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When Doctors Compete You Win



P


oliticians love to talk         relievers until his problem is so 
about the rising cost of        bad that he misses work and       
healthcare. If the trend or     requires more expensive           
rising prices doesn’t change, the     interventions such as physical    
implications for consumers and        therapy, potentially dangerous    
the economy could be devastating.     prescription pain killers or even 
While many government-imposed         surgery. Or, instead of being     
solutions are promoted every          able to go to the family doctor   
elections cycle, maybe it’s time      on a regular basis and prevent    
to allow the free market to have      potential problems, families end  
a chance.                             up waiting until a full-blown     
The 1990s ushered in Managed          crisis arrives requiring          
Care, which was supposed to           significant medical help and      
control the cost of health care.      expense.

                      
Insurances networks were to keep      

It’s obvious that the current  
prices down by controlling            system favors insurers’           
providers. Sadly, what actually       short-term financial objectives   
happened is that health care          over the long-term health and     
costs have continued to rise at       well-being of consumers.          
staggering rates while limiting       Experience has shown that         
consumers’ choices and                insurers will change provider     
diminishing the quality of care       networks routinely to reduce      
they receive.

                     costs while premiums continue to  

By limiting consumers’ choice      rise. Again, the end result is    
of providers, insurance companies     less care (quality and quantity)  
actually discourage people from       and higher premiums. Yet,         
getting the care they need when       politicians of both parties       
they need it. Instead of going to     continue to promote insurance as  
his own chiropractor, dad just        the only solution to the health   
might take over-the-counter pain      care crisis.

                  



With little fanfare, doctors       party re-imbursement structure    
are starting to run their             that limits their ability to      
practices more like a business        practice and serve their clients  
and showing a real willingness to     effectively. While some providers 
compete for your business. This       choose to remove themselves       
competition is taking place on        entirely from the insurance       
several levels. Some offer            “game”, others are choosing to    
affordable financial plans and        opt out of networks in order to   
fees while others specialize in a     provide quality care while        
limited scope of services.            allowing their patients to use    
Medical Homes of America              their insurance benefits. Either  
(www.goprivatedoctor.com) based       way, these providers often choose 
in Georgia offers unlimited care      to accept somewhat lower          
at a low annual fee, which            compensation than to give less    
enables their clients ready           than quality care.

            
access to routine medical care.       

So, why don’t insurers         
Regitz Chiropractic                   participate in free market        
(www.regitzchiro.com) in              solutions to lowering health care 
Lancaster, Pennsylvania offers a      costs? Well, one reason might be  
“box-on-the-wall” practice where      that our national addiction to    
practice members determine the        insurance is fed by fear of       
fee that is appropriate for them      rising costs and the potential    
and their family Medical boutique     for financial devastation should  
practices have sprung up all over     a health crisis ever occur. Many  
America offering specialized          Americans take low paying jobs    
services from plastic surgery to      simply to provide health          
laser eye surgery.

                insurance for their family.       

In short, doctors of all           Another reason might be the       
stripes are growing tired of the      misconception that insurers can   
hassles of dealing with a third       control costs by pressuring their 



network of providers. And while       professional practice, the best   
they may lower what they pay          first step is to contact your own 
their network providers, they end     representative. Tell them you     
up shortchanging the people who       want more competition in the      
pay their premiums.

               health care marketplace. Support  

Given all this, how can            “any willing provider” statutes   
competition alter the course of       in your state. Support            
health care in America? Fewer         legislation that removes barriers 
restrictions by states on how         to pricing by health care         
health care providers can             professionals. Tell your employer 
establish their fees would give       that you want access to any       
consumers more choices in how         licensed practitioner with your   
they pay their doctor.                health insurance policy. Finally, 
Professional groups generally         be responsible for your own       
oppose this because doctors don’t     health. Choose a policy that      
like to compete for your              gives you maximum control over    
business. Insurance companies can     your own health care decisions.   
participate in this revolution by     And, choose the provider you want 
adopting an “any willing              before the need arises. Discuss   
provider” posture. As long as a       their fees, policies and          
provider is licensed in a given       philosophy of practice.

       
state he/she is presumed to be        

Competition always lowers      
competent to practice. This one       costs and improves service. Look  
change would foster a level of        for ways to make your doctor be   
competition and service not seen      better. You’ll be glad you        
in decades.

                       did.

                   

What can consumers do to help                                        
these changes happen sooner?           Since state legislatures              type="text/javascript">              
                                                                        
google_ad_format =               "728x90_as";                          type="text/javascript"            
                                                                        
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                                      tion.com/pagead/show_ads.js">     
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About the Author:

Tim Langley is a chiropractor, economist and business owner. His practice, Langley Chiropractic Office is located in Marietta, Georgia is home of "The Membership Practice" which lets his clients limit the upside financial risks of chiropractic care. http://www.langleychiropractic.com

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