According to the Centers for Medicare and Medicaid Services, 9,539 doctors who had accepted Medicare payments opted out of the program last year. That seems like a large number, but 685,000 doctors nationally were enrolled as participating Medicare physicians in 2012.
Eight-one percent of them were family doctors, a drop from 83 percent in 2010, the American Academy of Family Physicians reports. The journal Health Affairs, however, reported this month that one-third of primary-care physicians did not accept new Medicaid patients in 2010-2011.
Part of the problem is that Medicare payment rates have not kept pace with inflation, and Medicare reimbursements could be slashed by 25 percent next year unless Congress delays the cuts. In addition, the amount of paperwork and information required from doctors and providers is massive.
"Family physicians have been fed up for a long time and it's getting worse," said Jeffrey Cain, president of the American Academy of Family Physicians.
When doctors opt out of programs such as Medicaid and Medicare, they can practice based on patients' needs instead of worrying about reimbursement rates, he said.
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Obamacare Fallout: More Doctors Opting Out of Medicare
http://www.ama-assn.org/resources/doc/washington/medicare-survey-results-0510.pdf
Get ready to shell out more money for individual health insurance under Obamacare ... in some states, that is.
While many residents in
New York and
California may see sizable decreases in their premiums, Americans in many places could face significant increases if they buy insurance through state-based exchanges next year.
That's because these people live in states where insurers were allowed to sell bare-bones plans and exclude the sick, which has kept costs down. Under Obamacare, insurers must offer a package of essential benefits -- including maternity, mental health and medications -- and must cover all who apply. But more comprehensive coverage may lead to more expensive insurance plans.
Under Obamacare, all Americans must have insurance coverage starting in 2014 or face penalties of $95 or 1% of family income, whichever is greater. Enrollment in the exchanges begins October 1, with coverage kicking in in January. Plans will come in four tiers, ranging from bronze to platinum.
Some lightly regulated states, including Indiana, Ohio, Florida and South Carolina, have recently released preliminary rate information highlighting steep price increases. Unlike the blue states of California and New York, these are Republican-led states that have strongly opposed the Affordable Care Act, as Obamacare is officially known.
Comparing this year's and next year's plans isn't easy because the structure of the plans is so different. Each state comes up with its own method.
Behind the numbers in 3 key states. In Florida, for instance, officials constructed a hypothetical silver-level plan based on the offerings available today. Then they looked at how the cost of that plan compares to the average silver plan that will be available on the exchange. Florida found premiums will rise between 7.6% and 58.8%, depending on the insurer. The average increase would be 35%.
The main driver of the premium increases is the Obamacare mandate that coverage be offered to everyone, said Kevin McCarty, Florida's insurance commissioner. There are just short of a million enrollees in the individual market in Florida, while 3.8 million are uninsured. The state does not allow new entrants into a "high-risk pool," which provides coverage to the sick.
"People who are in their 50s with high blood pressure have no coverage options," he said.
Ohio, meanwhile, said there would be an average increase of 41% by comparing a trade association's report of premiums for all plans available today with the average premium expected on the exchange.
Indiana officials said prices would rise an average of 72%. But they were looking at the cost of providing care, not actual premiums.
Where Obamacare premiums will soar - Aug. 6, 2013