Open Enrollment for the Health Insurance Marketplace began on November 15, 2014. After the first Affordable Care Act enrollment period, a Commonwealth Fund report (http://www.commonwealthfund.org/publications/issue-briefs/2014/jul/health-coverage-access-aca) found that the uninsured rate dropped from 20% to 15%.
Two Federal court rulings on one day have helped add to the already chaotic atmosphere surrounding the ACA implementation. Potentially affected are millions of lower and middle income Americans living in 34 states which utilize the federally run insurance exchanges. Three judges of the 4th U.S. Circuit Court of Appeals ruled unanimously in favor of allowing the IRS to offer promised subsidies, while a three judge panel of the U.S. Court of Appeals for the District of Columbia Circuit, in a split decision, ruled they could not. The case is likely headed to the U.S. Supreme Court, but that decision could be a year or more away. Meanwhile, what's a country to do?
More Than 7 Million Sign Up for Health Coverage, the headlines boast.
However, just as millions of Americans are obtaining insurance coverage through the federal health law, many primary care doctors are retiring early, converting their practices to concierge or joining large healthcare and hospital groups. The primary care physician, also known as a “provider,” may be headed toward extinction.