Direct Care Is Actually Affordable. Direct Care Is Actually Care. Something The ACA Wishes.

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When Blue Shield of California was designing the new health plans it would offer individuals under the Affordable Care Act (ACA), the insurer made a simple request to doctors and hospital in its network — lower your prices or get left behind. The insurer asked providers to accept reimbursement rates as much as 30 percent lower than what Blue Shield previously paid through plans sold on the individual market. Keep in mind that billing through a third-party-payer is about to multiply tenfold in complexity (from ~15,000 to +155,000 billing codes with ICD-10), meaning that getting paid will require more work for fee-for-service docs. In fact, providers are attending training seminars, paid for out of pocket, to learn how to deal with this billing beast.

Some providers got on board with Blue Shield, but not all of them.

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American Healthcare Deception Starts And Stops With Insurance

Dr. Sandeep Jauhar, M.D. posted a powerful blog entry on the New York Times website. He describes the ideal doctor-patient relationship, a place where intimacy transpires and information is exchanged openly and honestly. But he adds a caveat: “That is seldom the reality… Deception in the doctor-patient relationship is more common than we’d like to believe.”

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Direct Care Docs Left The Healthcare Blues Behind. Then John Stewart Sang Them.

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If you’re in the mood for a good laugh, check out this comedy round-up from The Atlantic. At the 1:30 mark, John Stewart decries Obamacare and its endless woes with a montage of politicians determined to save the monstrosity. You won’t believe how many times various proponents have uttered the phrase “Fix it. Don’t nix it.” in front of a camera. Is this our government’s way of fixing healthcare? Rhyming idealism? To be fair, we are visionaries, too. But as direct care practitioners, we spend less time trying to make our desires rhyme, and more time just making them a reality.