Name:   MrHodja - Subject:   Simply Unsustainable Date:   8/25/2018 8:06:29 AM

I understand that the price charged is not really what they expect to get and that Medicare, being such a large insurer, wields a lot of clout in negotiating their reimbursement rates.  My concern is that the Medicare rate (and Tricare uses Medicare rates for their reimbursement decisions) is so low that the provider will stop taking Medicare patients.

One real effect of Obamacare is that I now have to get my CPAP machine and supplies from some huge automated system rather than my local provider.  Under Ocare reimbursement was cut to half of the provider's cost, thus making them lose money on every transaction.  Several such shops in the Montgomery area had to close because CPAP was their primary line of business.