What are Medicare Advantage enrollees getting when they buy into a broader or narrower network plan?
Although addressing social determinants of health in the Medicare-eligible population is important, what we know suggests that more could be done earlier.
The differences across Medicare Advantage plan types in access to and cost sharing for out-of-network providers leads to the important question, do their provider networks vary by plan within contract?
As is the case with almost every facet of the healthcare system, MA plans still have a lot of work to do in addressing health equity.
After decades of growing pains, Medicare Advantage continues to expand no matter the political party of the sitting president, but how much growth and whom that growth most benefits — consumer or insurer — depends on which policy levers that administration pulls.
The complexity of Medicare Advantage (MA) physician networks has been well-documented, but the payment regulations that underlie these plans remain opaque, even to experts. If an MA plan enrollee sees an out-of-network doctor, how much should she expect to pay?
Medicare Advantage are plans with private companies that contract with Medicare to deliver services. Some of these plans work great, but many of them have
The following originally appeared on The Upshot (copyright 2019, The New York Times Company). I also appeared on page B4 of the print edition on July
Gilbert Benavidez is a Policy Analyst with Boston University’s School of Public Health. He tweets at @GBinsolidarity. A slightly earlier version of this piece is cross-posted
Earlier this year, with colleagues Zoe Lyon and Garret Johnson, I published a paper in Health Affairs on the quality of provider-offered (aka, vertically integrated) Medicare
Networks, and their narrowness, seems like a significant concern. Yet we know next to nothing about Medicare Advantage networks. That’s not so good. More about
Readers asked some questions about my most recent piece on Medicare Advantage. Here they are, with my answers. 1. Isn’t it true that the government
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