Tag Archives: Medicare Advantage

Pretty much a rewrite to provide simpler reading and a better understanding for readers. My rewrite did not make it much shorter. It is taken from a recent 2025 Health Affairs article. The main thrust of this article being commercial Medicare Advantage insurance companies taking advantage of government payments for healthcare to Medicare patients. The other part being CMS doing more to resolve the issues. MA Coding for patients is set the year before...

Don Berwick says MA growth “should be slowed or stopped” Obama CMS Chief Don Berwick: Medicare Advantage Plans Game the System, MedPage Today, Cheryl Clark Ok, this is a long one. It is easy to follow. Donald Berwick is worthwhile read. As written several times on Angry Bear, the biggest driver of healthcare cost is “pricing” increases as reflected in hospitals, pharmaceuticals, and healthcare insurance. It was Dr. Donald Berwick while...

It never ends as commercial interests keep trying to horn in on healthcare for the old geezers like myself. Except, it is not person related healthcare. It is related to the size of your wallet. More on Medicare Advantage by Jake Johnson at Common Dreams. ~~~~~~~~ A right-wing coalition’s proposal to make Medicare Advantage the default enrollment option would be a “clear handout to the private insurance industry,” said one critic. ‘Hell No’:...

Ran across two articles on conservatives, a presidential candidate, and the US Gov. pushing people towards Medicare Advantage plans. I thought I could combine both articles on one post using snippets of information from each. It was too exhausting to do so. I will keep them separate and write each independent of the other. Since I have been writing on healthcare for a while, I typically add my own comments as taken from other sources. This...

Once again, there are efforts made to the US Senate urging Senators to support Medicare Advantage plans. The facts against Medicare Advantage for seniors have been stated over and over again by Kip Sullivan, myself, and others as well. PNHP President has authored a counter letter to the Senate explaining some of the issues and problems with Medicate Advantage. Many of which come to bear once the enrollee is a part of the Advantage programs....

After doing some quick scanning of articles on the topic of Medicare Advantage plan disenrollment, I found many leave Medicare Advantage because of complex healthcare conditions. Either a change in health leading to such or an inability to get the care they need. Medicare Advantage plans notoriously deny care as a method to delay care and gain greater profitability. There is more to my explanation than what I have said. Medicare Advantage...

Industry has been talking about AI (Artificial Intelligence) for a while now. And of course, industry has been looking to reduce the amount of labor input with AI. Having used computerized systems such as MRPII, ERP, etc., I have always followed the wisdom of people such as Oliver Wight and George Plossl. The system is as accurate as the input to it. Which means, you have to check your work. A system can also be used to intentionally mislead in its...

I am late on the draw for this information on Medicare. Been busy with other issues. Had dinner last night at VA’ Bene, a restaurant in Chandler which is not too far from us. An older couple joined us afterwards as we were sipping some Chianti. The heat finally got to this couple and they are moving back to Oregon after living here for twenty years. Medicare Part D in 2024: A First Look at Prescription Drug Plan Availability, Premiums, and Cost...

Maybe $88 billion and $140 billion will get your attention? Congress does not blink an eye at this expenditure. Received an email from PNHP’s Kip Sullivan who is knowledgeable on Single Payer and Medicare Advantage healthcare plans. Whenever he writes an article, he sends me an email so Angry Bear can be first in line to place it on the blogosphere. Computer was down and I am a couple of days late in posting his commentary. If you are unaware...

At Angry Bear, we have one person and his wife using a KFF Medicare Advantage plan. He reports good to excellent care being the result of the KFF plan. Potentially there still can be cost issue even with KFF plans. This commentary by KFF Health News is about Medicare Advantage plans in general. Read on. I have made some comments in the author’s text. Feds Rein in Predictive Software That Limits Care for Medicare Advantage Patients, MedPage Today,...