Kip Sullivan has been comparing Fee for Service Medicare to Medicare Advantage and Commercial Healthcare Insurance at length calling out the failures of the latter. The results of such comparisons show FFS Medicare is far less costly in providing similar and better healthcare. Expanding Medicare to include all constituents as it is or in a […]
I have been hitting the issues with FFS Medicare vs Medicare Advantage hard. Primarily, Medicare Advantage is draining Medicare funding due to the $billions being spent due to over-coding. Twelve $billion of over-coding charges in 2020. Another $15 billion of over-coding charges in 2021. CEOs are raking in higher salaries due to the preferential treatment […]
It has taken years for the Feds, CMS, MedPac, Congress to catch up with the thieving practice of these healthcare plans. They have mislead the people they sell these plans too with come-ons such as health club ss, etc. Then when it comes time for care, it is delayed or denied. This comes after the […]
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 […]
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 […]
Part Two explores where Medicare should be going forward as determined by doctors Richard Gilfillan and Donald M. Berwick. It is an endorsement of the ACO model with changes to it creating greater efficiency. I am not so sure Kip Sullivan would endorse this approach as opposed to Single Payer. Ultimately Single Payer is less […]
And the news Media is waking up to this? In December 2022, NPR wrote, “Medicare Advantage plans overcharged Medicare by millions,” Health News : NPR, Fred Schulte and Holly K. Hacker Citing an April 26, 2016 example of US government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical […]
I am hopping around a bit in this commentary. Fair warning. These are different versions taken from various authorities, different periods of time, and saying similar or the same thing. I am going to try to connect the dots here between some old and some more recent occurrences. Costs and prices keep rising in healthcare […]
Medicare Advantage Over Payments In the conclusive summation of the latest KFF report on Medicare Advantage Healthcare plans which KFF also has in place, is this: Historically, one goal of the Medicare Advantage program was to leverage the efficiencies of managed care to reduce Medicare spending. However, the program has never generated savings relative to traditional Medicare. […]
A good article on hospital increasing healthcare costs, due to consolidations, supplies, and the associated hospital operational management. The article also engages in a book review of Big Med by David Dranove and Lawton Robert Burns (“Megaproviders and the High Cost of Health Care in America“). I will have to check the book out and […]