Resources   24th September

NSB Monthly Letter - September 2024

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NSB Monthly Letter - September 2024

Providers Struggle with Medicare Advantage Plans While Major Health Insurers Manipulate to Inflate Profits

  • Providers are opting out of Medicare Advantage (MA) contracts due to reduced payments, increased claim denials, and prior authorization hurdles, which are straining provider-insurer relationships...

  • Insurers are reconfiguring Medicare Advantage networks by cutting provider payments, pruning benefits, and tightening claim approvals to address declining profitability, leading to more contract disputes and patient access challenges...

  • The Cash Monster Was Insatiable’: How Insurers Exploited Medicare for Billions....

No Surprises Act Complaints and Enforcement

  • Murphy Introduces Legislation to Improve Enforcement of No Surprises Act - September 13, 2024...

  • CMS released a report detailing complaints related to the NSA....

Another Payor and Provider Contract Dispute

  • The article highlights the uncertainty and anxiety faced by Florida Blue customers due to ongoing negotiations with Baptist Health, highlighting the potential end of in-network coverage if an agreement is not reached by September 30. This situation underlines the importance of understanding healthcare rights and preparedness during insurance contract renewals...

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