‘We’re going to have to fix this ourselves’: 5 CFOs on navigating Medicare Advantage

Becker's Healthcare November 11, 2024
Jakob Emerson

Medicare Advantage now provides health coverage to around 55% of the nation’s seniors, but some hospitals and health systems are choosing to end contracts with some MA plans due to administrative hurdles. The most frequently cited challenges include high prior authorization denial rates and delayed payments from insurers.

Becker’s connected with four health system CFOs at our 12th Annual CEO-CFO Roundtable on Nov. 11 to understand how hospital finance leaders are navigating Medicare Advantage today.

Question: Medicare Advantage plans are growing in popularity, but health systems often cite challenges stemming from prior authorizations and reimbursement rates. How are you navigating these challenges to ensure your organization can still provide high-quality care to seniors while managing financial pressures?

Jim Molloy, Executive...

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