Of the 38 counties in the U.S where Medicare Advantage enrollment is 75 percent or more, six are in Texas, according to analyses by the Kaiser Family Foundation. Nationwide, Medicare Advantage penetration is, on average, 54 percent, a proportion that increases each year.
Starr County: 81 percent
El Paso County: 76 percent
Hidalgo County: 76 percent
Cameron County: 76 percent
Maverick County: 75 percent
Willacy County: 75 percent
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Medicare Advantage plans’ excessive denials, restrictive provider networks, and contentious contract negotiations continue to increase the number of health systems
Medicare Advantage Has Become Notorious for Prior Authorization Burden
Medicare Advantage plans denied 7.4 percent of medical professionals’ prior authorization requests, or about 3.4 million requests, according to a
