McKnight's November 6, 2022
James M. Berklan

Watch a very young child play hide-and-seek for the first time and you’re guaranteed a grin or two. It’s sweet and innocent, if misguided.

Invariably, the little one will sit somewhere out in the open and “hide” by covering his eyes with his or her hands. “If I can’t see me, then nobody else can, either,” is the apparent logic.

Such a flawed strategy is, unfortunately, not confined to tykes. There are still too many healthcare providers covering their eyes and hoping for the best when dealing with the omnivorous Medicare Advantage movement.

Like some kind of fiscal necrotizing fasciitis, MA plans have charmed beneficiaries with lower premiums and eaten into providers’ reimbursements. The plans are gaining increasing market share,...

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