From Megan McArdle at Bloomberg. She seems to understand both the economics and the politics of the situation better than most and writes about it in a clear and understandable fashion.
“So even if narrow networks actually were better, people would resist them. And they’ll fight with every fiber of their being when you tell them to take their kid with leukemia to a community hospital rather than the top-notch children’s hospital nearby. Expect the fight over doc shock to be bitter and long — and to end when insurers cave and start adding pricey doctors back to their networks.”…
Regulators could stand firm against that pressure, on the grounds that however annoying narrow networks are, they’re the necessary price we pay for lower premiums. But it sounds like some of them are already caving, which probably means that the ultra-narrow networks you see on many exchanges will not be long for this world. Which in turn means that you should expect to see higher premiums next year.
Despite the manifest problems and outright failures of the ACA there are some in dentistry who lament the fact that dentistry was largely left out of the deal.
Related from Tammy Bruce:
One guy ruined the plan after he purchased health insurance on the California exchange and then had the gall to call doctors to set up an appointment. His temerity drove him to call every doctor listed as in-network, and none of them were.
In the normal world, this would be called “fraud.”…