Two hospital leaders share how providers can improve their standing in negotiations with Medicare Advantage payers.
Medicare Advantage payers may have most of the power in the dynamic with providers, but there are strategies the latter can utilize to create leverage.
In HealthLeaders' The Winning Edge for Battling Medicare Advantage, Cottage Hospital president and CEO Holly McCormack and Winona Health president and CEO Rachelle Schultz highlighted ways providers can improve the conditions of their Medicare Advantage contracts.
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Jay Asser is the CEO editor for HealthLeaders.
KEY TAKEAWAYS
To negotiate favorable Medicare Advantage reimbursement rates or decrease prior authorization requirements, provider CEOs can approach payers with innovative payment models and methods of care delivery.
In some cases, it may make sense to drop or threaten to go out-of-network with an MA plan.