Of course I understand Doctor paneling..... in fact, I have a picture to prove it:
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But you really a squirming in your retorts. You don't seem to understand how this works. The fundamental precept of Obamacare is the establishment of marketplaces to sell insurance products. Many of these products are offered by companies that have existing networks. Doctors and hospitals do not have to opt in or opt out. They are either in a network or not. If the Obamacare product subscribes to the market (and that is usually on an insurance company by insurance company basis), they are "in" Obamacare through no choice of their own. There are no specific requirements of the provider placed on them by the ACA.... The US News Article is simply saying that many of the top hospitals are not in the networks of the companies currently offering the plans on the exchange. It is move of a commentary on the insurance companies that are participating in the ACA. The article never implies that the hospital or provider opted in or opted out (because they did not). The title of the article is misleading, as no where in the text does it say that the providers opted out (it only says it in the title)
http://health.usnews.com/health-new...2013/10/30/top-hospitals-opt-out-of-obamacare
The market is immature. You really can not speculate on where it is going to go. Not all insurance companies are participating; some are participating and offer "lite" products to keep the product cheap. The current thrust of the marketplace is to sign up those that are uninsured because they can't afford insurance or do not think they need it. Accordingly, low cost products are the first to market. Long-term, however, the marketplace will inhabited by
all individuals seeking health insurance (including those that can afford premium policies) as well as most small businesses. It will be a robust marketplace with lots of products. The marketplace is not just Baltic and Mediterranean.
It is silliness to unintelligent to gauge the entire market and and the success of the program based on a snapshot of an immature market 30-90 days into the program. The almost identical program works very well in MA.
yes, I do want this to succeed. It is my country's best effort at establishing health care for all of its citizens. It is long overdue and generations in the making.
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I am sorry you see fit to want America to fail and wanting it with such passion that you need to over analyze the events of each moment. That kind of analysis does not work in managing investments nor starting a business. Its just foolishness.