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  • Hobby Lobby wins Supreme Court case, can opt out of mandate July 23, 2014
    The Supreme Court ruled in favor of Hobby Lobby and against Obamacare mandates.  They decided that the government cannot force employers to violate their religious beliefs.  Christian corporation Hobby Lobby did not want to have to cover certain types of …
  • Hundreds of Newborns to have Genomes Sequenced July 21, 2014
    Genome sequencing would not replace the newborn screening tests most states require. They are researching if sequencing is better than regular screening at detecting genetic disorders, immune function, as well as metabolic disorders. Researchers believe that cataloguing a newborn’s genome …
  • VA Seeks Help from Corporate Healthcare Giant HCA July 18, 2014
    The Department of Veteran’s Affairs has recruited the Chief Medical Officer of hospital giant HCA, Dr. Jonathan Perlin, to help them find solutions for all the problems of their mismanaged system. Dr. Perlin is known for being a leader in …
  • The Trap Known as Health Insurance July 16, 2014
    The cost of health care is on the rise and is continuing to grow exponentially. One of the biggest factors to this cost is health insurance. Third parties don’t care about quality or affordability. They are spending your money for …
  • Current Health System Provides No Privacy for Patients July 14, 2014
    Dr. Deborah Peel has advocated for patient privacy for over 20 years.  She explains to the tech community how breaches in computer systems using electronic health records destroy privacy.  When patients are in control of their own money and move …
  • Is There a Link Between Saturated Fat & Heart Disease? July 11, 2014
    For the last several decades, we have been taught that saturated fats in butter, cheese, and meat are dangerous for your health. The truth is that this has never been proven. Countries that have high fat diets do not have …
  • Wellness Health Check – July Special July 7, 2014
    Men and Women’s Health Check Blood Tests for $99! (Retail is $800) This is a good way to be proactive and keep up with your health and that of your loved ones. Women’s Test includes: The Comprehensive Wellness Panel(CWP) is …
  • Physicians’ Declaration of Independence July 4, 2014
    by Richard Amerling, MD A physician’s responsibility is to the patient. To protect the patient-physician relationship, payment should be decided between these two parties, assuring all information is kept confidential. Involving third parties is destructive to the patient-physician relationship. Physicians …
  • Ralph Weber: Healthcare with Transparency in Quality & Pricing July 2, 2014
    MediBid helps patients find the best treatment solution for them at the best quality and price. Physicians set their own prices and this transparency allows for competition. MediBid started as a means for Canadians on waiting lists to get timely …
  • Steps to Increase Price Transparency June 30, 2014
    Summary by The Market Institute The Center for American Progress recently published a brief detailing their opinion on how hidden health care costs are hindering market competition and ultimately making healthcare expensive for consumers. Unlike almost every other scenario in …
  • How Obamacare Affects the Affordability of Your Medical Care June 27, 2014
    Those who do not get health insurance from their employers or Medicaid/Medicare find their premiums increasing, some states more than others. While some people will be eligible for Obamacare tax credits, many will still have to pay these premium increases …
  • Canada needs a prosperous Ontario June 27, 2014
    Ontario’s poor economic performance is dragging down Canada’s economy.A Fraser Institute study, Can Canada Prosper without a Prosperous Ontario?, examines Ontario’s shift from the economic engine of Canada to a “have not” province that received $3.2 billion in equalization payments …
  • Why Coconut Milk Might Not Be Your Friend June 25, 2014
    Those following a Paleo diet get most of their fat from coconut milk. Coconut milk is great for making smoothies. Canned coconut milk may contain BPA, a chemical which can leach out of the metal and into acidic foods, such …
  • Increasing Cost of Medical Care Can Make You Sick June 23, 2014
    At the onset of an illness or serious injury, Americans are finding the costs too much to bear – even when they have insurance. Medical expenses are the biggest financial burden in American households today. Nearly 50% of Americans cannot …
  • Natural Alternatives for Sun Protection and Sunburn Treatment June 20, 2014
    With summer activities in full swing, many of them outdoors, it is important to remember to protect your skin from the damaging effects of the sun. Some exposure is beneficial, and can cause your skin to produce Vitamin D. Vitamin …
  • Your HSA Can Double as an IRA June 18, 2014
    Some Americans are supplementing thier retirement funds with a Health Savings Account. People with a high-deductible insurance plan can have an HSA to cover future medical expenses. There is a penalty to withdraw this money for nonmedical reasons, yet after …
  • OMTEC 2014 – The Past, Present and Future of the Implant Market: A Surgeon Inventor Perspective June 17, 2014
    What does the future hold for the orthopaedic implant market? Dr. Robert S. Bray, Jr., a globally recognized spine surgeon, entrepreneur and inventor, provides a look at the industry past and present and answers the question: How will the development …
  • Real Illness or Not? June 16, 2014
    by Sue Redmond Should Doctors prescribe for a “non-disease”? Infants spit up.  Many on a daily basis (some studies show as high as 40-70%).  Just one of the reasons may be that they drink a large volume of liquids and …
  • How Obamacare Impacts Small Businesses June 13, 2014
    Cost increases due to Obamacare will be sharp and immediate for small businesses. As they renew their group health plans, they are discovering an onslaught of new regulations which will also affect their future hiring and business growth. Over 60% …
  • B12 deficiency: a silent epidemic with serious consequences June 11, 2014
    Symptoms of B12 deficiency include: Alzheimer’s, dementia, other memory loss MS and neurological disorders mental illness (depression, anxiety, bipolar) heart disease learning disorders in children autism spectrum autoimmune disease cancer infertility   B12 deficiency is quite common, more so than …

