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Healthcare CEOs: Get Ready for the Haters

Philip Betbeze, for HealthLeaders Media, October 25, 2013

Patients are already facing copays, coinsurance, and deductibles that are much higher than only a year or two ago. If you think they're unhappy now, wait until you see what happens when you try to collect their share of your payment directly.

New headlines this month have focused on how difficult, if not impossible, it is to shop for health insurance through healthcare.gov, the online clearinghouse for the uninsured who want to sign up for Obamacare.

Those problems will eventually get fixed, and if I know the government, the solution will involve throwing gobs of money.

But let's think forward for a moment. Regardless of how the drama of the health insurance exchanges' operability plays out, eventually a lot of people who didn't have insurance before will gain it. One potential problem: the quality of that insurance shows every sign of declining across the patient population.

If your life depends on getting paid in full for your work, and most hospitals' lives do depend on it, that task will get much more difficult.

While it's good that many people who once were uninsured will now be covered, what is the quality of that coverage from a collectability standpoint? Many, if not most, who sign up through the exchanges will be choosing the cheapest plan available, known as the bronze plan.

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4 comments on "Healthcare CEOs: Get Ready for the Haters"


Phil Midden (10/25/2013 at 11:46 PM)
..."patients begin to blame the hospital for the crushing level of healthcare costs"... Perhaps they'll then see why insurance is so expensive.

Steven Lazarus (10/25/2013 at 4:26 PM)
Boundary Information Group predicted the rapidly rising patient financial responsibility problem in June, 2013, based on interviews with provider revenue cycle managers. Our research report also documents several successful approaches being used by leading [provider organizations to address this issue. The Research Report: The Impact of Growing Patient Financial Responsibility on Healthcare Providers is available at no cost on the www.boundary.net home page.

pplemmons (10/25/2013 at 2:05 PM)
Wasn't it the AHA and the CHA leadership standing shoulder to shoulder with obama and even publicly shilling for the enactment of obamacare? Just couldn't wait for all those new patients and revenue to roll in. Well, here are your new patients and they won't pay you and "hate" you for trying to collect what is due. Oh, and the effective control of hospitals, indeed the whole healthcare industry, will reside in the Federal government if this monstrosity is allowed to stand. Over and over, like Charlie Brown trying to kick the football, the hospital associations think they can make a deal with the Feds, only to be made suckers in the end. You would think they would learn.