Medicare Advantage Scandal: Denying and Delaying Needed Care in the  #healthcareindustry
February 06, 202500:01:16

Medicare Advantage Scandal: Denying and Delaying Needed Care in the #healthcareindustry

In this clip from Encore episode 384, we discuss a 2022 federal investigation which is relevant today which revealed that Medicare Advantage plans frequently deny and delay necessary care. A notable industry statistic highlights that 65% of denied prior authorizations are not appealed, shedding light on the insurer's cost-saving methods. Furthermore, we delve into the concept of benefit buy downs and how they incrementally increase out-of-pocket costs for beneficiaries over the years.

My guest today is Wendell Potter.

=== LINKS ===
📺 Episode can be found here:
https://youtu.be/jSuIAl4HTXY

🔗 Show Notes with all mentioned links:
https://cc-lnk.com/Encore384

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#healthcarepodcast. #podcast #digitalhealth #valuebasedcare #healthcareleaders #healthcareindustry
relentless health value, stacey richter, pharma, insurance carrier, medical, employer benefits professionals, healthcare leaders, healthcare podcast, value based care, physician, pharmacist, pbm, healthcare policy, health benefits, self-insured, value based healthcare, self-insured employer, regulatory capture, Medicare Advantage plans, medical loss ratio, Interfaith Center on Corporate Responsibility, Wendell Potter,

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