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Ghost Networks Are Real — and Your Clients Are Counting on You to Help

A&A Editorial Team, Health, Medicare/Medicare Advantage

Despite CMS mandates for Medicare Advantage (MA) insurers to update their directories every 90 days, a staggering 33% of provider listings contain inaccurate phone numbers, and 52% list incorrect provider locations.

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Key takeaways

    1. Despite CMS requirements, many MA provider directory listings contain inaccurate or outdated information.
    2. Ghost networks persist due to high provider turnover, inflated network listings, and minimal penalties.
    3. Licensed agents play an essential role in protecting clients by verifying providers and guiding beneficiaries to accessible care.
A&A Editorial Team
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