News Headlines Article

Doctors, insurers at odds on rates
Monterey Herald

Lowering costs by forcing doctors and insurers to compete for millions of new patients is a primary goal of the nation’s new health care law, but a group of gastroenterologists in the San Francisco Bay Area and internists near Chico are exposing a fissure in that plan.

There often aren’t enough doctors to go around.

In parts of the state, the shortage of doctors participating in California’s new insurance exchange is providing new leverage for medical providers to hold out for higher reimbursement rates from big insurance companies. And as a game of chicken unfolds behind the scenes between two powerful groups that are key to the law’s success, the insurers are often caving in to the doctors, raising concerns that the trend could catch on and drive up the price of health insurance premiums on the exchange.