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Ep 51: Decoding Medicare Advantage and Medicaid MCOs: Understanding the Coverage
Manage episode 414031695 series 3289122
Το περιεχόμενο παρέχεται από το Clarice Grote, MS, OTR/L, Clarice Grote, and MS. Όλο το περιεχόμενο podcast, συμπεριλαμβανομένων των επεισοδίων, των γραφικών και των περιγραφών podcast, μεταφορτώνεται και παρέχεται απευθείας από τον Clarice Grote, MS, OTR/L, Clarice Grote, and MS ή τον συνεργάτη της πλατφόρμας podcast. Εάν πιστεύετε ότι κάποιος χρησιμοποιεί το έργο σας που προστατεύεται από πνευματικά δικαιώματα χωρίς την άδειά σας, μπορείτε να ακολουθήσετε τη διαδικασία που περιγράφεται εδώ https://el.player.fm/legal.
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.
Thanks for listening! If you found this episode helpful, don’t forget to follow, rate and review the show. To learn more about Amplify OT head to https://amplifyot.com/
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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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