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Should Practices Accept the new ‘Exchange’ Plans?

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Article from Revenue Cycle Management IQ Center

Practices around the country are faced right now with a choice: Whether to accept the insurance contracts offered to them via the Affordable Care Act’s online exchanges.

 It’s a difficult decision. These health plans—which are designed for individual-market consumers, many with lower incomes—generally offer lower reimbursement rates for common services. And they come with higher risks than most other insurance contracts (like the risk that you’ll never be paid at all on some patients).

On the other hand, they offer volume and a much-needed new revenue source.

You shouldn’t decide this blindly. Here’s guidance on how to use the data generated by your revenue cycle management system or provider to help you make an informed decision about what’s best for your practice.

The Affordable Care Act is here to stay. But your own practice’s level of participation is still up to you. 

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