MedCity News October 22, 2024
David J. Sand

Both providers and payers face challenges and understanding the requirements and needs of each stakeholder has the potential to lower the temperature of the current rhetoric.

Every week, there is yet another updated list of healthcare systems severing relations with Medicare Advantage (MA) plans. This news is certainly striking, but is it truly alarming?

There are nearly 4000 Medicare Advantage plans nationwide, and beneficiaries typically can choose from an average of 43 plans in their area, with 36 of those plans typically including Part D medication coverage. These healthcare systems are not dropping all Medicare Advantage plans either; the MA plans most commonly identified are Humana and UnitedHealthcare. It’s worth noting that Humana is also leaving many markets although it’s...

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Topics: Health System / Hospital, Insurance, Medicare Advantage, Provider
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