Magazine article Medical Economics

The Impact of the Affordable Care Act

Magazine article Medical Economics

The Impact of the Affordable Care Act

Article excerpt

Although it was signed into law more than 3 years ago, some of the most visible elementsofthe Affo rda ble Care Act (ACA)-Medicaid expansion and the insurance exchanges-are only now taking shape. This means that for primary care physicians (PCPs) and their patients, the legislation is raising more questions than answers.

Among the few certainties at this point is that several million people who buy their insurance through the individual market are having their policies cancelled because they do not meet the ACA's standards for minimum coverage. Another possible effect: early in November, United Healthcare and several other insurance carriers began cancelling the contracts of some physicians participating in Medicare Advantage networks-an action which drew sharp protest from the American Medical Association and many other groups representing physicians.

"My patients are running scared right now, because no one is sure what's going to happen with the ACA or their insura nee," says Jeanne Hungerpiller, MD, a general practitioner in Savannah, Georgia. She fears losing patients as local employers switch their employees' coverage to point of service health plans in which she may not be allowed to participate.

Hungerpiller was recently notified that her own policy was being cancelled, but that she could sign up for a new policy with the same provider-for an additional $200 per month. "I'm taking the hit. That way at least I'll know what I've got and have another year to figure out my options,"she says. …

Search by... Author
Show... All Results Primary Sources Peer-reviewed

Oops!

An unknown error has occurred. Please click the button below to reload the page. If the problem persists, please try again in a little while.