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The ‘open enrollment’ period for the ACA and it will coincide with the Medicare Advantage Open Enrollment period, beginning October 15, 2013

Reimbursements to hospitals and physicians for those who enroll in the exchanges will be ‘somewhere between Medicaid and Medicare and not the level of private insurance.’

One thing to contemplate when choosing Exchange vs Private insurance, if you have that luxury. Premiums, partially, may be lower because of “forced” lower payments.

My prediction: The continuance of government forcing lower payments to docs and hospitals for its programs will further increase private insurance… further skewing the natural market and forcing our system to make other artificial adjustments to acquire the changes and balance the scales.