Medicare Advantage Overbilling Taxpayers by $140 Billion a Year, This is Enough to Wipe Out Medicare Premiums, Informed Comment, Juan Cole and Jake Johnson. AB‘s Joel sent me an Informed Comment article. I read the article and knew there was more to the issue than just overcharging the government by upcoding Medicare Advantage plan members. […]
In May of 2023 The $20 Billion Scam At The Heart Of Medicare Advantage, PNHP, Matthew Cunningham-Cook and Andrew Perez, Lever News, May 2023. Health insurance company Humana enjoyed a banner year in 2022. Humana made $2.8 billion in profits in 2022, while paying out $448 million in dividends to shareholders, and paying more than […]
The Medicare Advantage Quality Bonus Program, Urban Institute, Laura Skopec and Robert A. Berenson The following is an introduction and a portion of a very readable report to which the link can be found at the end of this introduction. The findings are similar as to what Kip Sullivan and others have been reporting all […]
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 […]