Becker's Healthcare March 22, 2024
“Onerous” authorization requirements and high denial rates have health systems considering whether to drop Medicare Advantage plans, according to a report from the Healthcare Financial Management Association and Eliciting Insights.
“HFMA Health System CFO Pain Points Study 2024” is based on a survey of 135 health system CFOs conducted in January.
According to the report, 16% of respondents said they plan to stop accepting one or more Medicare Advantage plan in the next two years, while another 45% are considering doing the same. Nineteen percent of CFOs surveyed said their systems stopped accepting one or more Medicare Advantage plan in 2023.
Health systems have been increasingly pushing back on Medicare Advantage. Chris Van Gorder, president and CEO...
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