CAH CFO-Administrator Forum: What if Medicare Advantage was Paid by the Cost Report?

On June 24, 2025, EqualizeRCM sponsored a forum for CFOs and CEOs of community hospitals with speakers Brent Fuller, CPA, Partner, and Shonna Cannaday, Partner at Discovery Analysts and Consultants. The speakers reviewed the Medicare Cost Report implications of Medicare Advantage, the aggregate impact of Medicare Advantage reimbursement for a sample of 10 Critical Access Hospitals in Texas, and much more during “What if Medicare Advantage was Paid by the Cost Report?”

On June 24, 2025, Brent Fuller, CPA, Partner and Shonna Cannaday, Partner of Discovery Analysts and Consultants presented “What if Medicare Advantage was Paid by the Cost Report?” Brent and Shonna covered how Medicare Advantage insurance plans pay compared to traditional Medicare, differences in payment relative to the Cost Report from a sample of 10 Critical Access Hospitals in Texas, the Cost Report impact of Medicare Advantage utilization, reimbursement improvement ideas, next steps, and much more.

The 90-minute Forum discussion was facilitated by Forum Moderator Chris Ekrem, FACHE, VP of Hospitals at EqualizeRCM.

EqualizeRCM is pleased to sponsor another relevant educational session with expert speakers for rural hospital administrators and CFOs. The 6/24/25 Forum focused on the following:

Medicare Advantage payments relative to Medicare cost, the effects of Medicare Advantage on state supplemental funding, how Medicare Advantage impacts the ratio of Cost to Charge, understanding how Medicare Advantage receives funding, swing-bed reimbursement differences, contesting Medicare Advantage denied claims, and much more.

We hope you can join us at the next CAH Forum this coming Fall to learn from experts and your peers regarding opportunities in rural healthcare. Be sure to visit www.CAHForum.com to learn more.

A written summary of the 6/24/25 CAH Forum is available by contacting Chris Ekrem at Chris.Ekrem@CAHForum.com.