Perennial disaster?
It would be ironic if, simultaneous with ACA providing health insurance for 30 million more people, that doctors would face the option of bankruptcy or cash only.
I don't know if those will be the only options, and this group of Doctors and Providers are an interesting sub-set, but there is going to be a mathematical point at which refusing certain payers will make sense.
A certain practice recently told me that they have to see 3-4 government payer patients to match what they make from their other payers. Based on current market rates, it is 2 government payer patients to one cash patient. We came up with a spreadsheet model based on their active patient population so that they can play with numbers and see if they are better off dropping the government payers, offer those patients a variable visit fee instead.
This may become an more important calculation for independent practices.
