(Some) Fancy pants doctors won't accept PPO from the exchange

[Yo_Mama]

66. I wish I could find that article, because it discussed all the ins and outs

It's not necessarily a scam, but there was concern about affordability, and this was one of the tradeoffs.

The article I read said the insurance regulators would monitor it, and if there was evidence that the tighter networks were impeding access, they would intervene.

There really is an affordability bonus. In more rural areas, like mine in GA, we all of course use the same doctors and hospitals. There is no choice. But our ACA rates without the subsidies are very high indeed, and some people who were insured are now not going to be insured because of that.

The last part of this is that some hospitals that care for a lot of the poor/uninsured are being cut out of these networks because their rates are relatively expensive (the insured pay for the un/underinsured, including some government insurance), and so there are concerns about whether the community hospitals will now be in trouble.

This all seems a balancing act that will have to be dealt with as everyone sees how this develops.