Access to Specialty Cancer Care and Plan Disenrollment Among Medicare Beneficiaries - Takeaways - MDSpire

Access to Specialty Cancer Care and Plan Disenrollment Among Medicare Beneficiaries

  • By

  • Emma M. Achola-Kothari

  • Stacie B. Dusetzina

  • John A. Graves

  • David G. Stevenson

  • Laura M. Keohane

  • June 16, 2026

  • 0 min

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  • 1

    Over 50% of Medicare beneficiaries were enrolled in Medicare Advantage (MA) plans in 2024, with an increasing number of high-risk individuals.

  • 2

    MA plans utilize cost-control strategies like network restrictions, which may hinder access to specialized cancer care compared to traditional Medicare.

  • 3

    Access to accredited cancer facilities is linked to better patient outcomes, yet MA plans often exclude these high-cost centers from their networks.

  • 4

    Higher disenrollment rates among MA beneficiaries with new cancer diagnoses suggest that these plans may not adequately meet their healthcare needs.

  • 5

    The study analyzed the relationship between cancer care network breadth and MA disenrollment, focusing on beneficiaries diagnosed with common cancers.

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