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Strategies & Market Trends : Waiting for the big Kahuna -- Ignore unavailable to you. Want to Upgrade?

To: GROUND ZERO™ who wrote (90864)	10/26/2009 7:58:11 PM
From: puborectalis	4 Recommendations Read Replies (1) \| Respond to of 94695

You shut up. "Selling insurance across state lines raises one more issue Republicans tend to ignore. Insurance companies keep costs down by using their volume-based bargaining power to make agreements with doctors, hospitals and other healthcare providers to get lower rates than any individual buyer could ever achieve. But insurers operating from one state may have a difficult time, on their own, bargaining in states where they have relatively small market presence. It is unlikely that an insurer could ever get a doctor or hospital in Massachusetts to agree to the same fee schedule that is acceptable in Idaho. Even Medicare, the largest single "player" in the healthcare market, hasn't figured out a way to pay the same reimbursement rate to all health care providers across the country. It would seem like the only way for insurers to offer cheap insurance across states lines would be to offer less comprehensive and effective coverage--which, if this proposal goes through, is exactly what would happen."