A new federal audit found Medicare Advantage insurers received hundreds of millions in taxpayer dollars for stroke diagnoses that patients' medical records did not support.
We need to abolish Medicare advantage all together and improve standard Medicare! Privatization of Healthcare should be abolished all together, but a good start would be Medicare Advantage!
What Congress needs to do is to SIMPLIFY the system to improve the ABILITY for transparency. Look at Madley's sentence, "The health of enrollees is determined through a risk-adjustment system, which assigns a risk score based on the medical diagnosis codes submitted by the MA insurer for each enrollee." This complex and opaque methodology (what the heck is a risk adjustment system?) infects all of healthcare, not just MA. This complexity is purposeful and a perfect place to hide fraud, waste, and abuse. In fact, it begs for it. Congress and rule-makers, simplify and demand transparency. Across. The. Board.
When caught, the insurer involved should be banned from MA. When the last on is booted, improve traditional Medicare with AMA input, and open it to all.
Please address the AGENTS that sell the plans! How much do they get paid? It must be quite lucrative as I have received at least 50 solicitations in the mail, phone calls and emails regarding my 65th birthday is approaching.
Medicare for ALL is the only health care system that would establish guaranteed health care for ALL, free at point of service, for all United States residents.
One question: do we completely trust DHHS on this? I can't imagine they aren't under huge pressure to find fraud. (Not that this year's hasn't made me [more] cynical about DC...)
We need to abolish Medicare advantage all together and improve standard Medicare! Privatization of Healthcare should be abolished all together, but a good start would be Medicare Advantage!
What Congress needs to do is to SIMPLIFY the system to improve the ABILITY for transparency. Look at Madley's sentence, "The health of enrollees is determined through a risk-adjustment system, which assigns a risk score based on the medical diagnosis codes submitted by the MA insurer for each enrollee." This complex and opaque methodology (what the heck is a risk adjustment system?) infects all of healthcare, not just MA. This complexity is purposeful and a perfect place to hide fraud, waste, and abuse. In fact, it begs for it. Congress and rule-makers, simplify and demand transparency. Across. The. Board.
We have to get Citizens United overturned and get BIG money out of our goverment.
When caught, the insurer involved should be banned from MA. When the last on is booted, improve traditional Medicare with AMA input, and open it to all.
Please address the AGENTS that sell the plans! How much do they get paid? It must be quite lucrative as I have received at least 50 solicitations in the mail, phone calls and emails regarding my 65th birthday is approaching.
Not excusing the insurers, but those codes were generated by healthcare systems and the plans accepted them. Seems like joint liability
Lucrative because 7O% of UnitedHealthgroup’s profits are from corporate welfare (taxpayer dollars )
NOTHING will happen. NOTHING will change. Insanity.
Take the profit out of our care and we will be better positioned to get the microplastics out of patients before the stroke occurs.
In my opinion, commercial for-profit PRIVATE health insurance industry is providing sick care.
Medicare for ALL is the only health care system that would establish guaranteed health care for ALL, free at point of service, for all United States residents.
This is dangerous. Reform may be needed, but it must take into account patient care.
I'm always worried that things could get more problematic when trying to fix things.
One question: do we completely trust DHHS on this? I can't imagine they aren't under huge pressure to find fraud. (Not that this year's hasn't made me [more] cynical about DC...)