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Northcentral Healthcare officials brief committee on fee setting, Medicaid reliance and financial impact of Pine Crest sale
Summary
Northcentral Healthcare leaders told the Marathon County Executive Committee how fee-setting constraints and the sale of Pine Crest will affect operations and the 2026 budget, and described strategies to manage reimbursement and charity-care risks.
Northcentral Healthcare representatives explained to the Marathon County Executive Committee how their fee schedule is set, why many listed fees do not reflect actual reimbursement, and how the 2025 sale of Pine Crest will affect the organization's 2026 finances.
Jason (Northcentral Healthcare) told the committee that many charges in the health system's posted fee schedule are gross charges: "A lot of our fees are set by Medicaid or commercial payers... we could set it for what we want, but we might get paid a much lower rate," he said. He added that Northcentral contracts with multiple counties and often bills Medicaid rates to those counties.
Committee members asked about whether…
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