Becker's Healthcare March 4, 2024
Alan Condon

Chicago-based CommonSpirit is having significant challenges getting paid appropriately for care provided through some of its Medicare Advantage programs, CFO Dan Morissette said during the health system’s Feb. 29 investor call.

“We’re having real issues with some of our Medicare Advantage programs, where we have contracts in place to pay us one rate and they’re paying us a rate much less than that,” Mr. Morissette said.

The news comes as a growing number of hospitals and health systems across the U.S. are pushing back and dropping MA contracts with certain commercial payers.

Excessive prior authorization denial rates and slow payments from insurers are some of the biggest challenges that health systems across the country are seeing with MA....

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