by Scott Gotlieb
American Enterprise Institute
December 04, 2013
I want to focus today on the medical care that the Obamcare health plans will offer, and three significant but remaining challenges. First, the information infrastructure required for reconciling someone’s coverage with his health plan, or his providers, has not been constructed. As a result, it’s likely that there will be delays in enabling premiums to be collected and paid to health plans. People signing up for Obamacare coverage may not, as a practical matter, be covered starting January 1. Second, it’s now well established that more than 50 percent of the plans sold on healthcare.gov are “narrow network” options that offer a very limited choice of providers. Third, and finally, there is already evidence that providers are reluctant to sign contracts with the Obamcare plans, and when they do, reimbursement is being reduced – even off of the levels that were initially negotiated under some of the early contracts.



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