Healthcare CEOs: Get Ready for the Haters

Philip Betbeze, 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, 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.

Philip Betbeze

Philip Betbeze is the senior leadership editor at HealthLeaders Media.


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