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Why are so many doctors and hospitals being dropped from insurance networks—especially under Medicare Advantage and HMO plans?

In this in-depth episode, we unpack the real reasons behind the increasing wave of network disruptions across the U.S. healthcare system.
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💰 Rising administrative costs
🧾 Prior authorizations and outdated systems
⚠️ Shrinking insurance networks
🏥 Hospital consolidation
📉 Provider burnout and financial collapse
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The system is at a tipping point—providers can’t afford to stay in-network, and insurers are cutting costs by narrowing access. In states with only 1-2 dominant health systems, it’s a monopoly in disguise. The result? Premiums are skyrocketing, patients are losing access, and doctors are walking away from traditional insurance altogether.
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👩‍⚕️ We also explore a growing solution: Direct Primary Care—a subscription-based model giving patients more access and transparency, without the red tape.
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✅ What YOU can do during open enrollment
✅ Why you MUST double-check if your doctor is still in-network
✅ How cash-pay primary care may be the future

Chapters:
00:00 Introduction: Why Doctors and Hospitals Are Being Dropped from Networks
00:36 The Theory and Evolution of Healthcare Networks
01:16 The Financial Strain on Healthcare Providers and Insurers
02:01 State-Specific Challenges and Market Consolidation
02:33 Impact on Consumers and Rising Premiums
02:58 Administrative Costs and the Need for Efficiency
03:29 Potential Solutions and Consumer Actions
05:34 The Rise of Direct Primary Care
06:17 Conclusion: Preparing for Network Disruptions

For any questions or inquiries regarding this video, please reach out to [email protected]
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💬 Comment below: Have you had a doctor or hospital dropped from your plan? What changes have you noticed?

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