Over 214,000 Doctors Opt Out of Obamacare Exchanges
October 28, 2014 - 11:28 AM

By Barbara Boland
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Over 214,000 doctors won't participate in the new plans under the Affordable Care Act (ACA,) analysis of a new survey by Medical Group Management Association shows. That number of 214,524, estimated by American Action Forum, is through May 2014, but appears to be growing due to plans that force doctors to take on burdensome costs. It's also about a quarter of the total number of 893,851 active professional physicians reported by the Kaiser Family Foundation.


In January, an estimated 70% of California's physicians were not participating in Covered California plans.


Here are some of the reasons why:


1.    Reimbursements under Obamacare are at bottom-dollar - they are even lower than Medicare reimbursements, which are already significantly below market rates. "It is estimated that where private plans pay $1.00 for a service, Medicare pays $0.80, and ACA exchange plans are now paying about $0.60," a study by the think-tank American Action Forum finds. "For example, Covered California plans are setting their plan fee schedules in line with that of Medi-Cal-California's Medicaid Program-which means exchange plans are cutting provider reimbursement by up to 40 percent."


2.    Doctors are expected to take on more patients to make up for the lost revenue, but that's not happening, because primary care doctors already have more patients than they can handle. "Furthermore, physicians are worried that exchange plan patients will be sicker than the average patient because they may have been without insurance for extended periods of time, and therefore will require more of the PCPs time at lower pay," says the study.


The study also points to two reasons that doctors might not get paid at all:


3.    An MGMA study indicates that 75% of ACA patients that had seen doctors had chosen plans with high deductibles. Given that most of the patients are low-income, doctors are concerned that the patients cannot meet the deductibles and they will get stuck with the bill.


4.    HHS requires that insurers cover customers for an additional 90 days after they have stopped paying their premiums: the insurer covers the first 30 - but, it's up to the doctor to recoup payment for the last 60 days. This is the number one reason providers are opting to not participate in the exchange plans. Currently, about a million people have failed to pay their premiums and had their plans canceled.


So, Obamacare is asking doctors to take on sicker patients for less money, with the risk of not getting paid at all? No wonder doctors are running from these plans!


The business and economic reporting of CNSNews.com is funded in part with a gift made in memory of Dr. Keith C. Wold.




http://cnsnews.com/mrctv-blog/barbara-boland/over-214000-doctors-opt-out-obamacare-exchanges

Greedy lazy rich guys being lazy and greedy

People who work dumping the bums.

Of the few doctors I've been associated with over my life, I've know one I'd consider either lazy, greedy, or rich.

I know my primary physician isn't rich.  He lives right across the street from me and you know my HS education 40 hour a week job sure didn't make me rich.

Why work for free, especially after 12 years of college work?

Why then did my Plan go to me paying a 6,000 deductible before insurance will cover a thing ?

I will never meet the deductible and they say next year it will go up and yet it pays for nothing now !

How can it even be called insurance when it pays for nothing ?


BOB  RI   123

you probably filled the form out wrong, bob ri 123.  you need to get some third grader to fill it out for you.  it is funny that all this doom and gloom obamacare reporting always comes from chickenshit right wing GOP websites, like CNS.  why do right wingers believe any of that shit they have read to them from these lying sites.  it might be possible there is a kernel of truth in whatever this story says, but i bet you a filet mignon to a donut this article took facts out of context or cherry picked all the fact or just plain lied in their attempt to pander to chickenshit right wingers who want to believe the worst and never question anything these lying assholes say. 

 

The figures released by the Department of Health and Human Services represent averages and prices will vary widely by geographic location as well as family size, age, tobacco use and income. Even the average price of a so-called bronze plan, designed to cover 60 percent of medical expenses not counting monthly premiums, masks big variation. (with a yearly out of pocket cap at $6250 dollars for singles and $12,700 cap for families)

For people who currently are uninsured and who qualify for financial assistance or enrollment in Medicaid, the federal-state health program for the poor, the average prices look to be low: 56 percent of uninsured will be able to get coverage for less than $100 a month per person, Gary Cohen, director of the Center for Consumer Information and Insurance Oversight, said during the conference call.

The report cited examples of families and individuals who could qualify for subsidized coverage that would greatly reduce its cost, and Cohen said some low-income people will even be able to obtain a bronze plan with no monthly premium because of the subsidies.

