2 Mississippi hospitals end Medicare Advantage agreements

Two hospitals in Mississippi are ending Medicare Advantage agreements, state Insurance Commissioner Mike Chaney said Monday.

Posted: Oct 29, 2018 2:09 PM

JACKSON, Miss. (AP) — Two hospitals in Mississippi are ending Medicare Advantage agreements, state Insurance Commissioner Mike Chaney said Monday.

The changes will force patients to travel elsewhere for care or seek other coverage before a Dec. 7 deadline for Medicare enrollment.

"The underlying issue is that health providers, whether doctors or hospitals, are demanding more payment for their services rendered to those on Medicare, and the Medicare Advantage plans are refusing to pay more," Chaney told the Clarion Ledger .

North Mississippi Health Services, which includes North Mississippi Medical Center in Tupelo, is ending its network agreement with Humana Medicare Advantage plans at the end of the year. This affects 4,500 patients. Chaney said in a news release that alternative in-network hospitals in northern Mississippi include Baptist Memorial Hospital, which has several facilities; OCH Regional Medical Center in Starkville; and Trace Regional Hospital in Houston.

Southwest Health System in Pike County is ending its agreement with Wellcare Medicare Advantage, which covers 800 patients. Chaney said Wellcare patients may go to other in-network hospitals in southwestern Mississippi, including King's Daughters Medical Center in Brookhaven, Walthall County General Hospital and Marion General Hospital.

Medicare Advantage is a managed-care plan. For patients remaining in network, it offers reduced out-of-pocket expenses and more coverage, including dental.

Hospitals around the U.S. complain that Medicare Advantage providers routinely deny payment for services, driving up administrative costs for appealing the denials. Insurance providers say doctors and hospitals try to charge too much or prescribe unwarranted expensive medications and procedures.

People can go to www.mid.ms.gov to look at Medicare plans and consumer guides. Chaney said his agency has little control over federal Medicare or Advantage plans, but said he tries to "intervene when it impacts consumers."

Mississippi Coronavirus Cases

Data is updated nightly.

Confirmed Cases: 61125

Reported Deaths: 1711
CountyConfirmedDeaths
Hinds5209106
DeSoto328027
Madison228154
Rankin212428
Harrison209832
Jackson192934
Jones176557
Forrest163153
Washington148032
Lauderdale132388
Lee123230
Neshoba119487
Lamar111512
Oktibbeha105235
Lowndes97332
Warren96426
Scott95317
Bolivar93932
Copiah90924
Panola90711
Sunflower90622
Lafayette8699
Holmes84347
Leflore83259
Pike82632
Grenada81220
Yazoo77311
Leake76725
Lincoln74339
Wayne73221
Pontotoc7247
Simpson71126
Monroe69750
Coahoma65910
Tate64523
Marion59918
Adams58025
Covington57811
Winston57115
Marshall5668
George5415
Union51913
Newton51611
Attala49524
Tallahatchie49310
Pearl River48236
Walthall44218
Chickasaw43519
Noxubee41710
Claiborne40013
Smith37713
Jasper3758
Calhoun3748
Clay36814
Alcorn3544
Prentiss3376
Hancock32614
Tishomingo3163
Yalobusha31610
Lawrence3135
Itawamba30710
Tippah30412
Clarke29825
Montgomery2913
Humphreys26911
Tunica2656
Carroll24511
Greene22611
Kemper22315
Perry2217
Quitman2211
Amite2105
Jefferson Davis1986
Webster19712
Jefferson1916
Wilkinson18712
Sharkey1801
Stone1483
Choctaw1264
Benton1240
Franklin1142
Issaquena211
Unassigned00

Alabama Coronavirus Cases

Confirmed Cases: 89927

Reported Deaths: 1580
CountyConfirmedDeaths
Jefferson11650225
Mobile8998191
Montgomery6198143
Madison493225
Tuscaloosa391263
Baldwin317522
Shelby300232
Marshall294730
Unassigned263351
Lee249140
Morgan220615
Etowah191425
DeKalb167713
Elmore158437
Calhoun15359
Walker145763
Houston130912
Dallas128023
Russell12201
Franklin118420
Limestone118313
St. Clair118212
Cullman111311
Colbert107612
Lauderdale105312
Autauga101020
Escambia96515
Talladega89013
Jackson8163
Chambers81438
Tallapoosa80478
Dale77619
Butler75135
Blount7223
Covington70420
Coffee7035
Chilton6976
Pike6547
Barbour5625
Lowndes54624
Marion53524
Marengo51514
Clarke4849
Hale44925
Bullock43711
Perry4284
Winston42811
Wilcox4029
Monroe3884
Randolph38810
Conecuh37110
Bibb3643
Pickens3639
Sumter36118
Washington31011
Macon30813
Lawrence3060
Crenshaw2843
Choctaw27312
Henry2433
Greene24011
Cherokee2337
Geneva2260
Clay2165
Lamar1942
Fayette1695
Cleburne1141
Coosa902
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