So I'm trying to do a little more research on ACA for some upcoming interviews. Does the reimbursement model change from the fee-for-service model to the outcomes-based model only affect Medicare?
Also, would a value argument against ACA be that because we switched over to an outcomes-based model, doctors are discouraged from taking on high-risk patients (patients with chronic illnesses, obese patients, etc.) because they are more likely to be rehospitalized for an issue, thereby harming the physician's compensation? Wouldn't this mean that ACA might actually lower primary care access for some patients?
Also, would a value argument against ACA be that because we switched over to an outcomes-based model, doctors are discouraged from taking on high-risk patients (patients with chronic illnesses, obese patients, etc.) because they are more likely to be rehospitalized for an issue, thereby harming the physician's compensation? Wouldn't this mean that ACA might actually lower primary care access for some patients?