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5 latest health systems dropping Medicare Advantage & what ASCs need to know
Becker's Healthcare September 20, 2024
ASCs are facing rising challenges with Medicare Advantage plans, including escalating implant costs, frequent reimbursement denials and increasing administrative hurdles that complicate patient care and financial stability.
“With the inflationary curve on the rise and another looming cut to the physician fee schedule, it is imperative that we re-examine our payer contracts with all other payers in our market,”Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, told Becker’s. “Many of the Medicare Advantage plans in our market are trying to pay below the Medicare physician fee schedule, and none of them are accounting for the implant costs associated with doing surgery in our ASC. I am also looking for steerage from the payers for ASC strategies in our market. As...
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