Reimbursement
Advocates say strategy doesn't address concerns about plan design, might push consumers away by increasing out-of-pocket costs.
But America's Health Insurance Plans says it does not fully support the just-announced payment rate because it falls a little short.
Insurers are already seeing success, experts say, and they won't be quick to give up those savings.
Some enrollees could lose coverage; insurers likely would hike premiums or bolt from Obamacare exchanges, experts say.
Payments allow insurers in the exchanges to give low-income consumers lower deductibles.
California doctors have long decried California's Medi-Cal rates, which are lower than those of Medicaid programs in 45 other states, D.C.
Lack of transparency, lag time in pharmacy being notified of fees create unnecessary burden on pharmacy operations, orgs say.
A top-performing practice could theoretically earn up to a 25 percent payment adjustment in the 2018 performance year, experts say.
Community Oncology Alliance wrote scathing letter to MedPAC saying the recommendations would further cut reimbursements, fuel practice acquisitions.
Faculty members at the teaching hospital have also taken pay cuts in response to the loss of funding, UMMC says.