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MA is THE CAUSE of Hospitals Starting to Trip Their Bond Covenants The Annual Report on the Financial Status of CT shows that Medicare and Medicaid combined represent 75.4% of the payer mix of hospitals in the State The average payment-to-cost ratio for Medicare in 2022 was .74, down from .82 in 2019 due in part to MA. The average payment-to-cost ratio for Medicaid was .68. Hospital operating margins for the state are -1.32% down from 4.69% in 2019. Days of Cash on hand are down to 74. Access will trump cost as the primary problem in our healthcare system and patients will suffer. Policy wonks, academics, and politicians should divert their focus from knucklehead concepts like price caps, measuring charity care, ASC prices vs. hospital prices, etc. and focus on the primary issue: UNDERPAYMENTS BY GOVERNMENT PAYERS EXASERBATED BY THE MA VALUE SCAM. Health systems need to stop enabling MA before it impacts their viability So it goes n8 #healthinsurance #hosptitals #medicareadvantage #healthsystems
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I will reiterate this as decreased reimbursement and increase demand continue on divergent paths the patients will suffer. Not the commercial insurers who are reaping record profits. The financial burden and increase cost of capital will result in more hospitals closing, qualified candidates choosing to go in to other fields then healthcare, with the resultant being delays in care did patients and narrow access networks. This example Is for CT but it is being repeated all across the country. Congress will push for a bail out of the healthcare industry in the next 5 years. The current trajectory is unsustainable.
MA is THE CAUSE of Hospitals Starting to Trip Their Bond Covenants The Annual Report on the Financial Status of CT shows that Medicare and Medicaid combined represent 75.4% of the payer mix of hospitals in the State The average payment-to-cost ratio for Medicare in 2022 was .74, down from .82 in 2019 due in part to MA. The average payment-to-cost ratio for Medicaid was .68. Hospital operating margins for the state are -1.32% down from 4.69% in 2019. Days of Cash on hand are down to 74. Access will trump cost as the primary problem in our healthcare system and patients will suffer. Policy wonks, academics, and politicians should divert their focus from knucklehead concepts like price caps, measuring charity care, ASC prices vs. hospital prices, etc. and focus on the primary issue: UNDERPAYMENTS BY GOVERNMENT PAYERS EXASERBATED BY THE MA VALUE SCAM. Health systems need to stop enabling MA before it impacts their viability So it goes n8 #healthinsurance #hosptitals #medicareadvantage #healthsystems
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Complete Dignity was able to negotiate an over $24,000 refund for our client who paid out of pocket for treatment services. We are happy to celebrate another successful case resolution! Warning to the wise: negotiating a refund for services that have already been rendered is a difficult position to be in. Our advocates prefer to help you on the front end to ensure that prior authorization or negotiations with providers occur before you hand over any money. While we are happy to help if you are in a situation where these things have not been completed, it is always preferable to consult our patient advocates before agreement has been made with out of network providers, for services that have not received prior authorization, or for private pay. If you have questions or are needing help requesting a refund for overpayment of healthcare services call our patient advocates today! 480-356-9662 #completedignity #patientadvocate #savings #patientsavings #protectyourpocketbook #refund
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This needs more mainstream exposure…the message is clear and accurate
MA is THE CAUSE of Hospitals Starting to Trip Their Bond Covenants The Annual Report on the Financial Status of CT shows that Medicare and Medicaid combined represent 75.4% of the payer mix of hospitals in the State The average payment-to-cost ratio for Medicare in 2022 was .74, down from .82 in 2019 due in part to MA. The average payment-to-cost ratio for Medicaid was .68. Hospital operating margins for the state are -1.32% down from 4.69% in 2019. Days of Cash on hand are down to 74. Access will trump cost as the primary problem in our healthcare system and patients will suffer. Policy wonks, academics, and politicians should divert their focus from knucklehead concepts like price caps, measuring charity care, ASC prices vs. hospital prices, etc. and focus on the primary issue: UNDERPAYMENTS BY GOVERNMENT PAYERS EXASERBATED BY THE MA VALUE SCAM. Health systems need to stop enabling MA before it impacts their viability So it goes n8 #healthinsurance #hosptitals #medicareadvantage #healthsystems
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I will reiterate this as decreased reimbursement and increase demand continue on divergent paths the patients will suffer. Not the commercial insurers who are reaping record profits. The financial burden and increase cost of capital will result in more hospitals closing, qualified candidates choosing to go in to other fields then healthcare, with the resultant being delays in care did patients and narrow access networks. This example Is for CT but it is being repeated all across the country. Congress will push for a bail out of the healthcare industry in the next 5 years. The current trajectory is unsustainable.
MA is THE CAUSE of Hospitals Starting to Trip Their Bond Covenants The Annual Report on the Financial Status of CT shows that Medicare and Medicaid combined represent 75.4% of the payer mix of hospitals in the State The average payment-to-cost ratio for Medicare in 2022 was .74, down from .82 in 2019 due in part to MA. The average payment-to-cost ratio for Medicaid was .68. Hospital operating margins for the state are -1.32% down from 4.69% in 2019. Days of Cash on hand are down to 74. Access will trump cost as the primary problem in our healthcare system and patients will suffer. Policy wonks, academics, and politicians should divert their focus from knucklehead concepts like price caps, measuring charity care, ASC prices vs. hospital prices, etc. and focus on the primary issue: UNDERPAYMENTS BY GOVERNMENT PAYERS EXASERBATED BY THE MA VALUE SCAM. Health systems need to stop enabling MA before it impacts their viability So it goes n8 #healthinsurance #hosptitals #medicareadvantage #healthsystems
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As fee-for-service "consumption" of #healthcare services increases post #pandemic, #MedicareAdvantage #healthplans adjust the available dials including exiting unprofitable regions, raising member premiums, raising member copays, raising member deductibles and eliminating supplemental benefits. It's Econ 101 all over again.
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Don’t miss out on possible reimbursement opportunities for your hospital. If you’re a Sole Community Hospital (SCH) or Medicare Dependent Hospital (MDH) you may request a Medicare Volume Decrease Adjustment (VDA) to recover funds. One of the requirements is a significant drop in patient volume, more than 5%. Approvals can be challenging, but The Rybar Groups has specialized in VDA for over 15 years. With minimal effort on your end, let our expertise illustrate through necessary documentation and correspondence how the decrease in discharges is beyond the provider’s control. If you think you could be eligible for a VDA opportunity, reach out and we can determine your eligibility. #ruralhospital #medicare #medicaredependent #healthcare #finance #education #ruralhealthcare
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Payer enrollments just seem to multiply. And it can seem impossible to figure out if you've missed one. Until now. Check out one of the newest MedTrainer Credentialing features. Each box tells you if a provider has been enrolled with a specific payer. It goes from a mess of red and green to a very clear chart that shows the missing enrollments. Reach out if you want to see it in more detail: https://lnkd.in/gCwh6TH #credentialing #healthcare #insurancecredentialing
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Want to learn more about processes that protect Medicare payments and improves referral and payer relationships? Stay connected and join the conversation! https://lnkd.in/eN3YUFEc #ForcuraCONNECT #ForcuraWebinar #homebasedcare #healthcaretech
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How Can Evry Health Offer Cash Rewards And Still be HDHP/HSA Compliant? Evry Health also offers a Rewards Card that is “activity based.”?This is an important legal characterization that allows the rewards program to not apply to the HSA of the HDHP limits and also maintains the tax eligibility of the benefits program to the employer. Activity-based rewards programs are tied to specific actions that promote health and well being. #evryhealth #brokers #medicalinsurance #medical #healthcare
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