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Hospitals In FocusA podcast hosted by FAHs Chip Kahn that shines a light on everything hospitals; from the advancements in patient care to how a hospital benefits its community.. Author: Federation of American Hospitals & Voxtopica
A podcast hosted by FAHs Chip Kahn that shines a light on everything hospitals; from the advancements in patient care to how a hospital benefits its community. Language: en Genres: Business News, Health & Fitness, Medicine, News Contact email: Get it Feed URL: Get it iTunes ID: Get it |
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Managed Care Under the Microscope: Medicare Advantage Overreach and Its Ripple Effects
Episode 115
Friday, 19 December, 2025
Today, more than half of Medicare-eligible beneficiaries—nearly 35 million Americans—are enrolled in Medicare Advantage (MA) plans. These plans promise efficiency and added benefits compared to traditional Medicare, but a growing trend of MA payment delays and care denials is fueling concerns about insurer overreach.What’s behind this surge in MA overreach, and what does it mean for providers and patients?Brad Gingerich, Vice President at Ensemble Health Partners, joins this episode to unpack the incentives driving these behaviors, the impact on care delivery, and the solutions that could restore accountability and transparency. With years of experience helping hospital systems navigate managed care and revenue cycle challenges, Brad is the perfect guide through this complex and urgent issue.Guest Bio:Brad Gingerich is a healthcare executive with 15+ years leading managed care and revenue cycle operations for multihospital systems. He develops payer strategies and negotiates agreements — from fee-for-service to complex shared savings and population management — that balance provider priorities, strengthen payer partnerships and deliver organizational value. As a data-driven executive, he brings deep skills in analytics, contract modeling and financial forecasting, and is a recognized speaker and thought leader in healthcare finance.
