By: Joe Davis, PhD Article originally appeared on Becker's Hospital Review
In August, MX.com surveyed approximately 1,000 health system executives and found that nearly two-thirds — 62 percent — were either uncertain or held a negative view about health insurance exchanges (often abbreviated as HIXs) and their impact on health systems.
In the haze of health reform legislation, it is clear that a majority of senior executives have yet to see the promise that HIXs may offer to health systems.
A March 2012 Congressional Budget Office (CBO) report and a Romney debate reference to a McKinsey survey of last year continue to spark concern about how many employers may drop coverage and "push" more people into the Health Insurance Exchange (HIX).
This past Monday, Health Leaders Media posted an article on Why Health Insurance Exchanges Unnerve CFOs. In a nutshell, people are worried that they will be paid for HIX enrollees at or below Medicare rates. For most health systems, that is a bad thing.
I have encountered this attitude in many institutions across the country. Is it likely to be true?
It is pretty much a given that payment for health providers will shrink in the future. And health system executives are logically asking:
“How can we do things differently?”
One answer centers around the unique products and services they have created internally at great expense. The only thing surprising about this is how long it has taken for providers to appreciate and act upon the treasure trove they have spent so much time and money to acquire.
Last week's poll results: More than 68% of US Hospitals do not have a program to address the growing needs of caring for older adults – but many are planning on implementing one.
ACOs, medical home initiatives and logic are driving health systems to address chronic care among seniors and others in a more systemic way. Programs that can assist in real management of this critical population - with or without an insurance element - are a key success factor for health systems going forward.