It seems that the Affordable Healthcare Act is seeing many problems, as predicted by many throughout the country. But why are more health care providers dropping out?

Here are 5 reasons why many health care providers are calling it quits and are no longer participating in the Affordable Healthcare Act and Medicare.

  1. Low Reimbursement Rates - Typically the gold standard for reimbursements to providers is what Medicare would pay. However, many insurance companies are reimbursing participating providers with lower rates that Medicare.
  2. Narrow Networks - Providers are overburdened with patients in their networks, which does not increase their reimbursements, but makes giving care more burdensome to providers.
  3. Higher Deductibles - Deductibles must be paid before co-insurance benefits kick in. Many health care providers have to set up payment plans for patients who can't afford to pay the higher deductibles upfront. Once the deductibles are met, then the insurance companies will kick in their percentage, which is guaranteed payment to the doctor's office.
  4. Patients Not Paying Their Premiums - With premium's going up and deductible's going up, it is more challenging for patients to pay what they owe to keep the coverage that they have.
  5. Exchange Plan Fails - It has been estimated that about 1 million people enrolled in the Marketplace plans, are behind or have not paid their premiums, which are already subsidized by the federal government.

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