Yes, although from the PCP side.
I don't know where your practice is - I practice in the St. Pete/Tampa area.
A lot of the insurances in this area sold through the Obamacare Exchange Marketplace (and, actually, some of the Medicare plans) have switched to "full risk" models. These go by a bunch of names, including "shared risk" and "global risk." What that means is that the insurance pays the PCP a set amount of money each year for each patient on the panel. (This is all kind of simplified, but it gives you the basic gist.)
Now, if the patient never sees a healthcare provider all year, the PCP gets to keep all the money, which is pure profit. Great!
But, if the patient uses ANY outside healthcare resources - the ER, urgent care, specialists, etc. - then the PCP loses that money, because the money to pay those specialty services comes out of the lump sum that they got at the beginning of the year. And if the patient uses a LOT of those resources, then the PCP could, potentially, owe the insurance company money.
So the big private practice PCP groups have spent a lot of time making sure that their patients use as few outside healthcare resources as possible. This means that many PCP groups have instructed their answering services to never send patients to the ER, even if the patient is practically on death's door. That also means that you never refer your patient to a dermatologist, you biopsy that suspicion lesion yourself. You never refer your patient to the cardiologist, you manage that A-fib yourself. One of the local corporate private practice groups even had IV infusion centers at all their offices, so that you'd never have to send a patient to the ER for dehydration, you could just give them IV fluids yourself. The PCPs at these practices are instructed to never turn a patient away - even if they are 3 hours late, even if they arrive 2 minutes before the office closes for the day....because that means that the patient might go to the ER, and you would cause the practice to lose money.
For clarification, my practice does not do that, but I work for a community health center that sees mostly Medicaid, and not a lot of Medicare. We get funding from other sources as well, so our priorities are different. I do have a friend who worked for one of these types of practices - she summed it up as "you make a lot of money, but it sure is hard to sleep at night."
Welcome to the new world of managed care.