When will the great wake-up call actually? Medicare Advantage advantages no one other than the health insurance companies issuing the policy. It is a behemoth of bad care and treatment for older American adults (sadly and woefully under-educated about these non-advantageous plans).
Clearly CMS and Senate oversight has ignored the voice of customers -- Medicare (dis)Advantage patients and US Taxpayers by increasing costs by an additional $26 Billion dollars. How dare they do this when the Health insurance companies are ripping us off? It is disgusting and unconscionable. Free enterprise and privatized Healthcare does NOT work for Patients. We The People are to these companies nothing more than exploitable Capitalist commodities. I'm a human being and I detest having my Human Rights violated and my Members of Congress and the Senate take advantage of us constituents, in order to keep this insanely bloated private/public insurance companies rolling in the all mighty dollars, while denying, delaying care and abusing the Medicare Trust System the way they are. It is a National Embarrassment that our insurance companies are not properly regulated leading to third rate health care that everyone else in other advanced economies recognizes and criticizes how ridiculously expensive healthcare is in the USA. It is an international embarrassment as well.
You are correct rhetorically speaking, but what makes me so irritated is who pays these damned legislators their salaries (excluding the graft they receive from corporate lobbyists?). We The People need to voice our concerns openly with the powers in the Legislative branch representing our respective constituencies and tell them they will lose our votes and we will also voice our concerns to friends and family. Ultimately votes matter to these entitled turds. Our anger matters.
Of course, the majority of GOP POLITICIANS in particular, think they represent corporate interest interests over us. The corruption is so blatant and they simply do not care about us in the trenches as long as their wallets are being padded.
She literally wrote an article last week complaining that big healthcare was getting out of MA, because they’re not making any money, and now she writes another complaining they’re getting too much. Ignore this frivolous drivel.
She’s probably using AI to write this crap anyway.
Is there any mandated transparency in that wildly increased billion dollar budget? Why I ask, part 1: what portion is an increase in the “capitation fee” level? That is, the money paid to MA insurance companies per number of enrollees. Paid by CMS to each MA insurance company (whether or not “for profit” though essentially they all are) BEFORE any claims are made - that is, lump sums based only on the number of enrollees in each MA plan. Why I ask, part 2: My suspicion + opinion are that MA insurance companies retain profits by hanging on to as much of the capitation fees as possible. My suspicion + opinion are that MA insurance companies “take” from both their contracted providers AND their enrollees. Providers are historically (and still) underpaid which has frequently led to upcoding by providers as well as MA insurance companies. Patients are limited in, or denied access to, care either/both by the MA strategy of simply not having providers reasonably available (by design) -- AND by the MA insurance companies’ draconian “usage management” policies. Policies which may include various means of incentivizing providers to dismiss a patient’s need for treatment as ‘medically unnecessary.’ Hopefully, such denial of care/access to care stops short of actual medical malpractice. However, any ensuing litigation attorney fees and costs are mere line items in another (opaque) “budget.” As well, those costs of litigation? Tax deductible! Meaning essentially it’s a financially skewed form of “win” for the MA insurance company. IN SUM: break down that billion dollar “award” by parsing out its components! TRANSPARENCY at CMS and TRANSPARENCY mandated from MA companies is needed to, guess what: stop the fraud, waste, and abuse!
When will the great wake-up call actually? Medicare Advantage advantages no one other than the health insurance companies issuing the policy. It is a behemoth of bad care and treatment for older American adults (sadly and woefully under-educated about these non-advantageous plans).
Support original/traditional Medicare.
Clearly CMS and Senate oversight has ignored the voice of customers -- Medicare (dis)Advantage patients and US Taxpayers by increasing costs by an additional $26 Billion dollars. How dare they do this when the Health insurance companies are ripping us off? It is disgusting and unconscionable. Free enterprise and privatized Healthcare does NOT work for Patients. We The People are to these companies nothing more than exploitable Capitalist commodities. I'm a human being and I detest having my Human Rights violated and my Members of Congress and the Senate take advantage of us constituents, in order to keep this insanely bloated private/public insurance companies rolling in the all mighty dollars, while denying, delaying care and abusing the Medicare Trust System the way they are. It is a National Embarrassment that our insurance companies are not properly regulated leading to third rate health care that everyone else in other advanced economies recognizes and criticizes how ridiculously expensive healthcare is in the USA. It is an international embarrassment as well.
Since when have elected officials ever honored the voices of voters? Rhetorical question, obviously.
You are correct rhetorically speaking, but what makes me so irritated is who pays these damned legislators their salaries (excluding the graft they receive from corporate lobbyists?). We The People need to voice our concerns openly with the powers in the Legislative branch representing our respective constituencies and tell them they will lose our votes and we will also voice our concerns to friends and family. Ultimately votes matter to these entitled turds. Our anger matters.
Of course, the majority of GOP POLITICIANS in particular, think they represent corporate interest interests over us. The corruption is so blatant and they simply do not care about us in the trenches as long as their wallets are being padded.
Next embarrassment is that today Republicans say there will be no investigation of fraud in crypto currencies.
It is pathetic, isn’t it? We need more demonstrations and lobbying on our behalf with these careless & clueless dunces representing us.
Part C is Quite the Quiet Ponzi scheme.
Part C is for-profit private insurance.
Part C is corporate welfare.
Hey MAGA! I found some real fraud and waste! 🛎️🛎️🛎️🛎️
This author is whack.
She literally wrote an article last week complaining that big healthcare was getting out of MA, because they’re not making any money, and now she writes another complaining they’re getting too much. Ignore this frivolous drivel.
She’s probably using AI to write this crap anyway.
Looking for fraud? Here it is!
Is there any mandated transparency in that wildly increased billion dollar budget? Why I ask, part 1: what portion is an increase in the “capitation fee” level? That is, the money paid to MA insurance companies per number of enrollees. Paid by CMS to each MA insurance company (whether or not “for profit” though essentially they all are) BEFORE any claims are made - that is, lump sums based only on the number of enrollees in each MA plan. Why I ask, part 2: My suspicion + opinion are that MA insurance companies retain profits by hanging on to as much of the capitation fees as possible. My suspicion + opinion are that MA insurance companies “take” from both their contracted providers AND their enrollees. Providers are historically (and still) underpaid which has frequently led to upcoding by providers as well as MA insurance companies. Patients are limited in, or denied access to, care either/both by the MA strategy of simply not having providers reasonably available (by design) -- AND by the MA insurance companies’ draconian “usage management” policies. Policies which may include various means of incentivizing providers to dismiss a patient’s need for treatment as ‘medically unnecessary.’ Hopefully, such denial of care/access to care stops short of actual medical malpractice. However, any ensuing litigation attorney fees and costs are mere line items in another (opaque) “budget.” As well, those costs of litigation? Tax deductible! Meaning essentially it’s a financially skewed form of “win” for the MA insurance company. IN SUM: break down that billion dollar “award” by parsing out its components! TRANSPARENCY at CMS and TRANSPARENCY mandated from MA companies is needed to, guess what: stop the fraud, waste, and abuse!