Say NO! To Medicare Advantage

The data is out. The bill targets Medicare Advantage plans, which Congressman Mark Pocan and his allies say have been turned into a cash grab for insurance companies. The program, in which healthcare coverage options from private insurance companies serve as an alternative to traditional Medicare, was initially designed as a cost-cutting measure to encourage insurance companies to provide seniors with healthcare coverage at a competitive price. Nearly half of Medicare-eligible Americans are now enrolled in a Medicare Advantage plan.
But multiple lawsuits have documented how private insurance companies seek to overdiagnose Medicare Advantage enrollees to receive more money from the federal government, according to a recent New York Times analysis. The Times found that eight of the 10 biggest Medicare Advantage providers have submitted inflated bills to the government. Estimates of the cost of Medicare Advantage overbilling in 2020 alone range from $12bn to $25bn.

Link: https://amp.theguardian.com/us-news/2023/feb/01/mark-pacon-medicare-bill-elderly
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