The five reasons given for not participating in the ACA exchanges are:
1. Concerns about administrative and regulatory burden from these products;
2. Concerns about the financial burdens from patient collections since many of these plans are high-deductible;
3. They would face financial risk because of low reimbursement rates from exchange plans;
4. Concerns about assuming financial liability during the 90-day grace period ACA exchange enrollees have to pay their bills;
5. Concerns about the uncertainty and confusion regarding ACA exchange products.
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