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'Medicare Done Right,' explained: Fixing Medicare Advantage while preserving favorability

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Susan Dentzer, president and CEO of America's Physician Groups, breaks down the organization's proposal for fixing prior authorizations and Star Ratings in Medicare Advantage.

Medical Economics sat down with Susan Dentzer, president and CEO of America's Physician Groups (APG), to discuss their latest report, "Medicare Done Right."

As Medicare Advantage (MA) enrollment surges past 37 million — covering 56% of eligible beneficiaries — Dentzer says the program must evolve to keep pace. She outlines a vision for improving MA by reforming burdensome prior authorizations and revamping Centers for Medicare and Medicaid Services (CMS) Star Ratings to emphasize what truly matters: patient outcomes.

She highlights a recent industry commitment from a coalition of insurers to overhaul prior auths within two years — and calls for new incentive structures that reward organizations delivering accountable, value-based care.

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