Becker's Healthcare August 16, 2024
Medicare Advantage has grown rapidly in recent years, with 32.8 million people (54% of the eligible Medicare population) now enrolled in an MA plan. Health systems are grappling with various challenges within the program, such as excessive prior authorization denial rates and slow payments from insurers, but some organizations have positioned themselves for success.
“MA is a hot topic these days,” Kyle Fisher, CFO of Indianapolis-based Community Health Network, told Becker’s. “The market in general took off on the East Coast and the West Coast and it’s finally hitting the Midwest.”
Community, a 10-hospital system, is in several MA plans and invested in an insurance company with other providers to operate its own MA plans.
“Not only are...