McKnight's November 29, 2023
Brendan Williams

Open enrollment is well underway for Medicare, as television viewers inundated with cheesy insurance company ads can tell. Those ads must work. For the first time 2024 will see most Medicare beneficiaries enrolled in private insurance – so-called “Medicare Advantage” (MA) – as opposed to fee-for-service (FFS) traditional Medicare.

In signing Medicare into law in 1965, President Lyndon Johnson stated: “There are those, alone in suffering, who will now hear the sound of some approaching footsteps coming to help.” Yet today it’s entirely possible those approaching footsteps belong to an insurance company coming to take Medicare advantage of a suffering person.

A June 2022 report from a federal inspector general analyzed 12,273 prior authorization denials by MA insurers –...

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Topics: Insurance, Medicare, Medicare Advantage, Patient / Consumer, Provider
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