National Cloud Network Reveals the ACA's Health Insurance Expansion Has Not Overwhelmed Physician Practices
Data Show No Change in New or Increasingly Sick Patient Volume, Decrease in Uninsured Visits, and Spike in Medicaid Utilization
WATERTOWN, Mass. and PRINCETON, N.J., March 25, 2015 (GLOBE NEWSWIRE) -- A new report shows that a year after the Affordable Care Act's (ACA) coverage expansion provisions took effect, physicians have not experienced a sharp increase in new or sick patients scheduling appointments. The report was prepared by athenahealth, Inc. (Nasdaq:ATHN), a leading provider of cloud-based services and mobile applications for medical groups and health systems, and funded by the Robert Wood Johnson Foundation. The 2014 ACAView report provides a comprehensive measurement of the ACA's impact on health care providers and patients.
"This very unique data allows us to gain an understanding of how health reform is affecting physician practices so far," said Kathy Hempstead, who directs coverage issues at the Robert Wood Johnson Foundation. "Contrary to what many anticipated, physician waiting rooms aren't being flooded by sicker-than-average newly insured patients. So far, the increase in demand is moderate, and new patients do not appear to differ much from established patients in terms of their chronic conditions and use of health services."
The report, which is the first of its kind to examine the impact of the first year of the ACA on physician practices across the country, draws upon near real-time data from a subset of athenahealth's growing, cloud-based network of more than 62,000 health care providers and 62 million patients. The report investigates core categories related to patient volume, insurance coverage, and payer mix. Top-line findings reveal that:
"ACAView is studying health care in the wild and doing so in near real-time and with great precision," said Josh Gray, vice president, athenaResearch. "By leveraging athenahealth's national health network, we're able to uniquely interpret the impact of one of our country's most momentous pieces of health legislation. Amongst other findings and counter to what many predicted, we haven't seen a swell of new and sicker patients materialize in primary care or across specialty settings. Also, there's no evidence that providers are overwhelmed by an uptick of patients with more complex cases or chronic diseases. The findings are fascinating; it's a front row seat into how policy is translated into care trends, utilization, and access across the U.S."
To view the full comprehensive ACAView report, please visit: http://www.athenahealth.com/acaview. Select additional findings have been summarized below.
Decrease in Visits by Uninsured Reflects Spike in Medicaid Utilization – As a result of the ACA's coverage expansion provisions, new patients are less likely to be uninsured than they were as recently as a year ago. Medicaid expansion has bolstered coverage for the previously uninsured, as well as for the working poor; this is reflected in an overall decrease in uninsured patient visits.
Payer Mix Changes Most Volatile – The ACA has quickly disrupted payer mix trends, which are typically very stable over time.
About athenahealth, Inc.
athenahealth is a leading provider of cloud-based services for electronic health records (EHR), revenue cycle management and medical billing, patient engagement, care coordination, and population health management, as well as Epocrates and other point-of-care mobile apps. We connect care and drive meaningful, measurable results for more than 62,000 health care providers in medical practices and health systems nationwide. For more information, please visit www.athenahealth.com.
About the Robert Wood Johnson Foundation
For more than 40 years the Robert Wood Johnson Foundation has worked to improve health and health care. We are striving to build a national Culture of Health that will enable all to live longer, healthier lives now and for generations to come. For more information, visit www.rwjf.org. Follow the Foundation on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook.