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Healthcare CEOs: Get Ready for the Haters

Philip Betbeze, for HealthLeaders Media, October 25, 2013

It remains to be seen how many "healthy" people will sign up. And even those who are fortunate enough to hang onto their employer-provided health insurance plans may find out that their plans are little more than bronze as well. This is part of a recent trend with employer-based plans, where patients are already facing copays, coinsurance, and deductibles that are much higher than they were only a year or two ago.

If you can't collect the patient's share of payment effectively, you're in trouble.

That puts hospitals, the place where care is most expensive, in a difficult position. If they want to be fully paid for their work, and if they want to fulfill their contracts with health insurers, hospitals are required to collect these growing amounts of cash directly from patients.

They've been getting better at it, but a side effect of this change they haven't counted on until recently is a level of hatred, and at least as importantly, payment resistance, from patients.

I use the strong word "hatred" because when I was talking to a CFO about this problem in August at the HealthLeaders CFO Exchange in Colorado, he used that word when we talked about his organization's efforts to collect the patient's share of hospital payment.

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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.