Insurance Carriers Are Contractually Obligated to Include ALL Doctors and Facilities as In-Network When They Negotiate with a Hospital System.
In Other Words... Within their Set of In-Network Hospital Systems, Health Insurance Carriers Want to Steer Patients to the Best Doctors and the Best Facilities... BUT, Hospital Systems Block Them from Doing That with in their PPO Contracts.
A Blue Cross Executive Even Said 'Directing Patients' is a More Important Issue in PPO Contract Negotiations than Reimbursement Rates.
However, There IS a Solution:
Employers CAN Steer Their Plan Members to Particular Doctors and Hospitals.
For Example, Walmart Created Their Own Steerage Tool to Find the Best Doctors without Their Insurance Carrier.
Sources: [ Ссылка ], [ Ссылка ], [ Ссылка ] [ Ссылка ]
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