
Episode #115
Managed Care Under the Microscope: Medicare Advantage Overreach and Its Ripple Effects
<p>Today, more than half of Medicare-eligible beneficiaries—nearly 35 million Americans—are enrolled in Medicare Advantage (MA) plans. These plans promise efficiency and added benefits compared to traditional Medicare, but a growing trend of MA payment delays and care denials is fueling concerns about insurer overreach.</p><p>What’s behind this surge in MA overreach, and what does it mean for providers and patients?</p><p>Brad Gingerich, Vice President at Ensemble Health Partners, joins this episode to unpack the incentives driving these behaviors, the impact on care delivery, and the solutions that could restore accountability and transparency. With years...

