Give the Poor Insurance Companies a Break


In another example of this administration doing whatever ever they want with the Affordable Care Act it was found recently that “health insurers that sell plans on the federal marketplace may not face ‘enforcement remedies’ in 2017 if they fail to follow all of the rules around consumer complaints”. It goes on to say that several large insurers have exited ACA marketplaces, and the remaining companies “likely will absorb the members who will lose their coverage.” CMS explained this “scenario ‘may present temporary operational challenges’ that prevent exchange plans from meeting all federal standards, specifically those related to ‘consumer casework.’”  In other words, not only will the price tag hurt you but your complaints mean nothing if the plan sucks.  Let me get this straight?  The administration can pick apart this LAW anyway they want so that it works to their (and the insurer’s) benefit?  Why is there no repercussions for these actions?

Douglas Farrago MD

Douglas Farrago MD is a full-time practicing family doc in Forest, Va. He started Forest Direct Primary Care where he takes no insurance and bills patients a monthly fee. He is board certified in the specialty of Family Practice. He is the inventor of a product called the Knee Saver which is currently in the Baseball Hall of Fame. The Knee Saver and its knock-offs are worn by many major league baseball catchers. He is also the inventor of the CryoHelmet used by athletes for head injuries as well as migraine sufferers. Dr. Farrago is the author of four books, two of which are the top two most popular DPC books. From 2001 – 2011, Dr. Farrago was the editor and creator of the Placebo Journal which ran for 10 full years. Described as the Mad Magazine for doctors, he and the Placebo Journal were featured in the Washington Post, US News and World Report, the AP, and the NY Times. Dr. Farrago is also the editor of the blog Authentic Medicine which was born out of concern about where the direction of healthcare is heading and the belief that the wrong people are in charge. This blog has been going daily for more than 15 years Article about Dr. Farrago in Doximity Email Dr. Farrago – [email protected] 

  3 comments for “Give the Poor Insurance Companies a Break

  1. Pat
    September 26, 2016 at 9:48 am

    The larger, much scarier conclusion is what we’ve seen play out since ’09: this administration does whatever it wants, using the law when convenient, ignoring or even proudly flouting it otherwise. They have been given cover by a friendly media, and permission by a needy, moron public. The administration’s supporters do not care whether the law is followed, as long as they win, and the feckless would-be opponents in Congress self-neutered years ago for fear of being called racists. This is Rome 2.0 and Big Insurance is just getting it while it’s good, laughing in the stands while the lions are picking shredded physician out of their fangs.

    • politovski
      September 26, 2016 at 5:13 pm

      This is certainly not a new thing, with good precedent dating back many decades. All of this is a continuation of the prior administration’s friendly attitude toward big insurance, and their overall health plan: Don’t get sick or die quickly.

  2. Perry
    September 26, 2016 at 9:24 am

    Yeah but docs will damn well get penalized. Funny, we take the smallest piece of the reimbursement pie, but we get creamed the most.

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