Initially it sounded good to everyone. Then the managed care product began to grow like a cancer, and making many demand for authorization, preauthorization, and special permission to perform very basic health care tasks. Each company developed their individual set of rules making it very complicated for the patient and doctor to track. The doctor's office has to get approvals from the insurance company to perform a simple test and this requires a lot of time and energy and requires office staff to assist. It is very difficult to bill insurance companies, delaying the time of reimbursement to the doctor for three to six months.
Doctors are pretty unhappy and patients are pretty unhappy.
Look around you and you will see that some of the biggest buildings around us are insurance companies. The relationship should be between the doctor and the patient. It is a mindset. We are willing to pay more for dinner, manicures, pedicures, facials and for clothing than towards our health. I am not saying that all insurance is bad, but Managed Care is sometimes dangerous and doctors and patients should become more proactive in leveling the playing field. .