There are a couple of areas that we are clear we need to update. One is the concept of an essential Community Provider. Thats not something that we were really looking at before. Are those now included in your networks theres also just issues in the new environment. Are we applying it to all man e managed care. Do you go out to ppos . Do you go out to others, as well chlts were having weekly calls. In fact, our next one is thursday, july 24 00th at 130 p. M. Mark it on your calendars. Be there. Weve received comments from about 30 different i. Groups so far. Were going to go and see where we need to update our model. This is always going to be our number one point. We dont want it one size fits all, federal government comes 234 and this is the time and distance for each type of provider. I dont know about you, but wyoming is just a tad different than los angeles. What are the standards . What about certain populations . As has been braugts up, we need to balance. Theres no sense going
Coverage for example in one market where we are the narrower provider we found they had no access to pet scans. Another glitch we found as their exclusive Network Provider they had not contracted with any Lamp Services or radiation therapy. We can provide these services but frankly getting Outpatient Lab testing at your hospital may not be as convenient as some of the labs that are available with better parking and hours. Finally id like to reemphasize the reality of the marketplace is that price dominates. Premiums is what people are most likely to look at. Those with low income still leave outofpocket medical expenses that are unaffordable below this operation. As a result, even modest out pocket costs create affordability programs. This is from one of our markets. A married couple. Income 48,000 a year. They chose a bronze plan. Their premium is subsidized. They have a 3,600 deductible and a 12,000 potential outofpocket maximum. If one of this group needed a jant re placement or hth