Becker's Healthcare October 11, 2024
ASCs, physicians and hospitals alike have struggled with declining reimbursements, patient care issues and administrative burdens associated with Medicare Advantage plans — pushing some to drop the program entirely.
ASCs: Many ASCs have long been in deadlocks with CMS and other payers over declining reimbursement rates. When it comes to Medicare Advantage specifically, ASC physicians and leaders have cited reimbursement denials, escalating implant costs and administrative hurdles.
“With the inflationary curve on the rise and another looming cut to the physician fee schedule, it is imperative that we re-examine our payer contracts with all other payers in our market,” Andrew Lovewell, CEO of Columbia (Mo.) Orthopaedic Group, told Becker’s. “Many of the Medicare Advantage plans in our market are...
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