A credit analyst for not-for-profit healthcare providers is cautioning that the new state health insurance exchanges may introduce more short-term risk than benefit.
Moody's Investors Service said in a report Friday that while the exchanges may lead to a bump in the number of insured patients, the larger unknowns will be what happens with insurance contract terms; the potential migration of patients who currently have private insurance to exchange plans; and bad debt for patients.
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Watch out, community hospitals. The proposed merger between Tenet Healthcare Corp. and Vanguard Health Systems is expected to increase pressure on already-struggling stand-alone facilities in the markets where the two chains operate.
While the deals, Moody's Investors Service says the combination of two “large and powerful systems” will be a force to be reckoned with. In particular, Tenet will have more leverage to lure physicians away from smaller hospitals and will be able to take advantage of back-office economies of scale that will help reduce costs at a time of shrinking reimbursement and increased pressure on volumes.
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