Jackie Kimmel, your Health Systems CXO Podcast host for Strategy Executives, discusses the challenges and trends in Medicare Advantage (MA) contract management. Jackie highlights the declining yield from MA contracts and the negative impact on health system financial sustainability. The increasing number of audits, denials, and prior authorizations from MA payers is also a major pain point for health systems. Contract terminations are becoming more common, with many health system executives considering terminating at least one major plan in the next year. The viability of provider-sponsored health plans in MA is also discussed, with some systems slowing down growth while others see it as a leverage point in negotiations.

Welcome to the Health System CXO Podcast, sponsored by The Health Management Academy, featuring content designed for Health System Nurse Executives, Health Equity Officers and Strategy Executives provided by our company SME's - Anne Herleth, Jasmaine McClain, Ph.D. and Jackie Kimmell.

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Since 1998, The Health Management Academy has cultivated the premier community of healthcare's most influential changemakers from the top U.S. health systems and innovative industry partners. We power more than 2,000 health system senior executives and 200 industry organizations through exceptional peer groups, original market insights, world-class leadership development programs and novel member alliances. Our industry-leading programs and solutions enable members to facilitate meaningful relationships, navigate strategic transformation and address critical industry issues. To learn more, visit hmacademy.com and follow The Health Management Academy on ...