Monday, November 12, 2007

Need to Organize

The article in a recent Courier Journal http://www.courier-journal.com/apps/pbcs.dll/article?AID=2007711080428 shows once again the ongoing battle between physicians and insurance companies.

The Northern Indiana communities described here have the best chance to negotiate with Anthem because they have a unified group of physicians.

We are in a unique position in southern Indiana and if we could develop a primary care network of physicians who practice only in Southern Indiana, we could significantly improve our contracts with third party payers.

There is currently not a single insurance company that could legitimately offer a plan to any major company in the Louisville metropolitan area if they did not have primary care physicians in their network from Southern Indiana.

The goal for primary care physicians over the next few years is to integrate into a health network that is able to negotiate for all of the physicians in the network.

If Floyd and Clark County hospitals would assist in this endeavor, it would help facilitate a stable patient base for their hospitals and build better relationships with the doctors who bring them patients.

Independent practices and physicians are continuously being picked apart by these large 3rd party payers.

Access for patients will become a bigger problem if we do not become proactive amongst ourselves and establish our own Southern Indiana Health Network

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3 Comments:

Anonymous Anonymous said...

And if you are successful in helping the medical community, just what can I expect to happen to my medical insurance premiums?

11/12/2007 11:06:00 AM  
Anonymous Anonymous said...

In the grand scheme of things, southern Indiana physicians represent a fraction of a percent in expenses for these insurance companies.

Your premiums will go up whether this occurs or not. The corporate profit and stockholders demand it.

11/13/2007 08:42:00 AM  
Anonymous Anonymous said...

What insurance companies are most physician friendly at the current time? And why? that is to say, what do you judge to be the criteria by which you judge the insurance company and can you list by descending order the criteria of importance? I am curious because as a consumer who "shops", I don't want to enroll into a plan that might be dropped at a later date by a phyisician.

11/13/2007 09:10:00 AM  

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