Article

Providers and Payers Face Intense Negotiations After Pandemic

A slew of provider revenue constraints make them more likely to enter contract negotiations with a hardball approach.

Richard Bajner says a slew of provider revenue constraints make them more likely to enter contract negotiations with a “hardball approach.” Moreover, Bajner added, the Congressional Budget Office forecasts the Medicare Hospital Insurance trust fund will be exhausted by 2024, which is likely to pressure CMS to limit Medicare reimbursement over the next few years. “In an environment where the trust fund is less solvent than at any other point in Medicare history, policy implications may be more draconian to the provider segment,” Bajner said.

 

 

Full article in Modern Healthcare


Let us guide you

Guidehouse is a global advisory, technology, and managed services firm delivering value to commercial businesses and federal, state, and local governments. Serving industries focused on communities, energy, infrastructure, healthcare, financial services, defense, and national security, Guidehouse positions clients for AI-led innovation, efficiency, and resilience.

Stay ahead of the curve with news, insights and updates from Guidehouse about issues relevant to your organization and its work.