Several major things happened in January. First, networks decreased contract rates for their providers so you’re going to see more providers not accept any insurance.
Second, if an insured person had more than themselves covered, all family members covered have to meet a huge deductible before anyone is covered. $1,200 deductible may not be quite so bad but if parents and one child are covered, suddenly you’re up to $3,600.
Third, the co-pay amount is often almost all of the negotiated contract rate. A patient one of my docs saw today for psychotherapy has insurance with a contract rate of $85, of which $75 had to be paid by the patient. Lot of paperwork to prepare and staff to pay in order to collect the additional $10. Doc is better off to see patient as private pay for $75.00.
But the goal of Obamacare is to make it financially impossible to operate a private-pay-only practice.