Becker’s: 30 health systems dropping Medicare Advantage plans | 2025

Medicare Advantage provides health coverage to more than half of the nation’s older adults, but some hospitals and health systems are opting to end or not renew contracts with some MA plans over administrative challenges.

Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers. Becker’s Hospital Review In 2023, Becker’s began reporting on hospitals and health systems nationwide that dropped some or all of their Medicare Advantage contracts. Becker’s Hospital Review 2024 coverage is here. Becker’s Hospital Review

30 health systems dropping Medicare Advantage plans:
Editor’s note: This is not an exhaustive list. It will continue to be updated this year. Becker’s Hospital Review

1. Ohio-based Kettering Health will no longer contract with Humana and Devoted Health past 2025. Becker’s Hospital Review
2. Hollywood, Fla.-based Memorial Healthcare System went out of network with Florida Blue Medicare Advantage in September. Becker’s Hospital Review
3. Clarion-based Iowa Specialty Hospitals and Clinics is dropping all Medicare Advantage plans in 2026, except for Aetna, Medigold, UnitedHealthcare, and Wellmark BCBS. Becker’s Hospital Review
4. Baltimore-based Johns Hopkins Medicine went out of network with UnitedHealthcare MA in August. Becker’s Hospital Review
5. Charleston-based MUSC Health’s contract with Humana Medicare Advantage expired on June 30. Becker’s Hospital Review
6. Providence, R.I.-based Brown University Health and UnitedHealthcare Medicare Advantage mutually agreed to go out of network on July 1. Becker’s Hospital Review
7. Tupelo, Miss.-based North Mississippi Health Services went out-of-network with UnitedHealthcare Medicare Advantage on June 1. Becker’s Hospital Review
8. Oregon-based Salem Health and Regence BCBS Medicare Advantage went out of network in February. Becker’s Hospital Review
9. Dover, Del.-based Bayhealth terminated its contracts with Humana and Cigna Medicare Advantage plans, effective Jan. 1, the system’s CFO confirmed to Becker’s. Becker’s Hospital Review
10. Dallas-based Baylor Scott & White is no longer in network with Humana Medicare Advantage as of Jan. 1. Becker’s Hospital Review
11. Livonia-based Trinity Health Michigan is no longer included in Humana’s Medicare Advantage network as of Jan. 1. Becker’s Hospital Review
12. West Des Moines, Iowa-based MercyOne is no longer included in Humana’s Medicare Advantage network as of Jan. 1. Becker’s Hospital Review
13. Raleigh, N.C.-based WakeMed is out of network with Humana Medicare Advantage for non-state retirees as of Jan. 1. Becker’s Hospital Review
14. CommonSpirit hospitals in Colorado and Humana went out of network on Jan. 1. Becker’s Hospital Review
15. The Ohio State University Wexner Medical Center in Columbus went out of network with Anthem Medicare Advantage on Jan. 1. Becker’s Hospital Review
16. WVU Medicine’s Uniontown (Pa.) Hospital and its affiliated provider groups are no longer participating providers with Highmark PA or Highmark Wholecare Medicare Advantage as of Jan. 1. Becker’s Hospital Review
17. Robbinsdale, Minn.-based North Memorial Health has ended its contract with Humana Medicare Advantage. Becker’s Hospital Review
18. Duluth, Minn.-based Essentia Health went out of network with Humana Medicare Advantage plans in 2025. Becker’s Hospital Review
19. Watertown, S.D.-based Prairie Lakes Healthcare System dropped Humana Medicare Advantage in January. Becker’s Hospital Review
20. Nashville-based Vanderbilt Health is no longer in network with BCBS Tennessee Medicare Advantage. Becker’s Hospital Review
21. Sioux Falls, S.D.-based Avera Health ended participation as an in-network provider with Humana Medicare Advantage, effective Jan. 1. Becker’s Hospital Review
22. Quincy, Ill.-based Blessing Health implemented a new MA approach in 2025 and is only contracting with BCBS, UnitedHealthcare, Molina and Total Retiree Advantage Illinois. Becker’s Hospital Review
23. Lawrence, Kan.-based LMH Health no longer accepts Aetna or Humana Medicare Advantage, effective Jan. 1. Becker’s Hospital Review
24. Sioux Falls, S.D.-based Sanford Health dropped Humana Medicare Advantage in Minnesota for 2025. Becker’s Hospital Review
25. North Platte, Neb.-based Great Plains Health no longer accepts any Medicare Advantage plans as of 2025. Becker’s Hospital Review
26. Kimball (Neb.) Health Services no longer accepts any Medicare Advantage plans as of 2025. Becker’s Hospital Review
27. Carson City, Nev.-based Carson Tahoe Health stopped accepting most Medicare Advantage plans throughout 2025, except for Prominence and Renown Health’s Senior Care Plus. Becker’s Hospital Review
28. Farmers Branch, Texas-based Southwestern Health Resources, which includes providers at Texas Health and UT Southwestern, went out of network with Aetna Medicare Advantage in 2025. Becker’s Hospital Review
29. Minneapolis-based Allina Health went out of network with Humana Medicare Advantage in 2025. Becker’s Hospital Review
30. Midland-based MyMichigan Health is no longer participating in the Aetna Medicare Advantage network in 2025. Becker’s Hospital Review

This article was originally published on Becker’s Hospital Review.