Speech Understanding State Health Exchanges to Optimize Contracts

Understanding State Health Exchanges to Optimize Contracts

Arkansas hospitals have many challenges ahead to prepare for the new health exchange. Arkansas’ Private Option will expand private insurance coverage to all individuals who qualify for the new coverage plans. This presentation discusses the type of data hospitals need to be looking at in order to prepare for negotiations with insurance companies working through the exchange, as well as how hospitals can best use that data in negotiations; justification of rates, etc., with insurance companies; contract structure; out-of-network benefits and payments to providers; premium grace periods; redirection of non-contracted health plan patients to providers that are contracted; and more.