Reuven Pasternak, MD, CEO of SBUH, told Newsday the 603-bed academic medical center is still negotiating with health insurers with plans on the exchanges, but as of right now, it will not accept the plans due to low reimbursement rates. He said the offered rates are lower than Medicare and “approaching Medicaid.”
Gary Bie, CFO of SBUH, said the hospital still accepts other employer-based commercial plans, as well as Medicare and Medicaid.
Earlier this week, Westchester Medical Center in Valhalla, N.Y., similarly said it will not accept New York exchange health plans due to poor reimbursement rates. The exchanges are a cornerstone provision under the Patient Protection and Affordable Care Act.
More Articles on Hospitals and Health Insurance Exchanges:
Westchester Medical Center Won’t Accept Patients With Exchange Coverage
State Officials Say Their Exchanges Can Be More Effective Than Federal Marketplace
The Importance of Outreach: How Hospitals Can Help the Uninsured Get Coverage
At the Becker's 11th Annual IT + Revenue Cycle Conference: The Future of AI & Digital Health, taking place September 14–17 in Chicago, healthcare executives and digital leaders from across the country will come together to explore how AI, interoperability, cybersecurity, and revenue cycle innovation are transforming care delivery, strengthening financial performance, and driving the next era of digital health. Apply for complimentary registration now.