ASA: Over 40% of Anesthesiologists Saw Contracts Terminated in Past 6 Months

[TheLoneWolf]

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ASA Survey Shows Health Insurers Abruptly Terminating Physician Contracts, Dramatically Cutting Payment Rates Forcing Physicians Out of Network

A new national survey from the American Society of Anesthesiologists (ASA) finds physician anesthesiologists are being forced out of network as insurance companies terminate their contracts, often with little or no notice.

www.asahq.org

Anyone had experienced this sort of thing?

 

[nimbus]

There’s this whole thread.

United Healthcare terminates Envision contract

If you don't know envision, Sheridan was acquired by amsurg in 2014. Amsurg merged with Envision two years later https://www.bizjournals.com/nashville/news/2018/04/11/health-insurance-giant-terminates-contract-with.html?ana=yahoo&yptr=yahoo

forums.studentdoctor.net

 

[deleted941485]

Seems like they are anticipating passage of BB legislation which will force these docs back to the table. We’re talking 40-60% of the previous rate.

 

[lane]

Seems like they are anticipating passage of BB legislation which will force these docs back to the table. We’re talking 40-60% of the previous rate.

They’re anticipating (and actively lobbying for) BB legislation that will tie OON rates to either Medicare or median in-network rates, so they’re actively pushing the in-network rates downward.

meanwhile they reported $13.8 billion in profit for 2019, and premiums/deductibles continue to rise.

It’s not about bringing docs back to the table. It’s about reducing the amount of money that leaves their pockets and will eventually find its way to yours, regardless of your current contract status.

 

[deleted941485]

They’re anticipating (and actively lobbying for) BB legislation that will tie OON rates to either Medicare or median in-network rates, so they’re actively pushing the in-network rates downward.

meanwhile they reported $13.8 billion in profit for 2019, and premiums/deductibles continue to rise.

It’s not about bringing docs back to the table. It’s about reducing the amount of money that leaves their pockets and will eventually find its way to yours, regardless of your current contract status.

Clearly they think this is in the bag.

 

[linkin06]

Hopefully that'll get PE and AMCs out of it, but sadly they may be here to stay. Fortunately, I believe the hospital subsidizes a chunk of my salary, but then again hospitals are always going broke too..

 

[lane]

Hopefully that'll get PE and AMCs out of it, but sadly they may be here to stay. Fortunately, I believe the hospital subsidizes a chunk of my salary, but then again hospitals are always going broke too..

The AMCs and PE have the resources (ie dollars, resources, and access) to fight it. The insurance companies and hospitals have no incentive to watch your back.

 

[deleted941485]

The AMCs and PE have the resources (ie dollars, resources, and access) to fight it. The insurance companies and hospitals have no incentive to watch your back.

Probably should be unwilling allies for the moment.