'The move to privatize Medicare,' said one expert, has 'been very profitable, in part because insurers are good at making their patients seem sicker.'
on social media that "the move to privatize Medicare" has "been very profitable, in part because insurers are good at making their patients seem sicker.": "Privatized Medicare plans cherry-pick healthier enrollees, fudge medical records to make them look as sick as possible, coax doctors into tacking on extra sham diagnoses to bill for, and pay themselves a profit on top of it. Medicare Advantage shouldn't exist.
"For all its faults, Medicare is a universal program for 65+, with overhead hovering around 2%--far lower than its private counterparts," Shure added. "What inefficiencies did anyone think MA would be solving exactly[?]" she asked., MA was created by congressional Republicans "two decades ago to encourage health insurers to find innovative ways to provide better care at lower cost.
"They innovate on other margins, namely by bending and breaking rules that determine how much money Medicare gives them, as such things are hard to detect," said Bruenig, "and we are now stuck in an endless cat and mouse enforcement game with them."The government pays Medicare Advantage insurers a set amount for each person who enrolls, with higher rates for sicker patients.
As a result, a program devised to help lower health care spending has instead become substantially more costly than the traditional government program it was meant to improve.
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