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Medicare Advantage plan Prior Authorizations often delay critical Cancer treatments - AJMC

Through very aggressive marketing, Medicare Advantage plan enrollments have grown exponentially in recent years, with now over half of all Medicare beneficiaries enrolled in a Medicare Advantage plan. FYI, Medicare Advantage (MA) plans are offered by private insurance companies as replacement insurance for “original Medicare.” That growth is fueled largely by the ability of MA plans to offer additional healthcare services at no or only a small additional cost over the standard Medicare premium(s). The aggressive marketing we are all subjected to every fall appears very successful, with over 33 million Americans now enrolled in Medicare Advantage. But, according to this article published by the AJMC (American Journal of Managed Care), the propensity of MA plans to require Prior Authorization for many critical medical procedures is causing many patients – and especially cancer patients – to suffer irrevocable consequences. This AJMC article by Dr. Joseph Alvarnas explains.

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