…et al., “Medicare Advantage Hospital Networks: How Much Do They Vary?” KFF, June 20, 2016, https://www.kff.org/medicare/report/medicare-advantage-hospital-networks-how-much-do-they-vary/. Eric Krupa, “Voices of Medicare: Medicare Advantage Network Inadequacy,” Center for Medicare Advocacy, https://medicareadvocacy.org/voices-of-medicare-medicare-advantage-network-inadequacy/….
Medicare Advantage Is Under Fire. What It Means for Your Healthāand Wallet.
…estimated that 9.5% of payments to Medicare Advantage organizations are improper, mostly due to upcoding. The government is also paying more for healthcare overall under Advantage. In 2024, Advantage plans…
Secret rules, denials & fraud: The dark side of Medicare Advantage
…of Physicians for a National Health Program. From narrow provider networks to pre-authorizations and claims denials, Dr. Weisbart shares the nitty-gritty on Medicare Advantage. What is the Medicare Advantage business…
The $20 Billion Scam At The Heart Of Medicare Advantage
As Medicare privatization continues, insurers are milking massive profits from systematic overbilling and kneecapping modest Biden proposals to stop the scheme.
…“Or expanding benefits for everyone, not just in Medicare Advantage plans.” The government’s inability to crack down on Medicare Advantage overpayments is a product of major lobbying campaigns by the…
Private Medicare Advantage insurers sign up Medicare patients who have lower spending
Do People Who Sign Up for Medicare Advantage Plans Have Lower Medicare Spending?
…analysis looks at whether beneficiaries who choose to enroll in Medicare Advantage plans have lower spending, on average – before they enroll in Medicare Advantage plans – than similar people…
‘Deny, deny, deny’: By rejecting claims, Medicare Advantage plans threaten rural hospitals and patients, say CEOs
Medicare Advantage plans "are taking over Medicare and they are taking advantage of elderly patients," said the CEO of one Mississippi facility.
…served the community for over eight years. Coverage denials from Medicare Advantage plans killed the program, Williams said. Medicare Advantage plans are sold assiduously by celebrity pitchmen — one is…
Is Medicare Advantage too good to be true?
…we’re continuing our recent discussion about the dangers of Medicare Advantage plans. How are Medicare Advantage plans riskier than traditional Medicare, both in terms of health and financial risk? Weisbart:…
The Disadvantages of Medicare Advantage
…go on top of Medicare Advantage. So when Medicare Advantage Plans charge you copays and deductibles, you can’t buy Medigap to cover that. If the Medicare Advantage plan says you’re…
Why Medicare Advantage costs taxpayers billions more than it should
…about half the Medicare Advantage price tag. “Anything that starts with a ‘b’ seems like a lot of money to me,” Sparrow said, adding that Medicare Advantage financial data and…
High-cost patients exit private Medicare Advantage plans
…spending are more likely than their counterpart Medicare Advantage beneficiaries to leave Medicare Advantage plans, despite the recent reforms to the Medicare Advantage payment formula. Our results raise questions about…
CMS is giving unfair competitive advantage to private Medicare Advantage plans
Medicare Advantage Plans Cleared To Go Beyond Medical Coverage ā Even Groceries
…Advantage plans better manage health care services. https://www.cms.gov… CMS Final Call Letter 2019 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies (270pages): https://www.cms.gov… *** Fact Sheet:…
Four Ways Medicare Advantage is ripping you off
…go to the places that they pick. And so that’s different from Traditional Medicare… Weisbart: Medicare Advantage is completely different from Medicare. The only real advantage to Medicare Advantage is…
