A new study finds Medicare Advantage plans may limit access to specialized cancer care. The study, published June 15 in JAMA Network Open, found 800,000 MA beneficiaries accessed just 7% of the medical or surgical oncologists traditional Medicare beneficiaries saw from 2016 through 2019 and went to just 12% of oncology organizations. Patients in only one-quarter of plans accessed a comprehensive cancer center designated by the National Cancer Institute (NCI) for clinical and research leadership and resources, the study found. Past research suggests that, on paper, 59% of MA plans included NCI centers in their network directories. But barriers such as distance, appointment availability, ghost networks, and Medicare Advantage tools like prior authorization can limit which in-network providers patients have realistic access to. Get more details on the study here.—CC |