A big problem for health plans. Some providers won't play the managed-care game.
Lost in all the criticism of HMOs for their decision to abandon many Medicare managed-care markets is a core problem: Many providers are unwilling to join networks serving that population. Hospitals and doctors say they can't offer services to seniors for the low reimbursements from Medicare + Choice and stay solvent. As a result, plans are lobbying Congress for payment relief.
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D000368:Aged; D006279:Health Maintenance Organizations / Q000191:economics* / Q000639:trends; D006761:Hospitals / Q000639:trends; D006801:Humans; D020398:Medicare Part C / Q000706:statistics & numerical data* / Q000639:trends; D010820:Physicians / Q000639:trends; D011907:Rate Setting and Review