Forget Trillium and OHP, this is a problem for everyone.  Doctor's offices pick and choose what patients they will accept based on the reimbursement rate of your insurance policy.  If you have poor coverage, or viewed as high credit risk, you're told they are not accepting new patients.  Then if your coverage degrades while you're a patient they have no qualms telling you to find another provider.   So when my employer provided insurance went from a $500 to $3,000 annual deductible my provider promptly dismissed me telling me to never come back.  So I'm now drive 113 miles to the IHS clinic in Salem.  If I need more specialized care I have to drive to Washington; Yakima, Auburn, or Marysville.  I've been forced to do this since 2005, which is long before the Affordable Care Act was even an idea. 

Isn't the toxic greed just wonderful?