Does Obamacare Cut Medicare Payments To Doctors? 
Medicare and the Affordable Health Care Act plans are separate . The rates paid by Medicare for services to providers -LRB- physicians , hospitals etc. -RRB- are laws and regulations which change from time to time . When Medicare payments get too low , providers can refuse service to Medicare recipients . The Supreme Court has decided that the Affordable Health Care Act is a tax . Medicare is a benefit . 