A combination of policies in place and willingness from payers to be accountable is needed, says one hospital CEO.
In this episode of HL Shorts, Winona Health president and CEO Rachelle Schultz shares changes to Medicare Advantage that would make the private program more tenable for providers.
Jay Asser is the CEO editor for HealthLeaders.
KEY TAKEAWAYS
Greater transparency by Medicare Advantage payers around prior authorizations and denials would significantly benefit providers' financial and operational health.
If payers are open to innovating care delivery models, that could also benefit both sides while improving quality and outcomes for patients.