A large survey from the Medical Group Management Association finds many physician practices are decidedly cool toward health insurance exchanges now live under the Affordable Care Act.

“At least initially, physician practices are taking a cautious approach with ACA exchanges,” says Susan Turney, M.D., president and CEO of the association. “Because it’s unclear how many patients will sign up for exchanges in their area, or if practices will even contract to provide care under new exchange insurance products, at this time they can only speculate about their future business needs in relation to the ACA.”

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