Contract disputes between insurers and health systems are down in 2025 compared to the second half of 2024.
According to data from FTI Consulting, there were 133 total disputes in 2024, compared to 86 in 2023 and 51 in 2022. In the first quarter of 2025, 26 total disputes have been recorded, compared to 50 in Q4 2024 and 37 in Q3 2024. Network breaks between Medicare Advantage plans and health systems tripled from 2022 to 2024.
FTI has tracked media reports regarding negotiations over reimbursement rates between provider organizations and insurance companies during each quarter since early 2022.
Q1 2025 numbers:
Total number of disputes: 26
Disputes resulting in out of network: 7
Total resolved: 11
Total number of disputes involving Medicare Advantage plans: 15
