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While it's unclear how much business Frisbie stands to lose, Felgar said it treats about 7,000 uninsured patients who would have to seek care elsewhere if they purchase insurance through the new marketplace. Many of them rely on public transportation to get to medical appointments, he said.
Anthem is the only New Hampshire insurance company participating in the new online insurance markets required Converse All Star Ox White Womens Trainers
going on. I want a chance to get in the game."
Al Felgar, president of Frisbie Memorial Hospital in Rochester, said Thursday he is seeking a rehearing from the Department of Insurance over the failure by Anthem Blue Cross and Blue Shield to include his hospital and health care providers in its new network. If the hearing is denied, the hospital is prepared to sue the state, said Felgar, who also wants access to Anthem's records about the process used to determine who Converse All Star White participates in the network.
Anthem officials have said the main driver in selecting providers was geography more than 90 percent of the plans' potential customers live within 20 miles of a network hospital, though under the law, that distance could've been twice as far and still considered adequate.
"I'm quite baffled why the low cost provider, and a high quality producer, is not even invited to sit down and negotiate with Anthem on this very important subject," he said. "I want Black Converse White Label
Including all hospitals would have made it impossible to keep premiums low, Anthem president Lisa Guertin told lawmakers in September. Network hospitals agreed to reimbursement rate concessions in exchange for the promise of a certain volume of patients, she said. Without those concessions, premiums would about 30 percent higher, she said.
Frisbie Memorial Hospital threatens legal action over exclusion
But Felgar argues that all hospitals should have been given an opportunity to participate. He cited a federal government report that compared what hospitals charge for a range of services and procedures and found that Frisbie charged less than its area competitors, and a separate study that gave it high marks on quality.
under President Barack Obama's health care overhaul law. The new network will include 74 percent of the state's primary care providers, 85 percent of specialists and 16 of the state's 26 acute care hospitals.
"The state had a responsibility on the biggest health reform bill ever passed in this country to have an open process," he said. "Nobody's taking responsibility. The feds point to the state and the state points to the feds. This is unacceptable."
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