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Revenue Likely to Drop for Hospitals, Docs If ACA Mandate Is Cut

By Gregory A. Freeman  
   December 11, 2017

If millions of Americans drop their healthcare coverage, providers will be forced to bill patients directly and see fewer collections. They also will see more and sicker patients in emergency rooms, already a cost center for hospitals.

Eliminating the individual mandate in the Affordable Care Act would likely result in lower revenue for physicians, hospitals, and health systems while driving patients to more costly treatment options such as emergency departments, an industry insider predicts.

Negotiators on Capitol Hill are trying to settle on a tax bill, but both the versions from the House and Senate would eliminate the portion of the ACA that requires individuals to buy healthcare insurance or face sometimes substantial fines.

If the final bill emerges without preserving the mandate, the healthcare industry should brace for a major revenue loss, says Sean McSweeney, founder and president of medical billing company Apache Health.

According to estimates from the Congressional Budget Office, losing the mandate would result in 13 million fewer insured individuals, which means more billing the patient directly for services rendered, he says.

"While it is not easy to get money out of insurance companies, it is even harder to get it out of patients, with lower average net collection rates," McSweeney says. "We can anticipate a drop in revenue for physicians and hospitals, which could be significant for those who are billing a lot of patients covered under ACA plans."

McSweeney points to the commonly held notion that there is a downward spiral associated with what is called adverse selection in healthcare. The theory is that healthy individuals who are not mandated to purchase insurance will opt out, which leaves a pool of overall sicker individuals left getting health insurance. In order to pay for more services for these, on average, sicker individuals, insurance companies raise rates for remaining consumers.

As rates go up further, the healthiest individuals opt out of insurance and the cycle continues. Ultimately, the sickest people are left and pay the highest rates, while a large portion of the population is uninsured and pays cash or does not pay at all after receiving services.

"One significant implication for revenue cycle management is that as fewer people have insurance and a larger portion of the poor are left uninsured, people are likely to avoid preventative care and general healthcare services that are not acute, and potentially wait until their condition is more severe," McSweeney says. "This results in a larger number of patients shifting their care from outpatient services to the emergency room. Fewer insured patients in the emergency room means that emergency billing, as a whole, will do less insurance company billing and more patient billing."

Gregory A. Freeman is a contributing writer for HealthLeaders.

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