We have previously reported that subsidized insurance acquired in the health insurance exchange in Massachusetts pays providers only slightly above Medicaid rates. As a result, newly insured Massachusetts residents have limited access to care.
In general, they seem to be going to the same providers (e.g. community health centers, hospital emergency rooms, etc.) they were seeing before health reform.
A new poll of hospital executives reveals that ObamaCare exchanges may produce similar results:
Providers say they worry whether the exchange networks will truly serve the uninsured and broaden the risk pool. Instead, they could result in a huge shift of people currently covered by employer — sponsored coverage into the exchange products marked by narrower networks, less choice, and rates that fail to cover the provision of high-value health care…
56 percent said they would have to make substantial cuts to operating costs or “do something drastic” if Medicaid — level rates prevail for the exchange networks while 11 percent said they would likely decline to participate or simply “go out of business.”