10 Ways Obamacare Limits Patient Choice

We know that the ACA or obamacare severely limits choice, and increases costs. MediBid does the opposite. We increase choice, and lower cost. For increased choice, and lower costs, visit MediBid and give us a try.

10 Ways Obamacare Limits Patient Choice.

Ten Ways Obamacare Limits Patient Choice

In the wake of the Supreme Court’s ruling on Obamacare, Americans should remember that higher taxes are not the only negative consequence of the law. Obamacare limits patient choice through expansive federal regulation of the insurance market, government interference in the decisions patients make with their doctors, and increased dependence on government health programs.

Obamacare limits patient choice either directly or indirectly in a variety of ways. Here are just 10 Obamacare provisions to be aware of.

1. “Free” Preventive Services

Obamacare requires health plans to cover all preventive services ranked A or B (recommended) by the United States Preventive Services Task Force and does not allow them to share these costs with policyholders. This means that all patients will be forced to pay for this coverage through higher premiums. This additional expense will mean that some patients miss out on the coverage they actually need. As health policy expert Scott Gottlieb explains, “Many services that get ‘Cs’ or ‘Ds’—such as screening for ovarian or testicular cancer—could get nixed from coverage entirely.”[1]

2. “Free” Women’s Preventive Services

Obamacare creates additional preventive care coverage requirements for women, which, like other benefit mandates, means that women are prevented from choosing health plans that suit their needs and reflect their values. These provisions require Americans to pay for products such as the full range of contraceptives, including abortifacient drugs, even if they object as a matter of conscience.[2]

3. Essential Health Benefits Package

Obamacare requires health plans to cover whatever benefits are deemed essential by the Secretary of Health and Human Services. As Heritage expert Ed Haislmaier explains, “The new federal benefit requirements represent a blatant assertion that Congress and federal bureaucrats know best how to design health insurance policies. The effects will be one-size-fits-all coverage—so that patients are not ‘confused’ by having choices—and elimination of employers’ freedom to design their own self-insured plans.”[3] Special-interest groups will most certainly lobby for inclusion of generous benefits, and the more expansive the “essential” benefits package becomes, the more it will cost. The coverage “floor” will become the ceiling, and Americans will have fewer options.

