Hospitals sour on Medicare Advantage: 8 things to know

Becker's Healthcare October 17, 2023
Jakob Emerson

With the Medicare open enrollment period underway, some seniors may have fewer provider choices in their respective regions as hospitals and health systems across the country increasingly cut ties with the Medicare Advantage program.

Eight things to know about this trend:

1. Becker’s has previously reported on hospitals or health systems across the country that have recently ended some or all Medicare Advantage contracts. Those organizations include San Diego-based Scripps Health; Bend, Ore.-based St. Charles Health System; Louisville, Ky.-based Baptist Health Medical Group; and Corvallis, Ore.-based Samaritan Health Services.

2. The reasons behind Medicare Advantage contract terminations vary by system and by payer offering the plan. Some systems have cited steep losses amid excessive prior authorization denial rates...

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