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Ep 51: Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage
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Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage
You may have heard (or even said) that Medicare Advantage is great if you’re healthy but terrible if you’re sick. But why is that? This week on The Amplify OT Podcast, I’m sharing what Medicare Advantage is, why it’s popular, despite these claims, and how it has expanded into the Medicaid space with managed care organizations (MCOs).
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In this episode, I cover:
- Benefits and barriers that come with Medicare Advantage plans.
- The difference between traditional Medicare and Medicare Advantage.
- Why managed care plans (MCOs) are popular, especially for governments.
- Current and proposed regulatory changes that affect these plans and us as practitioners.
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LINKS MENTIONED IN THIS EPISODE:
- Ep 50: Volume-Based vs. Value-Based Reimbursement Models in OT
- CMS Finalizes Rule to Expand Access to Health Information and Improve the Prior Authorization Process [CMS.gov Article]
- Medicare Advantage in 2023: Enrollment Update and Key Trends [KFF.org Article]
- Medicaid: Last Week Tonight with John Oliver [YouTube]
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Join the Amplify OT Membership
As a exclusive bonus for podcast listeners, you can join the Amplify OT Membership at any time! Join today to take control of your career! It’s time to become your own best resource on Medicare and advocacy.
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