[raybbr]

My only guess that this is a carrot and stick thing where his reimbursement will be eventually tied to his conformity with the “plan”.

That's exactly what it is. They are rated on "plan participation" like the patient portal. The more patients they get to sign up the more they get from the feds.

If they don't get to a certain percentage by the schedule set by the feds they don't get the reimbursements from medicare, medicaid or the health exchange. I discussed this with my doc. He doesn't like it but he feels he doesn't have a choice.

[Gaffer]

This is why I am going to vote for Cruz (if he is on a ballot I can vote on).

EVERY......WORD......OF......IT.......

[arthurus]

The best have, indeed, choices. They will go off shore or go into concierge medicine which will flourish for a time until it is shut down by the government as being elitist.