There are changes coming to the Medicare market place and Medicare Advantage. Healthcare Insurance companies are leaving the Medicare Advantage market. “Market exits by Humana, Aetna, and UnitedHealthcare will collectively affect nearly 70% of those 1.8 million individuals.” The remainder of the 1.8 million will be looking at new plans with the same insurance provider. […]
The House Republicans’ budget resolution is now available. In it, they are proposing a cut of ~$800 billion. Almost all of the $800 billion 10-year spending cut target for the Energy and Commerce Committee would come out of Medicaid by choice. (God forbid those not being able to afford healthcare should have healthcare.) Those with […]
This report is pretty self-explanatory. I will say it anyway. The excess paid to MA plans over and above what is sent by Medicare is enough to wipe out Traditional Medicare Part B premiums. The sum of overpayment was anywhere from $88 billion to $140 billion as suggested on page 2 in the Introduction of […]
The following to just part of a longer report by the Physicians for a National Health Program on Medicare Advantage healthcare programs offered by commercial entities. It lays the foundation as to why Medicare Advantage is more expensive than Traditional Medicare. I will do doing the other parts to this report over the next few […]
Medicare Advantage Plans are notorious for denying healthcare treatments to plan subscribers. CMS is intervening by making a much-needed change to how Medicare Advantage plans decides on treatments needed by plan subscribers. Just a couple of pointers showing how MA has been serving it customers . . . the public. In the existing MA bidding […]
I missed this piece from May of this year. Been too busy trying to maintain a blog rather than write or find excellent articles to present at Angry Bear. I apologize for the later. Me writing? you just have to live with it for now till more authors become a regular occurrence here. This piece […]
There are changes coming to the Medicare market place and Medicare Advantage. “Market exits by Humana, Aetna, and UnitedHealthcare will collectively affect nearly 70% of those 1.8 million individuals.” The remainder of the 1.8 million will be looking at new plans with the same insurance provider. The market consisting of people exiting their old Medicare […]
Behind this commentary: With Medicare’s specific approval, a health insurance company can enroll a member of its marketplace or other commercial plan into its Medicare Advantage coverage when that individual becomes eligible for Medicare. Called “seamless conversion,” the process requires the insurer to send a letter explaining the new coverage, which takes effect unless the member […]
Decoding Medicare Advantage by Andrew Sprung xpostfactoid Can STAT’s exposure of UHC’s exhortations to goose Medicare Advantage enrollees’ risk scores spur action to reduce MA overpayment? Load these Codes It is beyond reasonable doubt that the federal government’s payments to Medicare Advantage plans are grossly inflated by the plans’ gaming of the program’s risk adjustment […]
by Hayden Rooke-Ley, Soleil Shah, and Erin C. Fuse Brown New England Journal of Medicine Introduction The government will pay roughly $500 billion to insurance companies in 2024 to administer the Medicare Advantage program, including 23% more per beneficiary than it spends on traditional Medicare . . . equivalent to an extra $88 billion per year. Medicare Advantage plans cost […]