Friday, 31 Oct 2025
  • Contact
  • Privacy Policy
  • Terms & Conditions
  • DMCA
logo logo
  • World
  • Politics
  • Crime
  • Economy
  • Tech & Science
  • Sports
  • Entertainment
  • More
    • Education
    • Celebrities
    • Culture and Arts
    • Environment
    • Health and Wellness
    • Lifestyle
  • 🔥
  • Trump
  • VIDEO
  • House
  • White
  • ScienceAlert
  • Trumps
  • Watch
  • man
  • Health
  • Season
Font ResizerAa
American FocusAmerican Focus
Search
  • World
  • Politics
  • Crime
  • Economy
  • Tech & Science
  • Sports
  • Entertainment
  • More
    • Education
    • Celebrities
    • Culture and Arts
    • Environment
    • Health and Wellness
    • Lifestyle
Follow US
© 2024 americanfocus.online – All Rights Reserved.
American Focus > Blog > Health and Wellness > What Health Systems That Are ‘Losing On Medicare Advantage’ Can Do
Health and Wellness

What Health Systems That Are ‘Losing On Medicare Advantage’ Can Do

Last updated: May 20, 2025 10:53 am
Share
What Health Systems That Are ‘Losing On Medicare Advantage’ Can Do
SHARE

Medicare Advantage is often seen as a challenging program, with providers expressing frustrations over inadequate payments and financial losses. While there are valid concerns about non-transparent reimbursement schemes and hidden terms in contracts, it’s important to acknowledge that providers also play a role in the challenges they face.

Many hospitals and physician groups enter into Medicare Advantage contracts without fully understanding the implications. As enrollment grows, the financial viability of these arrangements can come into question, leading to complaints about being underpaid. However, providers need to take responsibility for scrutinizing contract terms upfront to avoid hidden pitfalls.

One common issue is the reliance on Star Ratings for reimbursement, where a drop in ratings can result in lower payments to providers. Additionally, some plans shift the cost of supplemental benefits back to providers, impacting their margins. Risk adjustment is another concern, as undercoding can lead to reduced revenue for providers.

It’s essential to recognize that not all Medicare Advantage plans operate in the same way. Transparent and collaborative plans exist, which share data, invest in Star performance, and support providers with coding resources. By partnering with these plans, provider organizations can avoid the pitfalls of non-competitive contracts.

Ultimately, providers need to make better choices when it comes to their Medicare Advantage partnerships. If a plan is not paying fairly or engaging in transparent practices, it may be time to seek alternative options. Value-based care can be successful with the right partners, but it requires careful evaluation of contracts and a commitment to demanding transparency and collaboration.

See also  Women’s Health Pioneer, Millie, Launches Perimenopause And Menopause Care Offerings

In conclusion, hospitals and physician organizations must prioritize their long-term sustainability by choosing partners who align with their values and goals. By advocating for fair treatment and transparency in Medicare Advantage contracts, providers can secure their financial future and contribute to the success of value-based care initiatives.

TAGGED:advantageHealthlosingMedicareSystems
Share This Article
Twitter Email Copy Link Print
Previous Article Secret Reason Nicole Kidman Wears Wigs on Red Carpets Secret Reason Nicole Kidman Wears Wigs on Red Carpets
Next Article Android 16 Has Gone Full Gen Z With Material 3 Expressive Design Android 16 Has Gone Full Gen Z With Material 3 Expressive Design
Leave a comment

Leave a Reply Cancel reply

Your email address will not be published. Required fields are marked *

Popular Posts

Cali Business Owner Used 1 Trick to Make His Store Theft-Proof: Shoplifters Caught Visibly Annoyed on Camera |

A Creative Solution for Preventing Smash-and-Grab Robberies in Fresno, California In Fresno, California, a shoe…

January 19, 2025

Justices Appear Skeptical of School District in Student Disability Rights Case

The Supreme Court recently heard arguments in a case involving a Minnesota school district and…

April 28, 2025

Trump Loses It, Brands Obama ‘A Jerk’ As Ex-Presidents Reignite Feud

The ongoing feud between former President Donald Trump and ex-President Barack Obama has once again…

October 23, 2024

American Teens Experience Enormous Pressures Related To Mental Health

In a recent survey conducted by Common Sense Media, Harvard Graduate School of Education, and…

October 13, 2024

USWNT’s biggest threats at 2027 Women’s World Cup: Women’s Euro winners England, reigning champs Spain in mix

The anticipation for the upcoming Women's World Cup in 2027 is steadily growing, with national…

July 29, 2025

You Might Also Like

Medicare, midterm elections, Vinay Prasad: Morning Rounds
Health and Wellness

Medicare, midterm elections, Vinay Prasad: Morning Rounds

October 31, 2025
Remission achievable for 1 in 3 Indian diabetics through intensive app-based lifestyle program, study suggests
Health and Wellness

Remission achievable for 1 in 3 Indian diabetics through intensive app-based lifestyle program, study suggests

October 31, 2025
Once Again A Blood Pressure Medication Recall For Cancer Concerns
Health and Wellness

Once Again A Blood Pressure Medication Recall For Cancer Concerns

October 31, 2025
Bevel raises M Series A from General Catalyst for its AI health companion
Tech and Science

Bevel raises $10M Series A from General Catalyst for its AI health companion

October 31, 2025
logo logo
Facebook Twitter Youtube

About US


Explore global affairs, political insights, and linguistic origins. Stay informed with our comprehensive coverage of world news, politics, and Lifestyle.

Top Categories
  • Crime
  • Environment
  • Sports
  • Tech and Science
Usefull Links
  • Contact
  • Privacy Policy
  • Terms & Conditions
  • DMCA

© 2024 americanfocus.online –  All Rights Reserved.

Welcome Back!

Sign in to your account

Lost your password?