A 27-year-old in Dallas who earns $25,000 a year will be able to purchase a bronze plan for $74 a month. A family of four in Dallas with a $50,000 household income could choose a bronze plan for as little as $26 a month. A family of four earning $50,000 a year purchasing the least expensive bronze plan would pay $36 a month in Charlotte, N.C., $32 a month in St. Louis and $24 a month in Ft. Lauderdale, Fla.

All these stories posted here by the Obama haters claiming to have huge pemium and deductible increases are probably lies. I know several people that have signed up, and every single one of them have extremely low deductibles, and premiums.
 
I have insurance provided through my employer. It is co-payed through payroll deduction. The premiums are going up 1.5% for 2015, the lowest increase in a very long time.

Those that say they are saving huge amounts are probably liars.

insurance premiums WERE ALREADY RISING AT RECORD RATES THE LAST DECADE OR SO BEFORE OBAMACARE....so now they are still rising, but at a smaller percentage and the right wingers still bitch and moan because THEIR RIGHT WING MEDIA MASTERS TELL THEM TO DO SO.  who are you going to believe, fox and rush and newsmax say to these simpletons, US OR YOUR OWN LYING EYES.   why aren't more right wingers here posting their own sob stories about how much more they are having to pay instead of just a very few if it is so common?  and why shouldn't insurance cost more if it is so much better?  you cannot be turned down for pre-existing conditions are charged more because of it, specifically.  you cannot be canceled if you develop such a condition. (or any of your kids and your wife, in both cases, of course).  there are no yearly or lifetime caps in benefits.  (that is a huge improvement, especially if your kid should develop something and hits the cap wall before he is even an adult).  how much would those improvements cost ON TOP OF THE ALREADY RISING PREMIUMS AND CUTS IN BENEFITS WITHOUT OBAMACARE?

nobody said obamacare is perfect.  but there is no doubt it works AND IS BENEFICIAL TO ALL AMERICANS, AND LESS EXPENSIVE FOR AT LEAST 90% OF ALL AMERICANS. 

If Duped_John says it, it must be a lie. The next time he tells the truth will be his first.

Apparently wmd_pervert does not get out of prison much.

Thank you for proving my point.

So you admit your prison does not have a work release or parole program, wmd_pervert.

Thanks for proving my point.

I'm saying I can't get out of a place I've never been. Are you so retarded you can't comprehend that. Once again, you prove yourself an idiot. Pull your head out, you're suffering from cranial anal inversion.

Now you're backtracking, changing what you said.

You're a dope, wmd_pervert.

I'm not back tracking a single step you imbecile. I can't help that your low IQ doesn't allow for reading comprehension. I suppose it's a blessing that you can read at all. Maybe you can get somebody to explain it to you. Tell me stupid, what did I change? There was no editing done.

When the topic was common core, you chose to belittle a young girl, instead.

You're evil, pervert.  And an idiot.

So now you're going to revert to that lie that I've disproved many times. What a cyber-punk you are. (http://www.aesopsretreat.com/forum/richedit/smileys/Lots_O_Smileys/tool.gif)(http://www.aesopsretreat.com/forum/richedit/smileys/Lots_O_Smileys/thefinger.gif)

You disproved nothing, perverted idiot.

All you did is reinforce the argument against you.  (http://www.aesopsretreat.com/forum/richedit/smileys/Lots_O_Smileys/thefinger.gif)

I know you have reading comprehension deficit, but maybe you can get someone you trust to read this to you and explain it in simple language you might understand, if there is such a thing.

http://www.aesopsretreat.com/forum/index.php?topic=182804.12 (http://www.aesopsretreat.com/forum/index.php?topic=182804.12)

I understand quite well, and I understood there was a problem with you when you would not discuss common core.  You focused like a laser on a fourth grade girl.

Conclusion: you're a fucking pervert.

You recounted a graphic prison rape.

Conclusion: you've been a prison punk.

It's my pleasure to point you out for what you are.

Fuck you, perverted bitch. 

Thank you for proving you are incapable of understanding what you read. Maybe when you get to the fourth grade reading level, if you ever do, you will have a better handle on the whole comprehesion thing. I doubt it though. You aren't ignorant. That could be fixed in time. You are stupid, and that's forever.
 
I'm through with this thread now. I don't want to consume anymore of Jim's storage space trying to reason with a cyber punk stalker.
 
 

Sure, you're through.  You come back, again and again, for some bizarre vindication of your perverted proclivities.

Fuck off, pervert. (http://www.aesopsretreat.com/forum/richedit/smileys/Lots_O_Smileys/thefinger.gif)