{"id":3124,"date":"2020-12-28T15:49:08","date_gmt":"2020-12-28T15:49:08","guid":{"rendered":"https:\/\/healthdrum.com\/?p=3124"},"modified":"2021-10-12T16:21:49","modified_gmt":"2021-10-12T16:21:49","slug":"why-let-your-health-insurance-plan-play-doctor","status":"publish","type":"post","link":"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/","title":{"rendered":"Why Let Your Health Insurance Plan Play Doctor?"},"content":{"rendered":"<p><span style=\"font-weight: 400;\">The health insurance industry has stripped the autonomy of doctors, patients and employers.<\/span><\/p>\n<p><span style=\"font-weight: 400;\">Routine office-based care is affordable. Sadly, both patients and employers are generally over insured and over pay because the health insurance industry is the only insurance industry that covers routine services.<\/span><\/p>\n<p><strong>How the health insurance industry practices medicine.<\/strong><\/p>\n<ul style=\"line-height: 1.6;\">\n<li>Created health plans of differing tiers and confusing by design.<\/li>\n<li>Marketed health plans deceptively with so-called benefits you are \u201centitled to\u201d.<\/li>\n<li>Has limited choices by creating networks and \u201cpreferred\u201d lists for doctors, hospitals, imaging centers, laboratories, drugs and anything else needed for medical care.<\/li>\n<li>Created lists of non-covered services.<\/li>\n<li>Created lists of pre-existing conditions that they won\u2019t cover.<\/li>\n<li>Has lifetime limits for coverage.<\/li>\n<li>Requires authorizations before a physician can proceed with care (and often, preauthorizations before getting an authorization).<\/li>\n<li>Has non-medical \u201cgatekeepers\u201d determining whether authorizations for care will be \u201capproved\u201d.<\/li>\n<li>Requires copays for nearly every service.<\/li>\n<li>Has you meet a deductible before payments are made.<\/li>\n<li>Created endless barriers to delay, limit, ration and deny access to care.<\/li>\n<li>Created processes that have nothing to do with health but everything to do with insurance company profits.<\/li>\n<\/ul>\n<p><span style=\"font-weight: 400;\">The endless self-serving insurance-based rules and pricing have shackled the ability of doctors to practice medicine and only raised healthcare costs into the stratosphere.<\/span><\/p>\n<p><strong>Self pay and direct pay medical care.<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">Routine office-based care is affordable and should be customer-directed and self-pay. <a href=\"https:\/\/healthdrum.com\/blog\/health-insurance\/\">Health insurance<\/a> should be reserved for catastrophic care plans only.<\/span><\/p>\n<p><strong>Come see us at HEALTHdrum<\/strong><\/p>\n<p><span style=\"font-weight: 400;\">HEALTHdrum.com &#8211; a cost-transparent healthcare marketplace product where <a href=\"https:\/\/healthdrum.com\/blog\/self-pay-doctors\/\">self pay customers<\/a> can connect with practitioners for as-needed, routine care needs. This product will be attractive to the 55 million gig workers, part time staff and independent operators who don&#8217;t have access to health benefits. As well, it presents an option for those who want to shift coverage to catastrophic plans and pay for affordable routine care.<\/span><\/p>\n<p><strong>Read more:-<\/strong><\/p>\n<p><a href=\"https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2019\/sep\/small-business-owners-views-health-coverage-costs\"><span style=\"font-weight: 400;\">https:\/\/www.commonwealthfund.org\/publications\/issue-briefs\/2019\/sep\/small-business-owners-views-health-coverage-costs<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.theatlantic.com\/business\/archive\/2017\/06\/medical-bills\/530679\/\"><span style=\"font-weight: 400;\">https:\/\/www.theatlantic.com\/business\/archive\/2017\/06\/medical-bills\/530679\/<\/span><\/a><\/p>\n<p><a href=\"https:\/\/www.consumerreports.org\/health-insurance\/high-deductible-health-plan\/\"><span style=\"font-weight: 400;\">https:\/\/www.consumerreports.org\/health-insurance\/high-deductible-health-plan\/<\/span><\/a><\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>The health insurance industry has stripped the autonomy of doctors, patients and employers. Routine office-based care is affordable. Sadly, both patients and employers are generally over insured and over pay because the health insurance industry is the only insurance industry that covers routine services. How the health insurance industry practices medicine. Created health plans of [&hellip;]<\/p>\n","protected":false},"author":4,"featured_media":3378,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"footnotes":""},"categories":[21],"tags":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.7 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Why Let Your Health Insurance Plan Play Doctor? | HEALTHdrum<\/title>\n<meta name=\"description\" content=\"Why let your health insurance plan play doctor when you can have control with HEALTHdrum.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Why Let Your Health Insurance Plan Play Doctor? | HEALTHdrum\" \/>\n<meta property=\"og:description\" content=\"Why let your health insurance plan play doctor when you can have control with HEALTHdrum.