Becker's Healthcare November 20, 2023
Health systems have been sparring with Medicare Advantage plans over delayed and denied coverage, and some have dropped contracts with the private plans.
Medicare Advantage denials increased almost 56% for the average hospital from January 2022 to July 2023, according to data from a joint American Hospital Association and Syntellis report. The denials and inconsistent reimbursement led to a 28% drop in hospital cash reserves.
But Medicare Advantage enrollment is growing and insurers see opportunity with these plans as more people become eligible for Medicare. According to KFF, Medicare Advantage enrollment increased 8%, or 2.3 million beneficiaries, in the last year.
During a panel at the Becker’s 11th CEO+CFO Roundtable, Will Bryant, CFO of Chapel Hill, N.C.-based UNC Health, said...