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Originally Posted by CFrance
So why say anything at all? I know that when people complain about a company/doctor/dentist, etc., others chastise them for not naming who they're talking about. IMO, this is a similar situation.
If you know something, say something. I think you should tell these people why they should or should not fill out the surveys, based on what you know.
And if you know in advance you can't give an explanation, then maybe don't say anything at all. JMO
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Quote:
Originally Posted by Villageswimmer
Seriously?
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Yes, seriously, and no, this is not a know something say something situation, not without betraying a longstanding friend. Also, I didn't want to write a book, but now.......
First of all, NO ONE, NOT ONE PATIENT was "booted" out of TVH. They made a change in the insurance they would accept, and now YOU, THE PATIENT had a choice. You could keep your primary care doc and change to UHC MA, or you could change your doc. YOU COULD NOT HAVE BOTH. This is the same choice millions of Americans have EVERY January 1st, as providers decide which insurers they will continue to accept, and insurers decide which providers they will keep in network. This was not done as a personal affront to Villagers, it was a business decision. For those people who had a supplemental policy as a retirement benefit, there was a financial reason to leave.
The second problem was the misperception that the UHC MA plan had an extremely limited panel of specialists. This was simply not true, with over 20,000 doctors in network and over 150 hospitals. Shands and Moffitt are NOT in network, but there is nothing special that cannot be obtained in network. Also, the insurers are generally very liberal with approving out of network referrals with a good reason and a call from the primary care doctor. If you were already under treatment by a provider out of network, it would almost universally be approved. IMHO, many jumped to conclusions regarding UHC MA and specialty availability.
Third, someone posted that TVH is losing "millions". I'm not sure how this person would know that, I certainly don't. However, they are building a new primary care center at Brownwood and actively recruiting doctors, so that doesn't sound like they are cash poor.
Fourth, I got the same letter, although mine was a thank you for staying with them and an invitation to participate in the survey. I doubt the purpose was to change direction and start accepting traditional MA again; I'm not sure they could if they wanted to depending on the terms of the deal that was made