Amar Rewari, Chief of Radiation Oncology at Luminis Health, shared a post on LinkedIn:
“We are starting to see the consequences of the ACA subsidy cliff, and it is not subtle.
I was recently interviewed by Medscape about what this looks like in practice, and the trends are concerning.
Patients are not just losing coverage. They are delaying care.
Patients are presenting later in the disease course, with more advanced and costly conditions. At the same time, we are spending more time navigating coverage gaps and administrative barriers instead of focusing on clinical care.
This is the part that does not get enough attention.
When a patient skips a scan or follow-up, nothing happens at first.
Then something much bigger happens.
By that point:
- The disease is more advanced.
- The treatment is more complex.
- The cost is significantly higher.
Across our system, we are trying to stay ahead of it:
- Proactively connecting patients to financial assistance.
- Reducing delays and denials in the revenue cycle.
- Making more deliberate, value-conscious care decisions.
No amount of operational optimization can fully offset loss of coverage.
This is where policy meets real-world consequences.
Would love to hear from others.
Are you seeing more delayed presentations or gaps in care where you practice?”
Other articles featuring Amar Rewari on OncoDaily.