That's part of the idea. Those people are to be pushed out so they will stop costing the rest of us.
JamesNT
Actually most for profit health care is designed on the same premise. Confuse and avoid paying. Eventually either they give up or transfer to another plan. Keep the change. This is true both for patients and physicians.
Is is REALLY necessary to change to ICD 10 with 3 times the codes? Does it REALLY matter if the ear infection was Left or Right?
While I understand the need to do population based actuarial analysis, the idea that "we won't pay unless you give us the untra-fine details" that are not really going to be used for a useful purpose only supports my assertion.
You get what you pay for... more detail, more money IFF it is really that important. (IFF = if and ONLY if). 3 digits we pay blah, 4 digits we pay blahhh, 5 digits we pay blahhhhhhhh (based on ICD 9.) Any other scheme is purely to avoid payment. It's the same on the patient side as well.
