It is not true that private insurance companies have to pay lower reimbursement rates along the line of what MediCal/Medicare pays. You can verify that through factcheck.org and other websites. According to factcheck, the private insurance companies participating in the exchanges set their own prices, which doctors and hospitals can balk at.
The ACA does require insurance companies to spend at least 80 percent of premiums on health costs — as opposed to spending on administration, marketing, and profit.
Re: “'Bait and Switch'”
It is not true that private insurance companies have to pay lower reimbursement rates along the line of what MediCal/Medicare pays. You can verify that through factcheck.org and other websites. According to factcheck, the private insurance companies participating in the exchanges set their own prices, which doctors and hospitals can balk at.
The ACA does require insurance companies to spend at least 80 percent of premiums on health costs — as opposed to spending on administration, marketing, and profit.