@LorenAdler Surely you'll remember CA Medical Association letter 2 the E&C committee last yr--if not, let me refresh your recollection--& where is the evidence that premiums in CA went down over 4 yrs? No one has produced that evidence have they? @CMAdocs cited numerous examples... 
@LorenAdler @CMAdocs 2/ of networks & physician Ks being cut, Pt access to care being limited... all of the ills of your simple solution are in full relief there..
@LorenAdler @CMAdocs 4/ -20 to -50% reductions by health plans of reimbursement rates for hospital based physicians and you say there is no evidence?
@LorenAdler @CMAdocs 5/ a 20 year anesthesia contract terminated with a -40% reduction in reimbursement rates? No effect you say?
@LorenAdler @CMAdocs 6/ anesthesia again--- -20-40% cuts in reimbursements and there's no data or impact based on a simple solution?
@LorenAdler @CMAdocs 7/ closed networks/refusal by the health plans to negotiate--why? because the law says that they can reimburse at 125% of CMS--and no effective IDR/dispute resolution--a non-functioning reimbursement system + no evidence of premium reductions & so who benefits? #healthplans
