Tag Archives: Medicare Advantage

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,...

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. Merrill Goozner writes GoozNews and got the jump on this topic before me in March of this year. Catching up...

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 $17 million in compensation to its CEO. One of the main inputs to those earnings was the federal government’s $20.5...

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 along. To which I have reported and confirmed on Angry Bear on numerous occasions. The one liner finding to this being, the Quality...

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 Single Payer format would lower costs and provide better healthcare to all constituents. The “if” here is...

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 the Medicare Advantage plans receive from Congress and CMS. Over-coding is just one of the...

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 plans already have received funding. It is about time Congress did something other than bicker. NYT could have been tougher . . . Medicare Delays...

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 form of an algorithm to limit treatment or deny coverage. STAT Investigation has been providing the detail...

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 a Medicare Advantage (MA) plan because it earns them a higher commission compared with a...