4. Medical Loss Ratio (MLR) Requirement

Health plans with health savings accounts (HSAs) give consumers more power over their health spending, which explains in part why enrollment in these plans grows every year.[4] But MLR ratios—which require insurers to use a certain percentage of premium revenue on medically related costs—threaten this popular option. One reason is that, since HSAs often cover most or all of participants’ routine medical expenses, the claims that a high-deductible health plan experiences are larger and may fluctuate significantly from year to year. According to one study, “For high-deductible and HSA plans to be viable, both from a consumer and carrier perspective under [Obamacare], an adjustment to the MLR formula for the impact of HSAs may be necessary.”[5] Otherwise, HSA plans may disappear, robbing consumers of an attractive and popular option.

5. Independent Payment Advisory Board (IPAB)

Obamacare creates a board of unelected bureaucrats to implement ways to keep Medicare spending below a new cap. The board is limited mostly to changing provider payment rates, but reducing reimbursement will make it more difficult for providers to continue to care for Medicare patients. IPAB will also be empowered to contain costs by restricting access to certain treatments or services. Though the statute authorizes IPAB to “protect and improve Medicare beneficiaries’ access to necessary and evidence-based items and services,” this directive can be used to justify restricting access to care that the government does not consider necessary or evidence-based for most patients.[6]

6. The Patient-Centered Outcomes Research Institute

Obamacare creates this entity to advance comparative-effectiveness research (CER), which compares treatment options for a disease or condition. CER might be useful to doctors and patients in a purely informational role, but it should not be used to influence decisions without consideration of each patient’s values, lifestyle, preferences, and goals. Obamacare will allow CER to be used by government to restrict choice through a one-size-fits-all approach to medicine.[7]

7. Medicare Value-Based Purchasing

Obamacare creates a Medicare value-based purchasing program to pay hospitals differentially based on their performance on federal quality measures. This model has not proven effective in demonstration programs, and it could, in fact, discourage high-quality, personalized care. For example, value-based purchasing could lead providers to focus more on care that is financially rewarding than on the needs of individual patients. In some cases, this may mean giving preference to ineffective or even harmful care.[8]

8. Medicaid Expansion

Medicaid, the federal–state program that provides health care for the poor and disabled, often fails to ensure timely access to appropriate care because of low reimbursement. Obamacare will add at least 17 million Americans to the program, exacerbating Medicaid’s existing problems. More patients will be subject to the limited access to providers experienced by current Medicaid beneficiaries, reducing choice of physicians for current and new enrollees.[9]

9. Medicare Provider Payment Cuts

Obamacare cuts Medicare spending by about $400 billion by using one of the most damaging cost-containment mechanisms: reducing provider reimbursement rates. As payment for provider services falls, seniors will find fewer doctors and other providers who accept Medicare. The Medicare actuary predicts that reductions in provider payment rates under Obamacare will lead to 25 percent of hospitals, skilled nursing facilities, and home health agencies operating in the red by 2030.[10]

10. Medicare Advantage Cuts

Obamacare cuts payments to health plans in Medicare Advantage. This popular and successful program allows seniors to receive Medicare benefits through a private plan of their choice. But the cuts will force seniors to either pay more in premiums or receive fewer benefits. The Medicare actuary projects that enrollment in the program will be cut in half as seniors’ options become limited and they are forced back into traditional Medicare.[11]

Health Care Reform: Empowering Patients or Government?

Many of the problems in health care today can be traced to the disconnect between patients and decisions that affect their care. Health reform should reverse this and put patients back in charge. But Obamacare does the opposite and gives more power to the government rather than individuals and families. The impact of the health law on patient choice is just one of the many reasons Obamacare should be repealed.

Kathryn Nix is a Policy Analyst in the Center for Health Policy Studies at The Heritage Foundation.



At MediBid, we restore market forces to medical care. Doctors get to set their own rates based on their training, experience, and outcomes, and patients get to shop for medical care across state lines and international borders. Many times with MediBid, you will find procedures that are more effective than procedures allowed, or covered by health plans. Transparency and competition are the only way to achieve reasonable costs. Many of our employer clients offering group health insurance through MediBid save $5,000 per employee per year. Those are substantial savings. Patients are saving an average of 48% vs. insurance discounted rates, or 80% vs. retail. Contact us for more information.
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