Medicare Advantage has become increasingly popular for older Americans, with more than half opting for it over traditional Medicare. However, providers are increasingly under pressure, driven by factors like stagnant reimbursement rates, prior authorization requirements and service denials. As a result, some hospitals and health systems are terminating contracts with Medicare Advantage plans, affecting patient access to care.
Articles by Alex Behm
Alex is a seasoned Manager with 7 years of experience in payer strategy, operations, digital transformation, and advisory solutions. As a leader in AArete's Payer Quality Solution services, he focuses on improving Medicare Stars, enhancing value-based program outcomes, and developing quality reporting products. With a broad knowledge of client needs and a strong ability to combine data and market research, Alex is skilled at devising and recommending strategies for innovation, operations, cost containment, and profitability improvement. He has extensive experience working with healthcare payers and providers, transportation and logistics companies, and portfolio management firms. Alex holds a Bachelor of Business Administration degree in Information Technology and Accounting from Marquette University College of Business.