This current model of big pharma/doctor medical complex cannot continue. We need to revert back to in home doctors. This whole medical dictatorship over how doctors operate is rediculous. When your not allowed to practice medical freedom, what the hell is the point of the rest of our freedoms?
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this was one of the poison pills of the ACA. the law changed the payment systems model which had the effect of "forcing" independent medical groups to be swallowed up into medical systems.
notice the great sweep in your area? over the course of a couple of years, all regional hospitals were bought up by a corporate health system.
independent doctors can work but they will not be able to participate (easily) in the insurance payment models -- particularly medicare/medicaid, which are the template for other providers.
moreover, if you pay them directly, that payment will not be applied to your [very high] deductible.