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January 30th, 2010, 06:49 PM
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TheOtherMichelle TheOtherMichelle is offline
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Join Date: Sep 2006
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Quote:
Originally Posted by rachna View Post
The problem is that what providers BILL is not what providers get PAID. For example, an hour of therapy with me costs you 100 dollars an hour. I am cheap, actually, most people here charge around 120 an hour. Insurance companies pay me about 60 an hour. But lets say I only charge 60? Well the insurance company will say "hmmm...lets pay her 30!" So I HAVE to overcharge

Then comes the real issue. A client comes in without insurance. It is ILLEGAL for me to charge them less then my rate. I can do the "sliding scale thing" but there are limitations to it, and it is considered FRAUD for me to not charge them 100 dollars an hour like everyone else! So who can afford basically 52k a year for therapy?

Quite honestly insurance companies need to pay some providers (therapists!!!) better rates, and stop creating policies which FORCE us to inflate our rates to ridiculous levels.
Agreed.. I was going to make a similar post but you already took care of it!

I can't decide which side I'm on in this debate. I'm not against UHC, but I think that those arguing against it for logistical reasons have compelling arguments. Currently, I would like to see some kind of insurance and malpractice reform before we completely overhaul the system.
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