PPACA Update: What Do Exchanges Mean for ASCs?

Carrie Pallardy -

Here are four updates on the Patient Protection and Affordable Care Act insurance exchanges enrollment and what this could mean for ambulatory surgery centers, according to a MediGain blog post.

Enrollment

•    3.3 million people have signed up for coverage through the exchanges
•    1.9 million people have selected plans through the federal exchange
•    1.4 million people have selected plans through state exchanges
•    Enrollment levels are at 75 percent of the overall goal

How are ASCs affected?

•    Some may be unexpectedly out-of-network
•    Insurance verification may reveal patients have not activated coverage by paying first premiums
•    Rising premiums may make it more difficult for patients to meet their financial responsibility

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