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dcdave3605 t1_itvt544 wrote

Would love to see the actual agreement reached. If it's just a simple agreement for additional payment to JHH an overall increase will be passed onto the consumer through Premium increases during next year. Carefirst already pays higher reimbursements overall, when compared to the other large insurers in the state.

Hopefully there are some cost controls built in to mitigate passing it on.

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ninja_natalia t1_itvxqrt wrote

Don't worry, there won't be. There is almost zero regulation on insurance premiums in this country. Ultimately, people insured with CareFirst are still fucked just in a different way.

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RevRagnarok t1_itwbsdo wrote

> Carefirst already pays higher reimbursements

I was under the impression of the opposite, which is why my previous dentist dropped them...

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dcdave3605 t1_itxws7a wrote

Health insurance is what the article is speaking of. Dental is a whole other ball game. I imagine no dental insurance is paying sufficiently in the eyes of a dentist.

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RevRagnarok t1_ityxdnj wrote

Sure, but I thought that was also Hopkins' original claim/complaint.

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fuckmethisburns t1_itxovmy wrote

Carefirst pays LESS then others a LOT less...

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dcdave3605 t1_itxxvj4 wrote

In my experience when Carefirst is specifically providing insurance coverage and Not just Administration of claims for a benefit program , it pays more.

Cigna, Aetna have been significantly lower payer amounts.
Personally I've had jobs with various insurers and have found carefirst the most expensive, biggest network, that paid the most for claims. Aetna has been the narrowest network, cheapest premium and decent payment to providers. Cigna was expensive and they didn't pay much out. But alot of this is dependent on what the company benefit plan rules are, so there is too much variation.

My prior career, the doctors I worked for and the billing I saw showed a higher payment consistently from carefirst of Maryland and most of the carefirst bluecross blue shield PPOs out there. The exception being Anthem...which paid very little.

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