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/\" \/>\n<meta property=\"og:site_name\" content=\"HEALTHdrum\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/HEALTHdrum-103735818167546\" \/>\n<meta property=\"article:published_time\" content=\"2020-12-28T15:49:08+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2021-10-12T16:21:49+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/healthdrum.com\/blog\/wp-content\/uploads\/2020\/12\/online-marketing-hIgeoQjS_iE-unsplash-scaled-e1632778749270.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"675\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"Bert Vorstman\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:creator\" content=\"@healthdrumapp\" \/>\n<meta name=\"twitter:site\" content=\"@healthdrumapp\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Bert Vorstman\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/#article\",\"isPartOf\":{\"@id\":\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/\"},\"author\":{\"name\":\"Bert Vorstman\",\"@id\":\"https:\/\/healthdrum.com\/blog\/#\/schema\/person\/953d5fca0a0cb8ee1915ae9f4ed3741a\"},\"headline\":\"Why Let Your Health Insurance Plan Play Doctor?\",\"datePublished\":\"2020-12-28T15:49:08+00:00\",\"dateModified\":\"2021-10-12T16:21:49+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/\"},\"wordCount\":342,\"publisher\":{\"@id\":\"https:\/\/healthdrum.com\/blog\/#organization\"},\"articleSection\":[\"Health Insurances\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/\",\"url\":\"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/\",\"name\":\"Why Let Your Health Insurance Plan Play Doctor? 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. Partial bibliography https:\/\/ascopost.com\/issues\/june-10-2016\/prostate-cancer-opinions-vary-on-gleason-scores-and-surgery\/ https:\/\/ascopost.com\/issues\/november-25-2020\/a-urologic-surgeon-assesses-the-current-state-of-prostate-cancer\/ https:\/\/www.medscape.com\/viewarticle\/945928 https:\/\/urologyweb.com\/robotic-deception-prostate-cancer-hoax-p-5\/ https:\/\/bvorstman.medium.com\/prostate-cancer-treatment-deception-and-lies-30e23f17b749 https:\/\/healthdrum.com\/blog\/the-gleason-6-prostate-cancer\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Why Let Your Health Insurance Plan Play Doctor? | HEALTHdrum","description":"Why let your health insurance plan play doctor when you can have control with HEALTHdrum.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/healthdrum.com\/blog\/why-let-your-health-insurance-plan-play-doctor\/","og_locale":"en_US","og_type":"article","og_title":"Why Let Your Health Insurance Plan Play Doctor? 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Subsequently, he completed fellowship training in Pediatric and Adult Reconstructive Urology at the Eastern Virginia Medical School in Norfolk, Virginia. During his time there he also undertook NIH sponsored, pioneering research on \u201cUrinary Bladder Reinnervation\u201d earning him the honor of a Masters of Surgery Diploma through the University of Otago, New Zealand. Dr Vorstman returned to Miami to become a board-certified faculty member in the department of urology, Jackson Memorial Hospital, University of Miami. Eventually, he left academic practice, moved north to Coral Springs and established Florida Urological Associates pa (www.urologyweb.com) in 1987. Dr. Vorstman is passionate about consumer-directed healthcare and helping men diagnosed with prostate cancer navigate the minefield of prostate cancer misinformation. After retiring and leaving colleagues to continue the urology practice, he became founder and CEO of a healthcare platform that connects buyers and sellers of routine, cash pay healthcare services - www.HEALTHdrum.com\/ Through this platform he also enables colleagues to reclaim their profession from health industry exploitation. Partial bibliography https:\/\/ascopost.com\/issues\/june-10-2016\/prostate-cancer-opinions-vary-on-gleason-scores-and-surgery\/ https:\/\/ascopost.com\/issues\/november-25-2020\/a-urologic-surgeon-assesses-the-current-state-of-prostate-cancer\/ https:\/\/www.medscape.com\/viewarticle\/945928 https:\/\/urologyweb.com\/robotic-deception-prostate-cancer-hoax-p-5\/ https:\/\/bvorstman.medium.com\/prostate-cancer-treatment-deception-and-lies-30e23f17b749 https:\/\/healthdrum.com\/blog\/the-gleason-6-prostate-cancer\/"}]}},"_links":{"self":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3124"}],"collection":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/comments?post=3124"}],"version-history":[{"count":12,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3124\/revisions"}],"predecessor-version":[{"id":3887,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/posts\/3124\/revisions\/3887"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media\/3378"}],"wp:attachment":[{"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/media?parent=3124"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/categories?post=3124"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/healthdrum.com\/blog\/wp-json\/wp\/v2\/tags?post=3124"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}