Medicare Disadvantage Plans suck money out of the system from 3 different sides.
(1) They cost the government more money per patient than real Medicare
(2) They falsely denied 18% of valid claims according to Medicare’s Inspector General. They also screw customers by denying people specialists , requiring prior approvals etc.
(3) They cost providers more money by increasing the manpower they need to get their payments by throwing up hassles.
“Medicare Brokers” get gigantic commissions (not just the first year but EVERY year someone is on the same plan) to push Medicare Disadvantage Plans on people who don’t know any better.
Medicare Advantage insurers have for years been diagnosing patients with diseases they don’t have, then pocketing the money for treatment. The treatment never actually happened because the patients didn’t actually have the diseases. This WSJ report said that UHC specifically got HALF of its income from this fraud.
Medicare Disadvantage Plans suck money out of the system from 3 different sides.
(1) They cost the government more money per patient than real Medicare
(2) They falsely denied 18% of valid claims according to Medicare’s Inspector General. They also screw customers by denying people specialists , requiring prior approvals etc.
(3) They cost providers more money by increasing the manpower they need to get their payments by throwing up hassles.
“Medicare Brokers” get gigantic commissions (not just the first year but EVERY year someone is on the same plan) to push Medicare Disadvantage Plans on people who don’t know any better.
Medicare Advantage insurers have for years been diagnosing patients with diseases they don’t have, then pocketing the money for treatment. The treatment never actually happened because the patients didn’t actually have the diseases. This WSJ report said that UHC specifically got HALF of its income from this fraud.
https://www.wsj.com/health/healthcare/medicare-health-insurance-diagnosis-payments-b4d99a5d