Dr. Amar Rewari on Navigating the ACA Subsidy Cliff

Dr. Amar Rewari was featured in a Medscape article examining the fallout from the expiration of the Affordable Care Act's subsidy credits at the end of 2025. The piece, written by Lambeth Hochwald and published on April 3, 2026, explores how the loss of subsidies is affecting physician practices and patient outcomes across the country.

In the article, Dr. Rewari outlined the proactive steps his team is taking to address revenue shortfalls — including strengthening upfront financial navigation for patients, tightening revenue cycle processes to reduce denials, and making more deliberate care pathway and site-of-service decisions to manage costs without compromising quality.

He also spoke to broader concerns about patients presenting later in their disease course as coverage gaps widen, and the growing administrative burden of navigating those gaps — time spent on prior authorizations and financial counseling rather than clinical care.