MobiHealth News October 13, 2022
Dr. Aaron Friedkin

From hospital closures to physician shortages, provider scarcity is a big challenge when it comes to expanding Medicare Advantage in rural communities.

On paper, Medicare Advantage enables all the tools payers need to provide the plan of choice in rural communities. This potential, however, has generally not translated to real-world success for Medicare Advantage plans.

Despite consistent enrollment growth in metropolitan areas, rural markets remain relatively untapped. Data from the Centers for Medicare and Medicaid Services (CMS) show market penetration is consistently less in rural areas than non-rural.

So, what’s keeping Medicare Advantage enrollment from surging in rural America? With most Medicare Advantage plans providing low-to-zero cost premiums, it’s not cost. It’s access to care.

A study published last...

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Topics: Insurance, Medicare Advantage, Provider
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