Talk of The Villages Florida - View Single Post - The Villages Regional Hospital?
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Old 05-22-2015, 02:38 PM
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Quote:
Originally Posted by blueash View Post
Simple answer to complex question, but

1. Doctors in areas outside of where the insurance company provides services may not be eligible to join as an in network doctor.

2. Each carrier has its own complex rules for management, formulary, network of labs and consultants, thick contract, rules for claims submissions and appeals, emails, program updates that the doctor must read to stay in compliance. Why would a doctor spend the time and money to join a network when there will be so few patients with that insurance? The tiny incremental increase in patients seen is simply not worth work involved in being accepted then following all that particular carrier's rules. Some would suggest we should go to single national health insurance as an option to get beyond this problem.


I can say this. It isn't any of the doctors I know who are suggesting that.
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