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The 5 Biggest Healthcare Finance Trouble Spots

Rene Letourneau, for HealthLeaders Media, December 2, 2013

5. Health Insurance Exchanges


Mark Bogen


Mark Bogen, senior vice president and CFO at South Nassau Communities Hospital in Oceanside, NY
As healthcare providers brace themselves for the impact of the health insurance exchange products that will begin providing coverage on Jan. 1, 2014, perhaps the most difficult element involved is the uncertainty surrounding how they will impact revenue and bad debt levels.

Mark Bogen, senior vice president and CFO at South Nassau Communities Hospital in Oceanside, NY, says he is skeptical that health insurance exchanges will deliver on the financial promise of decreasing bad debt and providing more insurance coverage to low-income healthcare consumers.

"We don't know what the heck is going to happen in the first year. It's likely that it's going to take some time to develop. It may actually take several years to develop really the trends and the impact of what will ultimately occur under reform," he says. "The whole plan hinges on the expectation that you would get the young folks to buy insurance and that you would take those premiums that they would pay to help subsidize the entire health system. But, in many cases, they don't see themselves as needing health insurance, are not paying into it, and generally not using it. ... I just think that it more than remains to be seen if it will work."

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