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Medicare Advantage Can Be Complex for Patients and Providers
Medicare is a federally funded entitlement program for health insurance for people who are age 65 and older, and for some who are under 65 and meet certain criteria. Since its implementation in 1966, the number of enrollees in Medicare has grown exponentially. The program has evolved to include more managed care options including Health Maintenance Organization (HMO) plans. The percentage of enrollees choosing managed care instead of “standard Medicare” has also increased in recent years. This increase in managed care enrollees has changed processes for health care providers’ offices, resulting in a need to educate beneficiaries on the consequences of failing to follow the processes of the managed care plans they are enrolled in….Read More
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