One of the most overlooked aspects of the ACA is how much physicians are paid and how it ultimately affects the consumer. Most physicians get paid a certain amount from a private insurer; for the same visit, they get paid about 20% less from Medicare. With the ACA, physicians are starting to get paid rates closer to Medicare rates than from the big commercial insurers-something many physicians are not willing to put up with. Many private practice physicians argue that they need to maintain a certain mix in their practices between the low reimbursers and the high reimbursers to stay afloat. If reimbursement rates continue to stay lower under the ACA, more physicians will start rejecting plans offered by it. In the end, this will hurt patients who will have access to insurance, but not access to physicians.
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