Posted on 04/14/2014 7:25:02 AM PDT by Seizethecarp
In contrast with the early stumbles in most of the country, New York State, almost from the start, has provided a textbook lesson in how to make the Affordable Care Act work. But it has done so by making some tough decisions.
But New York also took some aggressive and unpopular steps that few other states have taken, by creating a highly centralized system limiting consumer choice, essentially giving insurance seekers little incentive to shop off the exchange.
As a result, most New Yorkers who are not insured through an employer are effectively barred from choosing any doctors or hospitals they want.
In an unusual decision that had a strong impact on consumer choices, New York required insurers to offer the same type of coverage on the exchange as off.
The result was that none of New York’s insurers offered out-of-network coverage for individuals, except in a small part of western New York, because they wanted to hold down costs and avoid being swamped by sick people. So regardless of whether individuals buy their plans on the exchange or off, they cannot get coverage outside a fixed network of doctors and hospitals, even if they are willing to pay more for it.
The most prestigious and specialized hospitals tend to take the fewest plans on the exchange. Memorial Sloan-Kettering Cancer Center, the renowned cancer hospital, takes only two exchange plans for individuals, Health Republic and Oscar.
The exchange also benefited from the state’s refusal to reinstate canceled plans when President Obama said it could; state officials said restoring the plans would have caused chaos by upsetting insurance pricing.
(Excerpt) Read more at nytimes.com ...
The "success," it turns out, is due to "aggressive and unpopular steps" taken by NY state administrators.
NY State resident victims, who have been personally screwed by Obamacare, aren't buying the "success"...and are begging to be rescued by "single payer" or Medicare for all, as is typical of progressives.
Only on a totalitarian single-party state with a complicit local media can the Dems hope to get away with this Obamacare abomination!
Red State and swing state Dem senators are toast...
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