One of the newest trends in healthcare is the movement of providers to drop from the roles of managed care and take only cash-paying patients. A 2008 report from the Center for Studying Health System Change concluded that approximately 12.4 percent of physicians no longer accept insurance in the practice. Traditionally, it was a move made by primary care providers, but now specialists are choosing to opt out of the manged care system too. One of the primary drivers behind the decision is the lowered reimbursements, billing and collection challenges and bureaucracy that come with managed care. Many patients of those with cash-only practices tend to be those with high-deductible plans or self-funded employer groups.
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