Providers Get Same Rates from Plans Inside, Outside Exchanges

Hospitals will be paid nearly the same rates by health plans sold through new state insurance exchanges as by plans sold to employers outside them, say analysts and hospital system executives interviewed by Modern Healthcare.

Hospital analysts with Fitch Ratings said hospital reimbursement rates offered by exchange health plans are mostly similar to those paid by commercial insurers, despite initial fears that rates would be closer to the lower rates paid by Medicare. “The early information has been fairly favorable for hospitals,” said Megan Neuburger, a for-profit healthcare analyst and senior director with Fitch Ratings.

Jim LeBuhn, a senior director and analyst of not-for-profit healthcare, agreed. “I think providers have been pretty satisfied with the rates they've been able negotiate.”

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Source: Modern Healthcare