By Denise Wilson | June 29, 2021 | CMS, Medicare Advantage
Kaiser Family Foundation (KFF) issued a report on June 21, 2021, outlining Medicare Advantage (MA) trends for 2021. Of note, the report states enrollment in MA has doubled over the past decade. In 2021, more than four in ten Medicare beneficiaries are enrolled in MA plans, a number that has increased steadily since the early 2000’s. UnitedHealthcare and Humana account for nearly half of all Medicare Advantage enrollees nationwide in 2021.
In KFF’s discussion of the trends, the authors noted, “[I]t will be increasingly important to assess how well Medicare’s current payment methodology for Medicare Advantage is working to enhance efficiency and hold down beneficiary costs and Medicare spending. It will also be important to monitor how well beneficiaries are being served in both Medicare Advantage and traditional Medicare, in terms of costs, benefits, quality of care, patient outcomes, and access to providers, with particular attention to those with the greatest needs.”
For More Information:
Denise serves as the Senior Vice President at Denial Research Group – AppealMasters. Denise is also President of The Association for Healthcare Denial and Appeal Management. Denise is a Registered Respiratory Therapist, Registered Nurse, and holds a Master’s degree in Management Information Systems from the University of Illinois, Springfield.
Denise has over thirty years of experience in healthcare, including clinical management, education, compliance, and appeal writing. Denise has extensive experience as a Medical Appeals Expert and has personally managed hundreds of Medicare, Managed Medicare, and Commercial appeal cases and presented hundreds of cases at the Administrative Law Judge level.
Denise is a nationally known speaker and dynamic educator on Medicare and Commercial appeals processes, payer behaviors, standards of care, appeal template development, and building a road map to drive the payer to a decision in the provider’s favor. She has educated thousands of healthcare professionals around the country in successfully overturning medical care denials.