…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…
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…
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 — 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:…
Russell Mokhiber explains why private Medicare Advantage plans are a bad deal
SEIU Aetna Medicare Advantage and the Attack on Traditional Medicare
…preventing a marketing advantage for traditional Medicare over the private Medicare Advantage plans, which brings up the question, who receives the advantage from the Medicare Advantage plans? The patient or…
Government insiders misappropriate funds to Medicare Advantage insurers
U.S. to boost rather than cut payments to health insurers
…2014 Medicare Advantage Capitation Rates and Medicare Advantage and Part D Payment Policies and Final Call Letter CMS, April 1, 2013 Attachment I shows the final estimates of the increases…
Medicare Advantage Overpayments
An unsustainable future
…remained in the original Medicare program. The Medicare Advantage program Not surprisingly, the large overpayments have facilitated enormous growth in the Medicare Advantage program, the current name of the Medicare…
Beware! Private Medicare Advantage for All is gaining momentum
'Medicare Advantage for All'
…Medicare-eligible seniors, and this percentage rises every year. Most Republicans support Medicare Advantage, including the Trump administration. Let’s build on that popular program’s success. Medicare Advantage plans are individually selected…
CMS will likely continue to overpay Medicare Advantage plans
…MedPAC estimates. This leads to excessive payments to Medicare Advantage plans. To compensate for upcoding, health reform requires CMS to adjust Medicare Advantage’s risk adjustment system by at least a…
