Coverage Denials in Medicare Advantage-Balancing Access and Efficiency

Suhas Gondi; Kushal T Kadakia; Thomas C Tsai

doi:10.1001/jamahealthforum.2024.0028

Coverage Denials in Medicare Advantage-Balancing Access and Efficiency

JAMA Health Forum. 2024 Mar 1;5(3):e240028. doi: 10.1001/jamahealthforum.2024.0028.

Authors

Suhas Gondi¹, Kushal T Kadakia², Thomas C Tsai^{1

3}

Affiliations

¹ Brigham and Women's Hospital, Boston, Massachusetts.
² Harvard Medical School, Boston, Massachusetts.
³ Department of Health Policy and Management, Harvard T. H. Chan School of Public Health, Boston, Massachusetts.

PMID: 38427339
DOI: 10.1001/jamahealthforum.2024.0028

No abstract available

Plain language summary

This essay compares Medicare Advantage’s claim denials and reversals with traditional Medicare and questions whether coverage obligations are being met.

MeSH terms

Medicare Part C*
United States