Medicare Advantage or Disadvantage? Lawmakers Hear About the Good, the Bad, and the Prior Authorizations – RamaOnHealthcare

Perils and promise of Medicare Advantage highlighted at congressional hearing

Testimony during a congressional hearing this week highlighted the strain hospitals are experiencing from the administrative roadblocks posed by Medicare Advantage (MA). For all the potential seen in the program to improve health and care delivery, MA is not working the way it should, several industry experts acknowledged during the July 22 joint hearing of two House Ways and Means Committee subcommittees. “Our volume of care denials has more th…

Medicare Advantage or disadvantage? Lawmakers hear about the good, the bad, and the prior authorizations – RamaOnHealthcare

Key TakeawaysMedicare Advantage offers additional benefits but faces criticism for prior authorization issues, payment delays, and higher costs compared to traditional Medicare.Congressional leaders emphasize the need for transparency, modernized benefits, and aligned incentives to maintain trust and efficiency in the Medicare Advantage program.Witnesses highlight the importance of patient-centered care, reduced administrative burdens, and bette…