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    What Surge? Nation’s Primary Care System Holding Up Well So Far Under Obamacare


    Henry Brown, 55, who signed up for Medicaid at the health center in January, said he’s had no problem getting appointments to treat his high blood pressure and arranging for foot surgery.

    “It’s been a blessing for me,” said Brown, an ordained minister.

    So what about the predictions about newly insured patients facing delays getting care?

    “It was overblown,” said Sherry Glied, dean of New York University’s Wagner Graduate School of Public Service and a former top official in the Health and Human Services Department in the Obama administration.

    Millions Still Waiting For Medicaid Cards

    Several factors are thought to have muted early demand, from the late surge in enrollees — a million people signed up just since March 31 so their policies are just taking effect now—to an unusually cold and snowy winter in the Northeast and Midwest.

    But the most significant is that more than 5 million people projected to gain coverage remain uninsured because only half the states expanded Medicaid.

    And while Medicaid saw a net growth of 4.8 million people since October, more than a million who signed up are waiting to get the cards that are their admission tickets to free or low-cost doctors’ visits. In California alone, 900,000 people are waiting for their cards because of backlogs.

    That may account for why several health centers in California said they had seen no significant increase in new patients, although the state enrolled more than 3 million people in private plans and Medicaid.

    Although more people have sought care—as seen in the nearly 10 percent jump in health spending described in an April government report—Glied said there are enough providers in most places to care for them.

    “The primary care system is not being stretched to its absolute limits,” she said.

    She estimated that about 4 percent of the U.S. population gained insurance this year but many of them are young and “relatively low users of health care.”

    Many of the concerns about people experiencing delays grew out the experience in Massachusetts after that state adopted near-universal coverage in 2006. Wait times for a doctor’s appointment rose to an average of 50 days with some as long as 100 days, according to a Massachusetts Medical Society report in 2008.

    Mon, May 12 2014

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