albrown0569
Pushing Back Against Medicare Advantage SNF Denials
Despite ongoing concerns about denials and beneficiary access to care, Medicare Advantage (MA) companies remain in the spotlight as their market penetration continues to grow.
In April 2022, a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) highlighted a significant issue in the capitated payment model employed by Medicare Advantage. The report expressed concerns about the potential incentive for Medicare Advantage Organizations (MAOs) to deny beneficiary access to services and withhold payments to providers, all in an effort to boost their profits.
www.allzonems.com/pushing-back-against-medicare-advantage...
Pushing Back Against Medicare Advantage SNF Denials
Despite ongoing concerns about denials and beneficiary access to care, Medicare Advantage (MA) companies remain in the spotlight as their market penetration continues to grow.
In April 2022, a report from the U.S. Department of Health and Human Services (HHS) Office of Inspector General (OIG) highlighted a significant issue in the capitated payment model employed by Medicare Advantage. The report expressed concerns about the potential incentive for Medicare Advantage Organizations (MAOs) to deny beneficiary access to services and withhold payments to providers, all in an effort to boost their profits.
www.allzonems.com/pushing-back-against-medicare-advantage...