Oncology Organization and Oncologist Networks Under Medicare Advantage Plans - Takeaways - MDSpire

Oncology Organization and Oncologist Networks Under Medicare Advantage Plans

  • By

  • Xin Hu

  • Youngmin Kwon

  • Qinjin Fan

  • Kewei Sylvia Shi

  • Zhiyuan Zheng

  • Jingxuan Zhao

  • Joan L. Warren

  • K. Robin Yabroff

  • Zhanji Zhang

  • Xuesong Han

  • Changchuan Jiang

  • June 15, 2026

  • 0 min

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  • 1

    Medicare Advantage plans surpassed Traditional Medicare in enrollment for the first time in 2023, covering over half of all beneficiaries.

  • 2

    MA plans receive capitated payments, incentivizing care efficiency and allowing for supplemental benefits not covered under Traditional Medicare.

  • 3

    Restrictive networks in MA plans may impede access to advanced oncology services, adversely affecting cancer outcomes for patients.

  • 4

    41% of MA plans exclude NCI-designated comprehensive cancer centers, highlighting the limitations of narrow oncology networks.

  • 5

    The study evaluates effective oncology networks under MA plans from 2016 to 2019, focusing on access beyond directory listings.

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