More than half of Medicare beneficiaries choose to enroll in Medicare Advantage plans—private health plans that can provide some extra benefits and services on top of the traditional Medicare benefits. To keep these private plans affordable for the taxpayers and beneficiaries who fund the program, Medicare Advantage enrollees are subject to limited provider networks, and plans use utilization management, particularly prior authorization, to manage the cost of care. By determining whether to cover a medical treatment or limit the duration of a service, these techniques should help reduce use of low-value services. Yet research has shown that prior authorization has resulted in unnecessary delays and inappropriate denials of care and needs re-examining.
Join the Medicare Policy Initiative at Georgetown’s Center on Health Insurance Reforms for an event exploring prior authorization in Medicare Advantage plans, and how to strike a balance between protecting patients’ access to care and containing program costs.
When: Tuesday, February 4, 2025, 8:30-10:00 AM
Where: Georgetown University McCourt School of Public Policy (500 1st St NW, 9th Floor, Washington, DC)
Speakers:
- Sabrina Corlette, JD, Research Professor and Founder of Center for Health Insurance Reform
- Carrie Graham, Ph.D, Research Professor and Director, Medicare Policy Initiative
- Edward Hu, MD, CHCQM-PHYADV, System Executive Director of Physician Advisor Services, UNC Health
- Frederic Riccardi, President, Medicare Rights Center
- Molly Turco, Former Senior Advisor, Center for Medicare, CMS
This is an in-person event. Breakfast will be provided.
We value inclusion and access for all participants and are pleased to provide reasonable accommodations for this event. Please contact Katie Sargent at ksargent@burness.com if you require any accommodations or have any questions about this event. Support for this event is provided by Arnold Ventures and West Health.