Doctors Reluctance on ACA Exchange

Doctors Reluctance Building Regarding ACA Exchange Patients

Affordable Care Act exchanges often have lower reimbursement rates, and the result is that some doctors are now limiting the amount of new patients they take with these plans, despite the fact that some insurance companies insist that doctors accept their ACA plan patients.

People who do contract for ACA do on average save money due to the fact that the premiums are much less than private insurers, but during one study, it was found that over 200,000 doctors won’t participate in ‘Obamacare’ plans because of the low reimbursements.

In an informal survey of ACA plan patients that we asked, many said that their physicians are not accepting the plan and they have to pay out of pocket now.

Andrew Kleinman, a Westchester based plastic surgeon and president of the Medical Society of the State of New York said “The exchanges have become very much like Medicaid”. “Physicians who are in solo practices have to be careful to not take too many patients reimbursed at lower rates or they’re not going to be in business very long.”

This is the perception of many doctors throughout the US and this perception is no doubt becoming a reality. Many physicians are now comparing the ACA plans to Medicaid, which many doctors do not participate in as well.

On the brighter side, those who are lucky enough to have an ACA plan physician reap the benefits of the Affordable Care Act, including emergency care, mental health services and hospitalization to name a few, as well as removal of pre-existing conditions under ACA and all insurers.

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