The Medicare Advantage Boondoggle Rolls On
Then all the companies have to do is spend less than Medicare would have, and still make a profit. How? That’s easy — by ratcheting down the reimbursements they pay to doctors and clinicians and hospitals, and by denying coverage for expensive claims that Medicare would have approved...
An analysis in 2021 found that Medicare overpaid the Medicare Advantage plans more than $106 billion from 2010 to 2019. To put it another way, Medicare paid private insurers $106 billion more than it would have spent had everyone eligible been covered by original Medicare. The outflow continues to increase annually."
In my opinion this is the biggest scam congress ever perpetrated on the American people.
I consider it legalized fraud.
Hospitals, doctors drop private Medicare plans over payment disputes
Two doctors groups with Scripps Health in San Diego are terminating contracts with private Medicare plans over concerns about payments and routine denials."