When I post information on my blog or in the Dispatch I will often get a response from a member saying that my information does not seem to apply to them so I must be wrong. What they may not realize is the size of our state and the differences from region to region.
The downstate folks are rightly upset by the UBH fee reduction but they may not know that our colleagues in Syracuse and Rochester are facing an 11% reduction from BCBS Excellus.
NYC folks may not take managed medicaid due to the low fees while many in upstate get the same rate for commercial coverage and managed medicaid from most companies.
In other words, there are location differences, often based upon the number of providers in the area, which impacts contracts.