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Tag Archives: FFS Medicare

Part 2: Building on the ACO Model

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 costly when we consider the elimination of much of the administration effort. There is another post I will be putting up when I...

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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 podiatry practice whose owner had been indicted for fraud. Medicare had paid the Blue Cross plan more than $20,000 to...

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