Hospitals are in an increasingly vulnerable position as Medicare Advantage enrollment surges and the federal government looks to take a harder line on health plans, S&P Global warns in a new report. As Medicare Advantage coverage balloons, MA plans are tightening control of how health services are used by requiring preapprovals for care, denying claims and paying less than what providers bill for. The squeeze is expected to continue with more baby boomers aging into the program and insurers under pressure to make a profit in the MA segment, S&P says.
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Source: https://www.axios.com/2024/08/20/hospitals-medicare-advantage-perils-grow