The Vitals

When Coverage Breaks Down: The Hidden Costs of Insurance Disputes


Listen Later

In this episode of The Vitals, we sit down with Dr. Alan Adler to unpack one of the most important issues affecting patients and health systems today: negotiations between hospitals and insurance companies. 

As discussions continue between Mount Sinai and Anthem, Dr. Adler explains what is at stake in these conversations, how contract negotiations between major health systems and insurers typically work, and why these agreements can have far-reaching implications for patient access, affordability, and continuity of care. 

The conversation also explores the broader economics behind hospital-insurer relationships—how reimbursement rates are determined, what drives negotiating leverage on both sides, and how health systems balance financial sustainability with their commitment to patient care. 

📅 To learn more about Mount Sinai services or schedule an appointment with a provider, visit Mount Sinai online today: https://www.mountsinai.org/?pk_vid=174eeee090819798177342044977c34c

🎧 Subscribe to The Vitals and explore more podcast programming from Mount Sinai for expert conversations on the biggest issues in medicine, research, and patient care: https://www.youtube.com/playlist?list=PLCT7BA-HcHliU8QIXyuk_74L_uH0gyKGt

...more
View all episodesView all episodes
Download on the App Store

The VitalsBy Mount Sinai Podcast Network