Strategic Escalation in the Face of Rising MA Plan Denials Originally published on Becker's Hosptal ReviewRelationships between providers and Medicare Advantage (MA) plans have become more strained as payers aggressively deny claims. To ensure providers' financial...
Fight Back Against Payer Denials
The Payer’s Playbook
It is crucial to understand how insurance companies prioritize economic gains over healthcare access and patient well-being. By exploring payers’ tactics to increase revenue through Medicare Advantage plans, healthcare providers can use informed, data-driven strategies to counter their tactics. This playbook equips providers with the knowledge to manage payer behavior and improve their financial health in the challenging U.S. healthcare industry.