MedCity News December 13, 2023
Health systems have been increasingly dropping MA contracts, saying that they cause their organizations to lose too much money and result in dangerous patient care delays. To mitigate this issue, experts think large MA plans need to delegate more utilization management duties to health systems rather than handling it themselves.
Every autumn, American television viewers are inundated with a barrage of commercials depicting the vibrant and wondrous life they could be living under the coverage of a Medicare Advantage plan. These advertisements are full of celebrity spokespeople, seniors showing off their athleticism and promises that MA plans provide better benefits than traditional government-operated Medicare plans.
But ads often exaggerate value — and in the eyes of some health systems,...
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