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- Medicare Advantage is Changing in 2016 – Are you Ready?
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- CMS Bars Cigna from Enrolling New Medicare Members
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- A Guide to Medicare Part A
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- Hospital Prices Vary Across U.S.
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- Government Targeting Remaining Uninsured
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- Medicare Spending: New way to explore Medicare prescription-drug spending
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- Three Changes Coming to Medicare in 2016
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200,000 Doctors are Turning Away New Medicare Patients
How New Changes to Medicare Impacts Medicare Beneficiaries
The annual open enrollment period for Medicare is upon us. Recent surveys show that doctors are looking to either exit the federal healthcare program or quit taking new Medicare patients. If you are shopping for Medicare insurance, or will qualify for Medicare for the first-time next year, this may affect you.
Mass Exodus from Medicare
In October 2015, the Kaiser Family Foundation and Commonwealth Fund surveyed primary care physicians who accepted Medicare, and of those surveyed only 72% said they would accept new Medicare patients. The number of physicians saying they won’t take new patients is growing. Only 1,257 physicians participated in the survey. If their responses are a good indication of the broader medical community in the United States, that would mean that around 200,000 doctors could either refuse new Medicare patients or not accept any Medicare patients at all.
A survey conducted this summer by Medscape Medical News found that 36% of physicians in small-group practices think that there will be a mass exodus of their peers from the Medicare program. Physicians, especially in smaller practices, are fed up with changes to Medicare reimbursements. The Centers for Medicare and Medicaid Services (CMS) is launching a new way of paying physicians based on performance rather than the traditional fee-for-service model, which has many physicians worries about revenue. Many doctors are also fed up with what they see as heavy regulatory requirements imposed by Medicare in recent years.
How it Will Impact Medicare Patients
For those already enrolled in Medicare, with doctors willing to play by Medicare’s new rules, nothing will change. However, for those whose doctors have elected to leave Medicare, finding a new doctor may be challenging. There is already a physician shortage in general. Economic modeling and forecasting company HIS Inc. projects that “over one-third of all currently active physicians will be 65 or older within the next decade.” The second issue affecting Medicare is the increase in Medicare to come in the next 3 years. As baby boomers are aging, the number of Medicare beneficiaries will grow significantly making it even more difficult to find a doctor.