Beyond Labels

A 360° Discussion of Foreign, National and Local Policy Issues

Medicare Advantage Networks Shrink

Attached is the article I referred to in our discussion on Monday. It describes the friction between doctors and Medicare Advantage insurers as the latter trim their networks. It seems clear that the insurers’ communication with doctors and patients left something to be desired but it raises the question about whether insurers should have the right to manage their own provider networks as the deem necessary. I think this would clearly be “yes” in a guaranteed-issue environment (since disgruntled patients could switch to some other provider in which their preferred doctors are members), but it gets more murky when the patient’s ability to switch isn’t clear.

[groups_member group=”Physical]
Doctors cut from Medicare Advantage (WaPo)

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