MedPAC’s June Report Flags Interest in Provider Directory Accuracy

June 20

Taking a breather from the continuing debate over Medicare Advantage plan overpayments, the Medicare Payment Advisory Commission (MedPAC) in its latest report to Congress touched on three crucial aspects of MA plan administration: encounter data, prior authorization and provider networks. Within its discussion of the latter, MedPAC pointed to persistent gaps in provider directory accuracy, something that insurance executives during the 2024 AHIP Conference in Las Vegas described as creating a “horrible experience” for members and providers.

0 Comments

Radar on Medicare Advantage

Lauren Flynn Kelly Managing Editor, Radar on Medicare Advantage

Lauren has been covering health business issues since the early 2000s and specializes in in-depth reporting on Medicare Advantage, managed Medicaid and Medicare Part D. She also possesses a deep understanding of the complex world of pharmacy benefit management, having written AIS Health’s Radar on Drug Benefits from 2004 to 2005 and again from 2011 to 2016. In addition to her role as managing editor of Radar on Medicare Advantage, she oversees AIS Health’s publications and manages the health editorial staff. She graduated from Vassar College with a B.A. in English.