How Will Obamacare Affect Doctors? 
when asked of the expected impact on a practice of the exchanges , 40.5 percent of more than 1,000 surveyed practices said unfavorable and another 15 percent picked very unfavorable . Only 16 percent thought the exchanges would be favorable or very favorable to practices and about 28 percent thought the affect will be neutral . MGMA conducted the online survey in September 2013 with responding practices representing more than 47,500 physicians . Only 29 percent of responding practices plan to participate in exchanges ; another 40 percent are evaluating participation . Those looking to participate cite remaining competitive in the local market , replacing some of the charity care as uninsured patients get coverage and providing care to underserved populations as the primary reasons . Those practices not participating are significantly worried about five issues arising from insurance exchanges : administrative and regulatory burdens -LRB- 64 percent -RRB- , collecting payments because of patient financial burdens such as high deductibles -LRB- 62 percent -RRB- , low reimbursement rates that pose a financial risk to the practice -LRB- 59 percent -RRB- , concerns of assuming financial liability during a 90-day grace period for enrollees -LRB- 59 percent -RRB- , and uncertainty and confusion about exchange products -LRB- 53 percent -RRB- . That worry extends to practices evaluating exchanges as well , with more than 80 percent citing low reimbursement rates , liability during a grace period and patient financial burdens as major barriers to participation . Most surveyed practices that received patient rate information from exchange insurers found the reimbursement rates of commercial insurers to be somewhat to much lower than they currently receive , with traditional Medicare and Medicaid reimbursement through exchanges also considerably lower . Full survey results - WEBSITELINK 