Posted in Access to healthcare, Affordable Care Act (ObamaCare), Consumer-Driven Health Care, Defined Contribution Benefit Plans, Direct-Pay Medicine, Direct-Pay Practice Models, Doctor-Patient Relations, Doctor-Patient Relationship, Economic Issues, Employee Benefits, Employer-Sponsored Health Plans, Essential Benefits under the ACA, Health Insurance, Independent Physicians, Individual Mandate, Medical Practice Models, Organizational structure, Patient Choice, Policy Issues, Price Tansparency, Risk Adjustment, Risk Corridors, Tax Policy, Third-Party Free Practices

Components of Optimal Health Insurance: #4 – Contract Free Healthcare Zones | Robert Nelson, MD | LinkedIn

Robert Nelson, MD

Does anyone else see a problem with this arrangement? And yes, it is all very legal. But that doesn’t mean it is prudent or even ethical to continue this convoluted, monopolistic, expensive, and restrictive method of accessing and paying for healthcare!

Look carefully at the characteristics of how health plan networks operate and follow the money flow from start to finish. What holds it all together? Despite its byzantine complexity and 40+ years of being entrenched into our national psyche, there is one linchpin that holds the whole perverse system together: It is the physician contract!

The provider (or provider’s employer) buy-in is what propagates and guarantees the survival of this behemoth. Without provider network agreements, the whole thing collapses like a house of cards!

via Components of Optimal Health Insurance: #4 – Contract Free Healthcare Zones | Robert Nelson, MD | LinkedIn.


A primary care physician by training, my passion is researching and writing about the importance restoring patient centered care, supporting independent private physicians, promoting free-market solutions and seeking sustainable fiscal policy in healthcare.

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