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progree

(11,493 posts)
15. Hospitals Leave Medicare Advantage Networks as Problems Plague Coverage - about Humana's MA plan being rejected
Wed Jul 24, 2024, 10:30 PM
Jul 2024

as well as the United Healthcare MA plan discussed in the OP.

Newsweek, 7/24/24

https://www.msn.com/en-us/money/insurance/hospitals-leave-medicare-advantage-networks-as-problems-plague-coverage/ar-BB1qzmah

Humana's Medicare Advantage plans will also no longer be accepted as in-network options at Aultman facilities in Ohio. ((much more about this later in the article -Progree))

... HealthPartners Blocks Medicare Advantage

((blah blah about the stuff in the OP of HealthPartners leaving UnitedHealthcare's Medicare Advantage network - Progree))

The [HealthPartners] hospital operator also previously dropped Humana's Medicare Advantage plans from its network of covered insurers.

...

For 2024, the Centers for Medicare & Medicaid Services issued a new rule increasing Medicare hospital outpatient payment system rates by 3.1 percent, but insurers have been complaining it doesn't cut their patients' needs, leading to issues with payments for the hospitals.

"The payout rate increase being argued by insurance carriers is not enough, and insurance companies are reporting higher utilization which means their members are costing them more," Chris Fong, Medicare specialist and Smile Insurance CEO, told Newsweek.

Recommendations

0 members have recommended this reply (displayed in chronological order):

United Health Care has a long history of ripping off their insureds. Irish_Dem Jul 2024 #1
I don't think any health care agency doesn't thrive on denying health care. mucifer Jul 2024 #2
They violate their own written contracts. Irish_Dem Jul 2024 #4
Medicare Advantage gives all advantages to the insurer and few to patients. Lonestarblue Jul 2024 #3
I don't understand this. These two are discrete organizations, I thought, each offering health insurance question everything Jul 2024 #5
I was surprised too. I had Health Partners *insurance* when I was on the ACA in my pre-Medicare days progree Jul 2024 #6
As far as I know Medicare enrollment is not dependent on medical conditions, except for kidney functions question everything Jul 2024 #8
It's strictly a Medicare SUPPLEMENT (Medigap) thing. The 6-month Medigap open enrollment period is once in a lifetime progree Jul 2024 #9
I plan to finally retire next year and will be giving up a very good employer plan dflprincess Jul 2024 #11
Part D - I'm only paying $41/mo on that progree Jul 2024 #13
I don't think my Part D will be too bad dflprincess Jul 2024 #14
The issue isn't reimbursement rates dflprincess Jul 2024 #17
It's the HealthPartners hospital & clinics that will no longer accept UHC's Medicare Advantage plans dflprincess Jul 2024 #10
Odds are, they'll work something out by end of year. Silent Type Jul 2024 #7
Only if UHC decides to start paying claims. dflprincess Jul 2024 #12
My guess is that the docs and hospitals want more money and less hassles. They'll come to an agreement. Silent Type Jul 2024 #16
Hospitals Leave Medicare Advantage Networks as Problems Plague Coverage - about Humana's MA plan being rejected progree Jul 2024 #15
Latest Discussions»Region Forums»Minnesota»HealthPartners leaving Un...»Reply #15