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Physicians are facing a new set of administrative challenges for ACA exchange patients, ranging from verifying coverage to coping with narrow networks.
Seven months after the startup of the Affordable Care Act’s (ACA) health insurance exchanges, medical practices have yet to see a major influx of new patients, but are still facing a new set of administrative challenges, ranging from verifying coverage to coping with narrow networks.
Those are among the conclusions to emerge from a recent survey of medical practices conducted by the Medical Group Management Association (MGMA) on the effects of the exchange implementation.
The survey included about 700 medical groups across the county with more than 40,000 practicing physicians. It found that:
“Physician group practices are expressing dissatisfaction with the complexity and lack of information associated with insurance products sold on ACA exchanges,” Susan Turney, MD, MS, FACP, FACMPE, MGMA president and chief executive officer said in a written statement. “Even though there hasn’t been a huge influx of patients into physician offices as many predicted, simple tasks such as obtaining patient insurance coverage information or finding specialists for in-network referrals have proven to be significant challenges.”
To-date about eight million people have obtained coverage through the ACA exchanges. Approximately three million more enrolled in Medicaid or the Children’s Health Insurance Program between October, 2013 and April, 2014 according to the Centers for Medicare and Medicaid Services.
Other findings from the MGMA survey: