Medicare Advantage Comes With Drawbacks

null Nov. 29, 2023 6:50 pm ETA page from the 2019 U.S. Medicare Handbook. Photo: Pablo Martinez Monsivais/Associated PressAs an ophthalmologist and solo-practice business owner, I respectfully disagree with your editorial praising Medicare Advantage (“Nikki Haley’s Medicare Advantage,” Nov. 24). Medicare Advantage plans reimburse me a fixed percentage that is often less than what traditional Medicare pays, making it difficult to cover rent and employee salaries.These plans often require prior authorization, which imposes a huge administrative burden on my office and delays or denies care to patients. Advantage plans reduce costs with narrow networks, limiting patient choice and steering patients toward large hospital-owned groups rather than private practices like mine.Copyright ©2023 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8Sponsored OffersTurboTax: Save up to $15 with TurboTax coupon 2023The Motley Fool: Epic Bundle - 3x Expert Stock Recommendat

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Medicare Advantage Comes With Drawbacks
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Nov. 29, 2023 6:50 pm ET

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A page from the 2019 U.S. Medicare Handbook. Photo: Pablo Martinez Monsivais/Associated Press

As an ophthalmologist and solo-practice business owner, I respectfully disagree with your editorial praising Medicare Advantage (“Nikki Haley’s Medicare Advantage,” Nov. 24). Medicare Advantage plans reimburse me a fixed percentage that is often less than what traditional Medicare pays, making it difficult to cover rent and employee salaries.

These plans often require prior authorization, which imposes a huge administrative burden on my office and delays or denies care to patients. Advantage plans reduce costs with narrow networks, limiting patient choice and steering patients toward large hospital-owned groups rather than private practices like mine.

Copyright ©2023 Dow Jones & Company, Inc. All Rights Reserved. 87990cbe856818d5eddac44c7b1cdeb8

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