a growing number of facilities around the country will not accept some or all MA patients in the new year, citing excessive prior authorization denial rates and slow payments from insurers. In their refusals, some systems have even pointed to allegations of billing fraud among MA carriers made by the federal government.
more than half of the nation's 65 million older adults are enrolled in Medicare Advantage, and more than half of those enrollees have annual incomes of less than $25,000.
"[Dropping MA] is a short-term trend that is going to backfire in a big way for these large health systems," he said. "You're a nonprofit system saying you're no longer going to accept the insurance that low-income people actually have. We'll see how that works out for you."
https://www.beckershospitalreview.c...-regret-their-medicare-advantage-divorce.html
more than half of the nation's 65 million older adults are enrolled in Medicare Advantage, and more than half of those enrollees have annual incomes of less than $25,000.
"[Dropping MA] is a short-term trend that is going to backfire in a big way for these large health systems," he said. "You're a nonprofit system saying you're no longer going to accept the insurance that low-income people actually have. We'll see how that works out for you."
https://www.beckershospitalreview.c...-regret-their-medicare-advantage-divorce.html