Leading hospital associations appear to be on a collision course with health insurance providers over payment of insurance premiums.

One of the major concerns insurers have is whether the millions of individuals who buy insurance when the Patient Protection and Affordable Care Act kicks in will be able to send in a premium check promptly every month.

Many of those who will buy coverage through state exchanges and other avenues haven't had coverage in the past because they couldn't afford it. Now, the PPACA will essentially require these folks to buy insurance or pay a fine. But will they consistently be able to pay?

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Dan Cook

Dan Cook is a journalist and communications consultant based in Portland, OR. During his journalism career he has been a reporter and editor for a variety of media companies, including American Lawyer Media, BusinessWeek, Newhouse Newspapers, Knight-Ridder, Time Inc., and Reuters. He specializes in health care and insurance related coverage for BenefitsPRO.