Last year, 42% of all Medicare beneficiaries received benefits through private Medicare Advantage plans, with enrollment in these plans growing by nearly 10% annually. There are concerns, however, that health insurer efforts to restrict access are resulting in the erosion of coverage and patient access. An alarming report from the Department of Health and Human Services Office of Inspector General has escalated these concerns, revealing MA plans have exhibited a pattern of denying prior authorization and payment requests that would have been covered by traditional Medicare. In this Advancing Health podcast, Michelle Millerick, AHA's senior associate director of health insurance coverage, discusses how commercial insurers are impacting patient care through their policies.


Related News Articles

Headline
The Centers for Medicare & Medicaid Services today released a Request for Information seeking public comment to inform potential future rulemaking on…
Headline
The House Ways and Means Committee today voted to advance to the full House the Improving Seniors’ Timely Access to Care Act (H.R. 8487), AHA-supported…
Headline
In a letter submitted to the House Energy and Commerce Oversight and Investigations Subcommittee for a hearing today, AHA called for greater congressional…
Blog
After two years on the front lines in the battle against this pandemic, hospitals and health systems have seen a dramatic rise in costs of labor, drugs,…
Headline
The AHA today urged the Centers for Medicare & Medicaid Services to “take swift action to hold Medicare Advantage plans accountable for inappropriately and…
Headline
The Centers for Medicare & Medicaid Services Friday finalized policy and technical changes to the Medicare Advantage and prescription drug benefit for…