Have Medicare Advantage plans been over coding? According the MedPac 2022 report for year 2020 they have been. The funds of which come out of Medicare funding. The amount of which was an ~$12 billion for 2020 alone. But it is not just 2020, “Medicare Advantage has Overcharged FFS Medicare by Billions for Years,” Angry […]
This is a story or at least I tried to make it into more like one. The longer version can be found at the Propublica link. I took parts of it linking them together using mostly their wording and blending it with mine. Money and Corporate influence still wins . . . The U.S. Never […]
What fired me up this morning? I retrieved a post sitting in the trash. A News clipping posted by Fred Dobbs considered to be dangerous by the Angry Bear system. I retrieved it and it sits at the end of my commentary on Wisconsin. The clipping is a nice history lesson on Wisconsin. Mine is […]
If you have read Medicare Advantage uses Algorithms to block care for Seniors, Angry Bear, (STAT Investigation, Casey Ross and Bob Herman) you might think this is a relatively new phenomena in healthcare. At the bottom of the post you will find a link to another commentary. Why did I put another commentary site there […]
Taking a one day break from the more technical stuff. I ran across this story a couple(?) maybe more days ago. The first thing which came to mind was the Tuskegee Syphilis Study as conducted by the PHS’ Center for Disease Control in Atlanta (AP). Some will say this is not as serious, they were […]
More on the practices of Medicare Advantage plains and also ACA, Medicaid and Medicare. The practice being delayed prior authorizations, the amount of time it takes, and the resulting tragedies. CMS proposes prior authorization rule changes for health plans, BenefitsPRO, Lauren Sausser Starting in 2026, a proposed CMS rule would require plans to respond to […]
Kip Sullivan has been writing about the issues with Medicare Advantage. I have joined with Kip in bringing the issues of Medicare Advantage to the forefront. Angry Bear has featured Kip and I have added to the dialogue. This next commentary details how Healthcare Insurance, mostly Medicare Advantage has been using artificial intelligence in the […]
An early attempt as to explaining the drug market. It is a start and I have to program myself to understand what is said. Brief and down to earth with pictures too! Much of this is a C&P with some editing. Much credit to the authors for giving us this opportunity to understand. Welcoming a […]
This article is easy reading exploring some the differences and why people may choose one plan over the other plan. Attached is also a Commonwealth Fund article with more detail. Medicare Plan Commissions May Steer Beneficiaries to Wrong Coverage, MedPage Today, Cheryl Clark. Agents and brokers selling Medicare plan coverage often steer their clients to […]
A different viewpoint by the Physicians for a National Health Program. Mainly speaking as advocates for a universal national health program which would be as cost-effective as possible. They are proposing the plan could be constructed as an improved form of Traditional Medicare. They do too find similar issues as what Gilfillan and Berwick extensively […]