At present, there are millions more people with health insurance in the USA than before Romneycare became the law of the land. Especially in the states that implemented the Medicaid expansion provisions.
The Medicaid expansion is a particular sore spot if the ACA gets repealed, a majority of our physicians are in California where Medi-Cal has had gobs of funding and covered an expanded population well before the ACA was implemented - but for those in states that did rely on the expansion funding I expect our collection rates are going to plummet as Medicaid patients continue to make up a large majority of those that utilize emergency department and urgent care facilities.
There's going to be a lot of people losing Medicaid if this happens that will become self-pay (aka, no money) patients. Not a good time to be in the billing industry.
