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Enrolling without a full roster

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By Melvin L. McCorkle

Regarding the discussion over the change at the lab from United Health Care to Blue Cross Blue Shield NM and the lack of information about it, I have the following observations.

If memory serves me correctly, each time over the last several insurance company changes, the contracts with the local doctors’ practices always lags the requirement for choosing the coverage option. This time is the first time that I can recall that a practice has chosen to make the issue public because the proposed reimbursement rates are inadequate.  Also one could hope that simply because this is the way it has been done in the past does not mean that it is the way it must be done again this time.

Trying to use the BC/BS web page as an aid to choose which option is difficult because that web page represents those doctors who are under contract for 2009 not 2010. So using it as an informational source for an informed decision for 2010 is impossible since the information is not current.

I have read postings on blogs that if a doctor’s practice should choose not to participate in the BC/BS plan they may as well close up shop in Los Alamos County. While I agree with such an assessment, I would hope that it is not Los Alamos National Security’s intention to drive currently practicing doctors out of the county.


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