Greedy Insurance Companies Squeeze Doctors to Pad Their Own Pockets

Jack Landskroner
Jack Landskroner
Contributor
Posted by Jack LandskronerJuly 15, 2006 9:43 AM

The Insurance Industry has misrepresented that an increase in claims and injury awards have caused a so call " insurance crisis" prohibiting carriers from making a profit and in turn resulting in a skyrocketing increase in doctors malpractice insurance premiums. This is the classic Insurance spin and doctors as well as the general public have bought it hook, line and sinker. The industry's media arm has even gone so far as to put in writing these false claims. The truth is a far cry from what the greedy insurance companies want consumers to believe.

A new study by Dartmouth College researchers suggests that huge jury awards and financial settlements for injured patients have not caused the explosive increase in doctors' insurance premiums. ''The simple explanation that comes to mind is the underwriting cycle. If they're making less money from the investment side of things, it's going to cause [insurance companies] to raise rates."

On the flipside, doctors continue to receive lower reimbursements for the services they provide. Reimbursement cuts going into effect across the country are affecting medical practices and causing doctors threaten to limit new patients or drop out of the insurance networks making cuts.

Physicians have grave concerns about the future of their practices.

"I'm trying to run a business here. My rents go up, my employees demand salaries, my gas prices go up, my malpractice rates go up, but my reimbursement rates go down -- that's no way to run a business," said [Dr. Stephen Rockower, a Rockville orthopedist]. "If I'm losing money on each visit, seeing more patients doesn't help me." ..."Ultimately, patients are going to be harmed when they can't find doctors or doctors leave the state or retire or go bankrupt,"

The insurance industry is simply maximizing profits at the expense of the medical community and to the detriment of the consumer in need of medical care and treatment. While profit is certainly not a dirty word, its time that the insurance industry come clean with the medical community and the general public. It is not the lawyers that are driving doctors from the practice of medicine but the insurance companies. Rather than attacking trial lawyers perhaps the medical community should consider embracing trial attorneys who would willingly fight side by side with doctors against the greedy insurance industry in order to disclose the truth about why doctors are leaving the practice of medicine.

3 Comments

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The Independent Urologist
Posted by The Independent Urologist
December 15, 2006 4:28 PM

I could not agree more. In general I have always felt that the insurance industry is the one that is squeezing us. I suspect that an OB would care less about paying $125K per year if their reimburement rates, or anyone elses, were fair. A good attorney is a doctors best friend. But how do we fight the insurance industry together?

Jack Landskroner
Posted by Jack Landskroner
December 16, 2006 10:24 AM

A unified front between Physicians and Attorneys is the only way to combat the powerful insurance industry. If the respective leaders from The Association of Trial Lawyers of America and the American Medical Association can discuss our common goals and initiate a joint legislative push through grass roots efforts and lobbying we can make headway.

In my mind, a starting point is a coordinated national effort forcing the Insurance Industry to comply with Antitrust regulations. If collusion is eliminated in the industry and insurance carriers are forced to truly compete in the open marketplace, we are likely to see cheaper malpractice insurance premiums and higher reimbursements to doctors.

Surgical Professional
Posted by Surgical Professional
February 13, 2007 10:15 AM

I see this happen each day in ABSOLUTELY EVERY SURGERY in Orthopaedics! In Illinois, Blue Cross/Blue Shield has limited their payout for an ACL reconstruction to JUST $1,400!!!! That doesn't cover the price of the implants used to fixate the new graft alone! Nor does it cover even the price of the allograft tissue alone! The poor surgeons are forced to choose the lowest priced implants for fixation of the graft, the lowest priced are the oldest on the market with the most harm to the patient as they fail and loosen post-operatively! They either stay away from using allograft or they use the cheapest company, and you all know the problems with these allograft companies. Blue Cross/Shield is full of scumbags, I'd like to see one of these bean counters cry/beg and plead for the best care when it's one of them on the O.R. table! Someone needs to fight for the Doctors for once and let them use what is BEST FOR THE PATIENT NOT WHAT IS BEST FOR THE INSURANCE COMPANY!!!! Blue Cross will simply NOT APPROVE the fixation the surgeon wants, and noone can expect a surgeon to pay for every single patient.. it would cost him/her 20 million a year!

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