Medicare Disadvantage Plans

medium.com
The Medicare Advantage Boondoggle Rolls On "Last year, according to a study by the Kaiser Family Foundation (KFF), a nonprofit health policy organization, 643,000 Medicare ads ran on television during the nine-week enrollment season, most of them for Medicare Advantage plans. That doesn’t include the bombardments of direct mail and internet ads..."

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.





usatoday.com
Hospitals, doctors drop private Medicare plans over payment disputes "One large health system with hospitals in Virginia and Ohio this year cut off in-network access to consumers enrolled in some Anthem Blue Cross Blue Shield Medicare and Medicaid health insurance plans.

Two doctors groups with Scripps Health in San Diego are terminating contracts with private Medicare plans over concerns about payments and routine denials."