Physicians dissatisfied with contracts under PPACA

Physicians say new contracts with hospitals and insurers under PPACA limit their practices and force them to take lower payments, according to Insurance News Net.

The main problem with the new contracts is up to 25 percent of physician compensation is based on quality measures that haven't been decided yet, according to healthcare attorney Dennis Hursh, JD, from Middletown, Pa.

Plus, some new contracts include all-products clauses, which require physicians to use all of an insurance providers' offerings if they sign up for a single healthcare plan. These clauses are banned in Maryland and Virginia.

Many new contracts offer prices far below Medicare, according to Mary Ellen Corum, the director of payer relations for the Pennsylvania Medical Society.

Mr. Hursh told Insurance News Net he hasn't seen reimbursements declining, but he has seen hospitals strong-arm physicians to be exclusive to one network.

"This notion that physicians are always going to be well paid isn't true," Ms. Corum said.

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