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Apr 15, 2024
Survey highlights financial strain and operational delays, urges accountability for Medicare Advantage and commercial plans
According to a recent survey, healthcare providers spent nearly $20 billion in 2022 fighting claims denials, with private plans being particularly costly. The survey, conducted by Premier, revealed that about $10.6 billion was wasted on claims that should have been paid initially. The administrative costs for pursuing claims varied significantly across payer types, with Medicare Advantage and commercial plans being the most expensive to contest. These denials not only impact financial viability but also delay payments, affecting patient care and hospital operations. Providers are urging CMS to hold Medicare Advantage plans accountable and enforce policies to address claims denials.