1. Reflect on each of the following questions for your first response. Support your answer using examples.

   • What type of health care insurance have you had-public and/or private? Was it offered through your employer or some other resource?
   • What was your greatest out of pocket expense? Was this expense a surprise to you?
   • Have you ever experienced the situation where you or a family member have had to change doctors because of a change in your insurance coverage? Or have you ever not been able to see a specific doctor or healthcare organization due to your type of insurance? Without sharing your private health information, please share your experience.
   • What impact does MACRA have on financing healthcare? Do you believe it will impact your services that you receive under your current health insurance plan and/or impact your out of pocket expense? Describe these impacts.