Analyzing an emerging crisis for healthcare providers
Even as Medicare Advantage (MA) plans grow in popularity, many healthcare providers are rethinking and reworking their relationships with them. A rapid rise in prior authorization and insurance claim denials among these plans has created real financial hardship for health systems.
This report dives into:
- The high resource cost of appealing and overturning denials
- Medicare Advantage payer behaviors and motives
- Market dynamics driving consumer trends in MA
- Strategies for mitigating the rise in MA denials
