15-July-2016
“... these independent auditors see successful practices across the industry. If they catch some things that help an MAO turn a vulnerability into a strength, that’s added value,” Adelberg said.
Adelberg also discussed a recent Kaiser Family Foundation study on MA networks that did not find a correlation between network size and MA plan quality.
“This study is narrow, but still important, because everyone’s wondering if narrow networks map to lower quality ratings,” Adelberg said. “At least as far as this study goes, it did not find a correlation. This fuels the emerging debate about measuring network effectiveness instead of network size.”
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