Network Adequacy
Expert articles and analysis related to network adequacy.
AI Summary — Last 30 Days
Network adequacy is becoming a sharper VBC pressure point as Medicare Advantage plans face scrutiny for narrower functional access: cancer patients in MA are seeing fewer providers than traditional Medicare beneficiaries, while MA prior authorization denials for post-acute care remain materially higher than overall denial rates—raising the question of whether plans are managing utilization or constraining clinically necessary care (MA cancer access; [KFF post-acute denials](https://news.google.com/rss/articles/CBMi_wFBVV95cUxOWVF6NVY0MlFIa0VOSmxwUjdOYWtuOFlOUWJ0bExYZ2NHRGxUVHZIbDBOMjFrc29obFNVOEw2YUlqZGJxNVdKeXBLSFc2V0xiODNnLWZTeTV1OWN5S0Z0MGdzbW82akhCcmVfQ3g4TjZJWGZIbmRjMUV4UzlOUlVvSjlXeFZ5RVpsWG1YdGl3Y3hLX3JPRzIwY2dJRFZ3Qk93YWR
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Study finds cancer patients on Medicare Advantage access fewer providers than Medicare patients
When cancer patients see fewer providers, it’s not clear if MA is optimizing or shrinking care.
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