Relevant and even prescient commentary on news, politics and the economy.

Medicare Advantage has Overcharged FFS Medicare by Billions for Years

And the news Media is waking up to this? In December 2022, NPR wrote, “Medicare Advantage plans overcharged Medicare by millions,” Health News : NPR Citing an April 26, 2016 example of US government auditors asked a Blue Cross Medicare Advantage health plan in Minnesota to turn over medical records of patients treated by a […]

The market economy fails when applied to healthcare

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 Healthcare and FFS Medicare

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. […]

Hospital Monopolies Driving Up the Costs of Healthcare

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 […]

Republicans Plan to Use Debt Limit Leverage to Cut Social Security and Medicare

Introduction: FFS Medicare Overhead costs are ~2%. Medicare Advantage overhead costs are far higher. The same can be said for commercial healthcare costs paid by insurance companies. Neither MA administered healthcare or commercial insurance plans can compete with FFS Medicare for costs and care. I will touch on a few reasons why on Medicare at […]

Value-Based Payment Is the New For-Profit Health Care Industry

Before I get started on the main text of Kip’s expert article, I wish to point out something which is happening nationally. There is a plan afoot of forcing people into Value-Based Payment plans from traditional Medicare. The players include Iora Health (subsidiary of One Medical), Privia, General Catalyst, agilon health, Caravan Health, Signify (CVS […]

“Finally, Some Accountability for Medicare Advantage Ads”

This was sent to me by Dale Coberly. I was wondering why Dale was sending me trash advertisements. Skimmed it and then it dawned on me. Much of this advertising is made to sway people’s minds to do something. It is the type of advertising I sometimes wish to throw a shoe at the 65-inch […]

SCOTUS Rebuffs United Healthcare Medicare Advantage

This is an interesting result I ran across in MSN as taken from Reuters. Both Kip Sullivan and I have written about Medicare Advantage plans over coding patients, resulting in overcharges to CMS Medicare. “Why is CMS Overpaying United Healthcare Medicare Advantage Plans?” – Angry Bear, “Medicare Advantage and Medicare Issues” – Angry Bear, “Kip […]

Why is CMS Overpaying Medicare Advantage Plans?

Introduction I am fortunate to have made the acquaintance of Kip Sullivan from reading his articles and exchanging notes over the last couple of years. He is one of the more knowledgeable authorities on Single Payer as well as healthcare costs and price, commercial healthcare insurance, Traditional versus Advantage Medicare, and why today’s healthcare is […]

Kip Sullivan and Ralph Nader Talk Tradition Medicare vs Medicare Advantage

This podcast came to me by way of Kip Sullivan, the expert on Traditional Medicare and Medicare Advantage. We have had a running dialogue for about a year now. Most recently, Angry Bear featured Kip’s PNHP Single Payer Healthcare Financing Series detailing why healthcare is expensive in the US. I have put up numerous posts […]