AXIOS April 4, 2024
Tensions between hospitals and Medicare Advantage insurers are poised to keep growing as the program gets larger and the federal government takes a harder line on health plans.
Why it matters: How hospitals and insurers respond to financial threats could ultimately affect the care received by more than half of seniors now enrolled in the program — whether it means reduced benefits, fewer provider choices or higher costs.
- Some providers have already taken the extraordinary step of terminating their contracts with MA plans, and survey data suggests many more are considering doing so in the near future.
State of play: Hospitals have been sounding the alarm about an uptick in MA plans denying claims, paying less than what...
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