Tuesday, June 21, 2016

23% of Medicare Advantage Plans Had Broad Hospital Networks in 2015

Kaiser Family Foundation recently released an analysis on Medical Advantage hospital networks. Here are some key findings from the report:

·         Medicare Advantage plan networks included half (51%) of all hospitals in their county.

·         80% included an Academic Medical Center in their network, but 1 in 5 did not.

·         2 in 5 plans in areas with an NCI-designated cancer center did not include the center in their networks.

·         23% of Medicare Advantage plans in our study had broad hospital networks in 2015.

·         1 in 6 plans (16%) had narrow or ultra-narrow hospital networks in 2015.

·         Among HMOs, broad and narrow network plans had similar average premiums ($37 vs. $36 per month).

Source: Kaiser Family Foundation, June 20, 2016

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