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Docs Protest as Insurers Trim Advantage Networks in Reaction to Rate Reductions
Many physicians around the country are getting notices from Advantage plans that they are being cut from private insurers' networks. In addition, some insurers have announced they are reducing their Advantage plan offerings in some states, trimming extra benefits and increasing patient cost sharing.
Dr. Mitchell Lipton learned that he might lose up to 25% of his patients when he received letters from UnitedHealthcare and EmblemHealth informing him that he was being terminated from their Medicare Advantage networks as of Jan. 1.
“Over a thousand patients are affected,” said Lipton, a solo practice internist and cardiologist in Brooklyn. “My staff is afraid someone is going to get fired.”
Many physicians around the country are getting notices from Advantage plans that they are being cut from private insurers' networks. In addition, some insurers have announced they are reducing their Advantage plan offerings in some states, trimming extra benefits and increasing patient cost sharing. UnitedHealthcare is shrinking its Advantage networks to 85% to 90% of their current size, said Jack Larsen, CEO of UnitedHealthcare Medicare & Retirement.
Read the full story here: http://bit.ly/Hj6MMr
Source: Modern Healthcare
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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