By Marilyn Moon, Ph.D. - Center for Medicare Advocacy Visiting Scholar, Medicare Analyst, Former Public Trustee of Medicare and Social SecuritySadly, one of the myths about Medicare Advantage (MA) is that it is better for minorities and persons … [Read more...] about Medicare Advantage is Not the Solution to Medicare Equity or Solvency Problems
Archives for May 2022
Office of Inspector General (OIG) Issues Another Report Highlighting Inappropriate Medicare Advantage Denials
Prior Authorization as a Barrier to CarePrior authorization and other utilization management tools can serve as significant barriers to care that both current and prospective Medicare Advantage enrollees are often unaware of until they need to … [Read more...] about Office of Inspector General (OIG) Issues Another Report Highlighting Inappropriate Medicare Advantage Denials
Insurance Industry v. Provider Response to OIG Report re: MA Denials
The recently issued HHS Office of Inspector General report focusing on Medicare Advantage plan denials titled “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically Necessary … [Read more...] about Insurance Industry v. Provider Response to OIG Report re: MA Denials
OIG Report Estimates of Inappropriate MA Plan Denials May be Understated
The recently issued HHS Office of Inspector General (OIG) report focusing on Medicare Advantage plan denials titled “Some Medicare Advantage Organization Denials of Prior Authorization Requests Raise Concerns About Beneficiary Access to Medically … [Read more...] about OIG Report Estimates of Inappropriate MA Plan Denials May be Understated
(Most) Policymakers Fail to Act on Medicare Advantage Oversight and Overpayment
For many years, the Center for Medicare Advocacy has advocated for legislative and administrative efforts to address the growing inequities between Medicare Advantage (MA) and traditional Medicare that favor MA, and thus encourage the growing … [Read more...] about (Most) Policymakers Fail to Act on Medicare Advantage Oversight and Overpayment