When I retired, my health insurance became traditional Medicare, what right-wingers call “socialism.” I’d read enough not to be seduced by the candy offered in “Medicare Advantage” plans, the free market plans that were supposed to be superior to traditional Medicare. So far, no regrets for me. Sadly, tens of thousands of Americans do regret […]

What you are reading here is a piece on the costs of Medicare Advantage Plans versus Traditional Medicare. Why is one so different than the other? The differences in MA and FFS are in coding intensity and selection. The later does not have such. MedPAC March 2025 report to the Congress Pages 338 to Page […]

This does not surprise me. Medicare Advantage is more costly. Medicare Advantage plan extends services well beyond what Traditional Medicare provides. Furthermore, the Advantage plans were heavily subsidized with Traditional Medicare funds. How is Medicare Advantage funded? This was a long time coming . . . Some Medicare Advantage funding comes from the enrolled people’s […]

“Medicare premiums are being pushed by rising payments to Medicare Advantage plans,” Social Security Report In 2026, Americans who use Medicare Part B to pay for their doctor’s visits can expect to see premiums increase by nearly 12% to $206.20 a month, according to a Medicare Trustees report. Yet while the government-run health program’s premiums are expected […]

Still issues with Medicare Advantage plans being easy to use and similar to Traditional Medicare. One of the big issues is getting authorization for additional care. MA plans are meant to be profitable. Indeed, various organizations bid on providing care under Medicare Advantage. The they have to meet whatever their bidding targeted them. Denial of […]

Two articles in this commentary. The first CEPR article discusses selective loss of Medicare Advantage enrollees. This not necessarily because of people leaving the plans. It is more on the order of the plans cutting benefits in certain plans and also cutting coverage in certain markets of the US. People are also using their plans […]

The “health” that drives private sector health insurance is the health of the corporate bottom line. As understand it, the “advantage” of Medicare Advantage was supposed to be lower costs for better benefits that only the free market could promise. How’s that working out? “UnitedHealthcare said in its second quarter earnings call that it plans […]

City workers in NYC are getting a raw deal or some would call it a better deal (if you are the city) on healthcare when one retires. There must be some type of deal going on here. Medicare Advantage does have its coding issues and smaller sources of healthcare places a member can go to. […]

A bit of an explanation for this Health Affairs article. Today when you are eligible for Medicare Coverage, you are placed in Traditional Medicare. What would or could happen if every new enrollee were to be placed in Medicare Advantage instead of Traditional Medicare Coverage? The discussion centers on a two-year period in the beginning […]

A Brief designed explanation taken from the Center for American Progress commentary and analysis. It finds Medicare Advantage (MA) plans are overpaid by 22 to 39 percent. Instead of overpaying Medicare Advantage the curbing of MA overpayments should be used to improve the Medicare program for all beneficiaries. This is nothing new and I have […]