Becker's Healthcare May 20, 2024
Medicare Advantage is the dominant form of Medicare, and questions loom for payers, providers and policymakers alike in the year ahead.
Enrollment in the program has doubled in the last 10 years, and over half of Medicare beneficiaries are enrolled in an MA plan in 2024. At the same time, a number of headwinds are converging on MA this year.
The public-private partnership is a major income generator for insurers, but as CMS tightens reimbursements, and audits and medical costs rise, it may not be the cash cow it once was. On top of this, many hospitals are fed up with Medicare Advantage. Several hospital executives have spoken out against delayed and denied payments from Medicare Advantage insurers,...
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