Hospital CEOs: What to expect from CMS next year

Becker's Healthcare December 13, 2024
Laura Dyrda

Healthcare providers will face more reimbursement challenges next year, S&P Global predicts, especially as demographic shifts increase the number of Medicare beneficiaries in many markets.

“Providers have meaningfully benefitted from increased commercial rates (using better data around costs and quality) and enhanced Medicaid supplemental payment programs that often pay closer to average commercial rates for Medicaid managed care patients and could continue to proliferate,” the report states. “Both of these have helped partially offset factors that we believe will continue to put steady pressure on revenue yield and underscore management teams’ focus on revenue cycle improvement and revenue diversification strategies.”

Factors likely to pressure providers next year include:

1) A growing Medicare patient mix.
2) Steady increase of denials.
3) Medicare Advantage...

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