Has anyone tackled the issue of dealing with their Medicare Advantage plans and the sequestration reduction? One of our smaller MA plans is trying to get us to sign a contract amendment to accept the 2% reduction but our other MA plans have just taken the reduction (and are not applying it the same way as Medicare) without a contract amendment. Has anyone looked into this?
The best we can tell so far is that the wording in our contracts for the big, national (you'd all recognize them) MA plans protects them and allows them to reduce our payments by including the phrase 'payment system' and not just referring to 'medicare fee schedule'. The small MA plan I referred to only references 'medicare fee schedule' when outlining how we will be paid.
It bothers me that they are able to push off all of the proposed loss of profit onto us. Anyone out there considering fighting this on any level?
Thanks for any thoughts!
Alanna, CPC
The best we can tell so far is that the wording in our contracts for the big, national (you'd all recognize them) MA plans protects them and allows them to reduce our payments by including the phrase 'payment system' and not just referring to 'medicare fee schedule'. The small MA plan I referred to only references 'medicare fee schedule' when outlining how we will be paid.
It bothers me that they are able to push off all of the proposed loss of profit onto us. Anyone out there considering fighting this on any level?
Thanks for any thoughts!
Alanna, CPC