Although the healthcare reform law's health insurance exchanges are a little more than a year away from full operation, 35 percent of hospital and health system executives said they have not began conversations with payors about participation in exchanges, according to a survey from ReviveHealth.
For the survey, 112 hospital and health system leaders submitted responses. Seventy-nine percent were managed care executives, while 6 percent were CFOs.
Sixty-two percent said they have started talking with payors about exchanges, and most of those conversations involved payment rates.
Here are some other major takeaways from the survey:
• Sixty-two percent of executives said existing commercial rates should be the starting point for provider network discussions in the exchange, while 26 percent said the starting point should be between commercial and Medicare rates.
• Roughly 56 percent said they would cut operating costs, close units or other "drastic" measures if Medicaid-level rates prevail on the exchanges.
• The most common payors expected to participate in the exchanges were UnitedHealth Group, Blue Cross Blue Shield, Aetna, Cigna and Anthem, as well as many Medicaid managed care plans.
For the survey, 112 hospital and health system leaders submitted responses. Seventy-nine percent were managed care executives, while 6 percent were CFOs.
Sixty-two percent said they have started talking with payors about exchanges, and most of those conversations involved payment rates.
Here are some other major takeaways from the survey:
• Sixty-two percent of executives said existing commercial rates should be the starting point for provider network discussions in the exchange, while 26 percent said the starting point should be between commercial and Medicare rates.
• Roughly 56 percent said they would cut operating costs, close units or other "drastic" measures if Medicaid-level rates prevail on the exchanges.
• The most common payors expected to participate in the exchanges were UnitedHealth Group, Blue Cross Blue Shield, Aetna, Cigna and Anthem, as well as many Medicaid managed care plans.
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