Search
 

The doctor won’t see you now

Physicians are opting out of exchange contracts for one big reason: They dont pay at least, not enough.

By Amber May | Updated on November 22, 2013
President Barack Obama attends a discussion with health care providers during a visit to Children's National Medical Center in Washington. (AP Photo/J. Scott Applewhite)

Hundreds of thousands (perhaps even millions) of newly insured Americans will be covered starting Jan. 1, 2014, by the health insurance exchange products being peddled as part of the Patient Protection and Affordable Care Act. Some experts believe this influx of new patients will lead to physician shortages in both primary-care and specialty realms — and those shortages could become even more pronounced due to some physicians choosing not to contract with the payers offering coverage through the health insurance exchange.

Physicians in some states won’t have a choice if they’ve already signed contracts that contain all-products clauses (the legality of which varies state by state). However, those physicians who do have the option to accept or walk away from contracts with health insurance exchange payers all cite one big reason why they won’t be participating in those contracts: money. Or, to be more precise, a lack thereof.

Complete your profile to continue reading and get FREE access to BenefitsPRO.com, part of your ALM digital membership.

Your access to unlimited BenefitsPRO.com content isn’t changing.
Once you are an ALM digital member, you’ll receive:

  • Critical BenefitsPRO.com information including cutting edge post-reform success strategies, access to educational webcasts and videos, resources from industry leaders, and informative Newsletters.
  • Exclusive discounts on ALM, BenefitsPRO magazine and BenefitsPRO.com events.
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com

Already have an account?

NOT FOR REPRINT

© 2024 ALM Global, LLC, All Rights Reserved. Request academic re-use from www.copyright.com. All other uses, submit a request to [email protected]. For more information visit Asset & Logo Licensing.

Recommended Stories

BenefitsPRO Broker Expo 2025 (BPRO)Event

The premier educational and networking event for employee benefits brokers and agents.

Get More Information
 

BenefitsPRO

Join BenefitsPRO

Don’t miss crucial news and insights you need to navigate the shifting employee benefits industry. Join BenefitsPRO.com now!

  • Unlimited access to BenefitsPRO.com - your roadmap to thriving in a disrupted environment
  • Access to other award-winning ALM websites including ThinkAdvisor.com and Law.com
  • Exclusive discounts on BenefitsPRO.com and ALM events.

Already have an account? Sign In Now
Join BenefitsPRO

Copyright © 2024 ALM Global, LLC. All Rights Reserved.