The American Action Forum is saying that more than 214,000 physicians will not be participating in Affordable Care (sic) Act exchange plans.
It is basing the claim on an analysis of a May 2014 survey by The Medical Group Management Association (MGMA), a trade group which has served administrators of medical group practices since 1926.
American Action says the big reason is a March 27, 2012 HHS regulation that exchange plans provide their customers with a 90-day “grace period” to pay bills. This makes it very possible that providers are left uncompensated for services provided in those 90 days.
Anther factor though is the discovery that ACA exchange plans are now paying sixty cents on the dollar for services. Private plans pay 100 percent , and Medicare pays 80 percent.
Further it is noted that many ACA enrollees have high deductible plans but don’t understand what a deductible is.
The MGMA study indicates 75 percent of responders said that exchange plan patients were “very likely” or “extremely likely” fo have high deductible Bronze or Catastrophic plans. American Action said their concern is that those with these plans don’t understand what a deductible is and don’t realize that they could accumulate thousands of dollars in charges before these deductibles are met.
“The fear in the provider community is that low-income patients with these plans may rush to get delayed care without the financial ability to pay the high deductible, and while the insurer continues collecting premium payments, the provider will be left uncompensated,” says American Action.
Obamacare is looking more and more like the train wreck we long said it would be.
Doctors Leaving ACA Exchange Plans