"That’s why the results of a recent study of
new plans offered in California
are especially troubling. Simon Haeder, a West Virginia University
political scientist, and colleagues at the University of
Wisconsin-Madison and the University of California, Irvine, found that
access to primary care physicians was relatively poor for a sample of
plans offered through California’s Affordable Care Act Marketplace in
2015.
Most Obamacare marketplace plans in California, as well as in other states, are narrow network plans.
Using
a “secret shopper” approach, the study found that only about 30 percent
of attempts for appointments with specific primary care doctors were
successful. In this approach, an individual pretending to be a patient
seeking an appointment called the offices of over 700 primary care
doctors listed in marketplace plan directories.
In
about 15 percent of cases, the doctor did not accept the caller’s plan,
despite being listed in its directory. In nearly 20 percent of cases,
the directory included the wrong phone number or the number was busy in
two calls on consecutive days. Ten percent of doctors called were not
accepting new patients. And about 30 percent of doctors called were not
primary care physicians, despite being listed as such in the directory.
When callers were able to make an appointment, the average waiting
time for a physical exam was about three weeks. In cases for which the
caller pretended to have acute symptoms, the average time until an
appointment was about one and a half weeks.
No comments:
Post a Comment
Note: Only a member of this blog may post a comment.