Research shows that observation status is much more common under Medicare Advantage – bad news for patients and hospitals alike.
Medicare (Dis)Advantage: Hospital Observation Downgrades
Medicare (Dis)Advantage: DRG Downgrades
MA plans are using millions of DRG downgrades as a “backdoor” tool for cutting hospital payments. Here are 3 ways to fight back.
Medicare (Dis)Advantage: 35 Million Prior Authorizations
Prior authorizations have become the norm in Medicare Advantage, causing treatment delays for patients and financial headaches for providers.
Medicare (Dis)Advantage: Hospitals Count the Cost
Medicare Advantage now covers more than half of U.S. seniors, putting huge new strains on healthcare delivery.