And I do not agree with timeframes for benefits to expire; to me, a solid set of parameters for them to continue needs to be developed, and then needs to be re-evaluated from time to time by professionals. My brother is on SSD, and they handle his case VERY efficiently.
I agree with this, but it needs to go MUCH further than that. Insurance companies use every loophole imaginable to NOT pay the provider, and to make it more difficult for the patient. These abuses must be addressed, and the fraud laws won't cover them. It's not fraud when the insurance company repeatedly tells you that you are sending the authorization to the wrong fax number... and they have 16 fax numbers. These kinds of abuses need to be regulated right out, with reforms that force the insurance companies to use some sort of standard or centralized system.I think instead of creating more regulatory conditions, we could just enforce fraud laws. Much of the inefficiencies today come from having so many compliance angles, this applies to both my field and the provider field as well. If.....say the HHS was the singular authority, but if you overcharge, double-dip bill, or misrepresent services then I see no reason why state financial regulatory authorities cannot simply have expanded capablities. In other words, I think we get it as far away from the feds as possible.
Most doctors I know that have left the field have left because of malpractice insurance costs, or poor or lack of insurance reimbursement. I haven't heard that regulations are the issue at all, these days.I don't know about that Cap. There were quite a few doctors who retired in La. to get insurance licenses around the late '80s and early '90s when the state regulations became too burdensome. There is only so much a professional can take before saying it isn't worth the trouble.
I don't, but you're right... we'll have to wait.We'll have to play the waiting game I guess, but I think this will be bad.
Staff shortages I absolutely agree with and I agree with CYA costs. I think regulatory compliance cost are problematic, but because they are not efficient or do not address the real issues. I'd like to see more regulation, but more efficient regulation... which would probably mean some regulations cut.Insurance companies vary in coverage models and customer models honestly, it's kind of like agents. When one company gets a bad satisfaction rating it makes all the news servers, but when a company gets it right we hear nothing, kind of like doctors, lawyers, and every other professional. Much of the insurance problem in health is twofold, it works similarly to auto insurance being the main problem, and as well, prices are skyrocketing through little fault of the actual service providers but as a direct result of staff shortages, regulatory compliance costs, and CYA medicine due to tort abuse.