Quote:
Originally Posted by GpaVader
The Villages Health does accept commercial insurance, but they have a limited amount of space for it since they mainly see Medicare Advantage members. ... remainder snipped....
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It's not a matter of "space" per se. It is a matter of economics, of cost structure. Every kind of insurance pays the practitioners on certain scales. Medicare Advantage has its own payout scale, which is not appealing to some practitioners.
TV Health built it's network of practitioners specifically for those willing to work within the Medicare Advantage payout scale. I am not a practitioner, and have never played on on TV, but it seems to me that Primary Care partitioners are on the lower end of the Medicare Advantage payout scale and are therefore in short supply within TV Health. Specialty practices have other ways to supplement income and are better able to flourish in the system that accepts only Medicare Advantage. So, like all businesses, we end up with a network that is economically weighted toward a mix of people willing to work within certain income ranges.
Many thanks to Champion6 who created the Primary Care Groups document. It is very helpful.