In one closely watched case, Seattle Children’s Hospital has filed suit against Washington’s insurance commissioner after a number of insurers kept it out of their provider networks. “It is unprecedented in our market to have major insurance plans exclude Seattle Children’s,” said Sandy Melzer, senior vice president.A number of the nation’s top hospitals — including the Mayo Clinic in Minnesota, Cedars-Sinai in Los Angeles, and children’s hospitals in Seattle, Houston and St. Louis — are cut out of most plans sold on the exchange.
This will sound very familiar to anyone who remembers the backlash against HMOs in the 1990s. Then, as now, people react very aggressively to have limitations put on health care choices. Rate shock could ultimately been less politically explosive than doc shock. This is one reason we believe the ACA may have long term consequences for liberalism: the current problems the law faces are not one-off challenges, but the first of several waves that will hit again and again over the next year. Obamacare’s worst days could still be ahead of it.