Payer-Provider Conversations About Exchange Participation Slowly Progressing
July 16—More hospital executives are talking with payers about participating in health insurance exchanges, with 75 percent indicating they have begun conversations, up from 62 percent last year, according to a recent online survey by ReviveHealth.
The survey indicates that 64 percent of hospital leaders believe the starting point for exchange negotiations should be the existing commercial rates, and nearly 40 percent anticipate negotiations to end at a modest discount off commercial rates.
According to the survey, executives believe that robust participation by hospitals and physicians will be necessary for health exchange success. More than 90 percent of respondents say that at least 50 to 74 percent of hospitals and physicians in a market need to participate to ensure an adequate network.
Publication Date: Tuesday, July 16, 2013