Affordable Care Act (ACA) an impactful challenge for every president, and the debates on the act impact and change the course of the presidential run. Affordable Care Act (ACA) also known as Obama-care enacted by 111th United States congress and President Obama signed in into law on 23rd March 2010.

ACA has drastically reduced the number of people uninsured without health insurance. A report was submitted to the federal government to showcase the impact of ACA, the Americans without health insurance fell from 16.0% to 8.9% for the period of January to June 2016. The study also revealed that 12 million people are covered under the insurance and 11 million people are made eligible for the Medicaid by law.  Though everything seems great on the patient side on the ground reality we see a different aspect in terms of physician’s reimbursement.

As we were working through the data how the new ACA would affect the physicians reimbursement. We were caught up with one of our clients an urologist who works for 14 hours of a day seeing through different patients. He had smile over his face as he dealt with his patients and their family in the waiting room.  As we were discussing the issues of patient - care we slowly shifted towards the effects of Affordable Care Act (ACA).

The smile and casual talk now soon shifted towards more serious and glum talk. "As we shifted towards Affordable Care Act (ACA) which created healthcare policies for all the Americans we had no problem with an inclusion of ACA but then the bureaucracy crippled the system".

"ACA currently a broken system which needs to adopted into a defined structure where we are not meant to deal with bureaucratic challenges. The challenge for us is to maintain the decorum of patient - care without any interference".

As we tried to dig dipper into ACA to find various issues that are faced currently by physicians and surgeons we saw that all of the doctors have a different opinion only 3.2 % of the physicians who are our client responded with an A grade for ACA. While most of the other awarded C.


  1. Millions May Lose Coverage

Deductibles and out-of-pocket reimbursement would mean that the unhealthy patient might start to seek for alternative cheap techniques for the care. An expansion of Medicaid was some way to solve the common Americans from the rising cost of healthcare.

For physicians, this might be the time to connect with patients directly without any bureaucratic interference. You should plan ahead and provide them with alternative payment options which will improve your acquisition cost and reduce the dropout.


  1. Lean Hospitals

The new ACA will suddenly make other parties entitles to pay for the care of patient. States can’t alone handle the burden of patient - care which would mean the providers also have to kick in. The rising cost of healthcare would mean that practices would have to cut down on the cost of employees and other expansion plans.  

From the period of 2010 to 2014 it was observed that 43 hospitals have closed down in the rural parts. Though some of those hospitals were revitalized under the other names but only for the cases of emergency rooms. For the period 2010 to 2015 a quarter of the emergency rooms said that they had seen an increase in the number of patients while others had seen a small increase in number. Out of 10 hospital each 7 are Emergency Rooms (ER), the ER providers have claimed that they lack the resource to deal with the large increase in ER patients.  


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Published By - Medical Billers and Coders
Published Date - Mar-20-2018 Back

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