DOI: 10.1001/jamahealthforum.2026.4015 ISSN: 2689-0186

Inappropriate Denials or Delays of Care or Medications by Medicare Advantage Organizations

Zihan Chen, Emily A. Gadbois, David J. Meyers, Jeffrey Marr, Meehir N. Dixit, Amal N. Trivedi

This qualitative study describes the types of prescription and service-related violations among Medicare Advantage organizations that result in penalties from the Centers for Medicare & Medicaid Services.

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