Are plans in the exchange losing 214,000 doctors?

[Playball40]

I'm trying to find a non-partisan article on this but can only find conservative crap bashing "Obamacare" ad nauseum. Can someone tell me if this is accurate and how it will impact the ACA exchange plans in 2015? My son has to choose between his work plan and the exchange so I want to know about this without all the right wing rhetoric.

 

[Tom Sawyer]

As a general rule, "don't believe the right wing rhetoric" is always a good default choice, especially as it regards Obamacare. It's possible that it's factual and all these doctors are leaving in protest over the mandatory murder numbers they're forced to commit in order to meet their death panel quotas, but it's unlikely to be true.

 

[Jimmy Higgins]

I'd think the work plan would be the way to go. A better subsidy, I'd presume.

 

[KeepTalking]

I'd think the work plan would be the way to go. A better subsidy, I'd presume.

On the other hand, if he has a choice between a work plan, and a plan on the exchange, that means the work plan is absolute shit, so he would be better off buying on the exchange.

 

[Nice Squirrel]

Are plans in the exchange losing 214,000 doctors?
No.

 

[Playball40]

I'd think the work plan would be the way to go. A better subsidy, I'd presume.

On the other hand, if he has a choice between a work plan, and a plan on the exchange, that means the work plan is absolute shit, so he would be better off buying on the exchange.

It's ok for him, but they want almost $900 per month for his wife. And that's with a $6,500 deductible, so he wanted to check out the exchange.

 

[Playball40]

Ok, so this seems messed up. As long as HIS is in the 9.5% he can't get subsidies?

“Affordable” plans and the 9.5% standard

A job-based health plan is considered “affordable” if the employee’s share of monthly premiums for the lowest-cost self-only coverage that meets the minimum value standard is less than 9.5% of their family’s income.

In other words, if your share of premiums for a plan that covers only you (the employee)--not other members of your family--is less than 9.5% of your family’s income, the plan is considered affordable.

You may pay more than 9.5% of your income on monthly premiums for your employer’s spouse or family coverage. But affordability is determined only by the amount you’d pay for self-only coverage from your employer.

 

[Tom Sawyer]

Isn't the entire point of the exchanges that anyone can buy into them? Why would the particulars of what your job offers even be relevant?

 

[Jimmy Higgins]

On the other hand, if he has a choice between a work plan, and a plan on the exchange, that means the work plan is absolute shit, so he would be better off buying on the exchange.

It's ok for him, but they want almost $900 per month for his wife. And that's with a $6,500 deductible, so he wanted to check out the exchange.

$900 per month... in addition to what he is paying for himself, or together? Regardless... WTF?!?! And that WTF?!?! is excluding the regarding the $6,500 deductible. What?! Is your son in his 70s?

- - - Updated - - -

Isn't the entire point of the exchanges that anyone can buy into them? Why would the particulars of what your job offers even be relevant?

It is about whether you are eligible to get a subsidy. You see, the massive reforms enacted by Obama didn't actually make health care affordable. It just made it so that people could get subsidies, if they qualify to make it affordable.

 

[ZiprHead]

Where do these doctors that are (supposedly) leaving expect to go?

 

[whichphilosophy]

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

It seems that doctors are not simply going to resign but refuse to participate in the Obamacare program. In the UK some doctors work for the National Health while also sometimes taking private patients. It's perfectly legal. The main problem for government programs are the huge waiting rooms. Then someone can wait a few hours to see the doctor.

If the US does find itself short of doctors, there are plenty from Cuba

 

[Playball40]

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

It seems that doctors are not simply going to resign but refuse to participate in the Obamacare program. In the UK some doctors work for the National Health while also sometimes taking private patients. It's perfectly legal. The main problem for government programs are the huge waiting rooms. Then someone can wait a few hours to see the doctor.

If the US does find itself short of doctors, there are plenty from Cuba

Can you find me an actual neutral source? cnsnews doesn't fit that bill - plus this is a blog. Thanks!

 

[Trausti]

Doctors are not slaves. Why would they agree to take on patients if at best they break even or worst incur losses?

For a typical quick visit like this, Gerard could get reimbursed $100 or more from a private insurer. For the same visit, Medicare pays less — about $80. And now, with the new private plans under the Affordable Care Act, Gerard says he would get something in between, but closer to the lower Medicare rates.

That’s not something he’s willing to accept.

“I cannot accept a plan [in which] potentially commercial-type reimbursement rates were now going to be reimbursed at Medicare rates,” Gerard says. “You have to maintain a certain mix in private practice between the low reimbursers and the high reimbursers to be able to keep the lights on.”

http://kaiserhealthnews.org/news/a-doctors-perspective-on-obamacare/

 

[Horatio Parker]

Work plans are generally better, but without family coverage, or family coverage that's unaffordable, it's a moot point. My wife's last job was like that. It was their policy: no family coverage.

Narrow networks are a problem with ACA. Still, 214k sounds high. Maybe they're throwing in docs that would not participate anyway, such as research doctors or administrators.

 

[solutions]

Where do these doctors that are (supposedly) leaving expect to go?

They are leaving and upcoming doctors are going into the ever increasing elective surgery. Brest, facelift, butt, sex change, plastic surgery. It's huge and lucritive! Supply and demand.

 

[KeepTalking]

Doctors are not slaves. Why would they agree to take on patients if at best they break even or worst incur losses?

For a typical quick visit like this, Gerard could get reimbursed $100 or more from a private insurer. For the same visit, Medicare pays less — about $80. And now, with the new private plans under the Affordable Care Act, Gerard says he would get something in between, but closer to the lower Medicare rates.

That’s not something he’s willing to accept.

“I cannot accept a plan [in which] potentially commercial-type reimbursement rates were now going to be reimbursed at Medicare rates,” Gerard says. “You have to maintain a certain mix in private practice between the low reimbursers and the high reimbursers to be able to keep the lights on.”

http://kaiserhealthnews.org/news/a-doctors-perspective-on-obamacare/

Oh noes! That poor doctor, he is only going to make somewhere between $80-$100 every 15 minutes (before adding in the $20-$30 copay), instead of $100! Whatever is he going to do making $2560 (before copay) a day instead of $3000? Why, he just might have to forgo a round of golf every week to make up for it, or *GASP* drop his Country Club membership and golf at a public course! Oh, the humanity!

 

[Jimmy Higgins]

Who the heck is the American Action Forum?

 

[Loren Pechtel]

1) When the Republicans speak about Obamacare they're probably lying.

2) I can see this number being "true"--the reality is that not every doctor is in every plan. I could easily see a doctor not being in any exchange plan. In fact, for 2014 I'm sure my wife's primary care doc isn't in any exchange plan--she works for the insurance company and that insurance company had no offerings on our exchange. That doesn't mean there's a problem.

 

[ZiprHead]

Where do these doctors that are (supposedly) leaving expect to go?

They are leaving and upcoming doctors are going into the ever increasing elective surgery. Brest, facelift, butt, sex change, plastic surgery. It's huge and lucritive! Supply and demand.

It's not so easy for a doctor to change their specialty. An internal medicine doctor cannot just up and say "I'm now a plastic surgeon!".

 

[solutions]

They are leaving and upcoming doctors are going into the ever increasing elective surgery. Brest, facelift, butt, sex change, plastic surgery. It's huge and lucritive! Supply and demand.

It's not so easy for a doctor to change their specialty. An internal medicine doctor cannot just up and say "I'm now a plastic surgeon!".

Upcoming doctors have the incentive to go into elective surgery.