MedPage Today September 25, 2023
— San Diego doctor groups latest to withdraw, citing low pay, prior authorization problems
Signaling what may be an emerging national trend, two influential medical groups with San Diego-based Scripps Health are cancelling their Medicare Advantage contracts for 2024 because of low reimbursement and prior authorization hassles, leaving 30,000 enrolled seniors to look for new doctors, or different coverage.
“Negotiations with the payers for MA with our medical foundation groups and Scripps Health were unsuccessful and we have been forced to withdraw from those plans due to annual losses that exceeded $75 million,” Scripps CEO Chris Van Gorder told MedPage Today in an early morning email.
He said the losses are due to “low reimbursement, denials, and administrative costs to...
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