Budgeting
More than 20% of Medicare Advantage patients could be affected by the rule, report finds.
The hospital will include surgical services, a 30-bed inpatient rehabilitation unit and a full complement of imaging services.
Several factors contributed, including a change correcting the way medical education expenses are accounted for in MA rates.
"We expect benefit levels, planned stability and choice for seniors to be negatively impacted by the final MA rate notice," says CEO Bruce Broussard.
Layoffs are affecting nonclinical, non-member-facing administrative staff through attrition, closing of open positions and reducing redundancies.
CMS is setting fixed payments and is closing loopholes that result in commissions above this amount.
The American Hospital Association took issue with the report, saying the methodology is flawed.
CBO fielded questions from lawmakers ranging from AI and machine learning to healthcare consolidation and transparency.
An average of 3.2% of all claims denied include those that are preapproved via the prior authorization process.
The organization attributes the results to its insurance business units, notably Highmark Health Plans and HM Insurance Group.