By Mary Beth Donahue Recently an HHS Office of Inspector General (OIG) report and accompanying New York Times article raised questions about the use of prior authorization in Medicare Advantage. While there are over 28.5…
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Separating Fact from Fiction on Medicare Advantage EGWPs
March 21, 2022
by Mary Beth Donahue and Andrew MacPherson A few months ago, you would be forgiven for thinking that an EGWP (pronounced “egg whip”) is a breakfast dish, rather than a valued health coverage option. But,…
Medicare Advantage Is Closing the Health Disparities Gap for Seniors
January 20, 2022
By Mary Beth Donahue The Centers for Disease Control and Prevention (CDC) states it plainly: “racial and ethnic minority groups, throughout the United States, experience higher rates of illness and death … when compared to…
The Real Story on Medicare Advantage Costs and Spending
November 19, 2021
by Mary Beth Donahue A recent Kaiser Health News article parroted a series of salacious claims on Medicare Advantage spending. “Critics have argued for years that Medicare Advantage costs taxpayers too much,” the article reports.…
A Closer Look at Medicare Advantage’s Value to Seniors and Taxpayers: A Response to Health Affairs
October 4, 2021
By Greg Gierer, MPP As Congress mulls possible Medicare reforms as part of a budget reconciliation deal, there’s no shortage of viewpoints for policymakers to consider. In recent weeks, media coverage and opinion writing on…
Setting the Record Straight on Axios’s Recent Coverage of Medicare Advantage
August 11, 2021
By Jonathan Frank As Medicare Advantage continues to grow – driven by diverse, medically complex, and at-risk beneficiaries who make an active choice to enroll – so, too, does the outcry from those with an…