manager to us, figuring it was their job to try to limit follow-up services. Instead, that case manager was incredibly helpful at identifying in-network providers, and personally made sure claims and prior auths were handled quickly. They even waived copays. That didn't end up being a ton of money, since we were within $500 of our out-of-pocket max, but I still appreciated it. [/quote]

you are not too smart if you don't realize there is NO NEED for this kind of complexity in healthcare.  how do other countries do it? why does US healthcare need to be so complicated?  oh, i know - so that there is a huge layer of insurance companies and their lobbyists get their share.  [/quote]

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