Few hospitals are ready for the Patient Protection and Affordable Care Act.

That's the conclusion PricewaterhouseCoopers consultants reached, anyway.

Experts at the professional services firm interviewed hospital executives and found many of them suffer reform fatigue.

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And some hospitals aren't even offering PPACA information on their websites.

If the new public exchange program does take root, one challenge – among many – could be a carrier focus on narrow networks.

Some exchanges seem to be leaving out the large academic medical centers that tend to treat the most high-risk patients, especially in Chicago, Los Angeles and states such as Indiana, Kentucky and Tennessee, the consultants said.

PPACA is supposed to help hospitals bring in more paying patients by expanding Medicaid enrollment and helping uninsured get private coverage through the public exchanges.

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Allison Bell

Allison Bell, a senior reporter at ThinkAdvisor and BenefitsPRO, previously was an associate editor at National Underwriter Life & Health. She has a bachelor's degree in economics from Washington University in St. Louis and a master's degree in journalism from the Medill School of Journalism at Northwestern University. She can be reached through X at @Think_Allison.