Jacon C. Lee and Ken R. Steele: 14 Questions to Assess Your Organization's Readiness for Health Exchanges
Submitted By Charlene Ice, Created 09/10/2013 - 10:26
- Is your organization out-of-network for the plans offered in your market's exchanges?
- Have you outlined a process to accurately register exchange plan members?
- Do your contracts specify how exchange plan members will be identified?
- What is the patient's out-of-pocket liability?
- How much of patient out-of-pocket expenses can providers expect to collect from patients insured through the exchanges?
- What is the yield or margin related to the contracts for exchange-offered plans?
- Are you prepared to track and monitor the exchange plans like your other contracts?
- Did the health exchange patient end up in the right insurance plan-code bucket?
- Will your bad debt policies differ for these products?
- Will the increased revenue outweigh the bad debt losses?
- Is your state expanding Medicaid?
- Does your state offer a Basic Health Plan to help span the gap for people in the 75-200 percent of federal poverty level range?
- What steps is your organization taking to improve understanding about health exchanges in your community?
- Are consumers aware of the available plans and which plans you participate in?
Source: Becker's Hospital Review, September 9, 2013
Source URL: http://www.beckershospitalreview.com/hospital-management-adm...