The findings that I highlight here and in my underlying research important for us to understand in light of Trump/Oz/Project 2025 hopes for “Medicare Advantage for All.” Unlike traditional Medicare, MA has TONS of prior auths —> more denials, which induce inequitable admin burdens of appealing.
Reposted from
Miranda Yaver
I wrote this based on my JHPPL article on inequitable administrative burdens of appealing coverage denials, incorporating a new interview I did with a doc who reviews claims for a major insurer and who said, "We’re told denying things is OK because people can appeal" www.statnews.com/2025/01/23/h...
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