Becker's Healthcare February 21, 2024
Hospitals and health systems around the country have recently ended some or all of their Medicare Advantage contracts, citing a variety of reasons such as reimbursement delays and the burden of prior authorizations.
“This battle between hospitals and MA is a manifestation of an underlying broken system in which everyone that gives care wants to give more, and everyone that pays for care wants to pay less,” former CMS Administrator Don Berwick, MD, told Becker’s.
Medicare Advantage is now the dominant form of Medicare in the U.S., with a projected 54% share by the end of 2024, or more than 33 million enrollees. As the private Medicare plans have grown to a larger portion of hospitals’ payer mixes, contract disputes...
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