MAPD Nightmare doctors refusing carriers insurance in many states.

[straightnochaser]

Bite on this

1 million+ patients lose coverage as insurers, hospitals drop Medicare Advantage • Stateline

HUNTSVILLE, Ala. — Libby and Andrew Potter usually ignore the avalanche of Medicare Advantage ads that land in the mailbox at their home in Huntsville, Alabama, each fall as Medicare’s open enrollment period begins. Libby, a retired middle school librarian, has what she considers good health...

stateline.org

“Bite on this”

What are we? 12?

 

[25MercuryHP]

“Bite on this”

What are we? 12?

You seem to like play ground talk. Take your own medicine Karen

 

[Surancedawg]

I've spoken to folks every day this AEP whose doctor told them they're not taking Humana anymore ("too slow to pay"), or the only private hospitals in their area aren't taking MAPD plans anymore (just the crappy local public hospital), or XYZ Health Group is not going to be in-network with Humana next year. Between the network shrinkage, the # of Plan Exits, and the skyrocketing MOOPs, it's been rough at times. BUT, I'm optimistic things will improve greatly next year with a new regime at CMS.

 

[InsuranceGuy29]

I've spoken to folks every day this AEP whose doctor told them they're not taking Humana anymore ("too slow to pay"), or the only private hospitals in their area aren't taking MAPD plans anymore (just the crappy local public hospital), or XYZ Health Group is not going to be in-network with Humana next year. Between the network shrinkage, the # of Plan Exits, and the skyrocketing MOOPs, it's been rough at times. BUT, I'm optimistic things will improve greatly next year with a new regime at CMS.

This. This cause was and is the Democrat regime. They cut Medicare payments to doctors and hospitals....they also cut payments to insurers, while simultaneously forcing them to take on a million extra costs with the supposed "Inflation Reduction Act."

Obviously this is gonna force insurers to reign in some payments, which further cuts doctors and hospitals down. It's all connected. One domino falls, they're all going down with it. This is all deliberate chaos.

Doctors and hospitals will predictably feign that "it's all about looking out for the patients," while simultaneously bashing Medicare Advantage plans as a trojan horse strategy, when we all know it's all about the money.

Funny how it wasn't an issue before all of these cuts happened, but now it suddenly is. Regardless, the government/CMS are getting a full clean out soon, so I predict things will go back to normal.

I mean, I hope these hospitals and doctors realize that doing this is just cutting your nose off to spite your face.

Tons of people aren't suddenly going to switch over to Medigap and start paying $300-$400/month, when they're used to paying $0, just because you're not taking MAPD plans anymore.

They're just gonna find a doctor/hospital who does take it. Obviously nothing wrong with Medigap, either, but when people are used to $0, BELIEVE ME, 99% are gonna be staying there.

 

[Dutch]

Here, it is Aetna that is the problem child as far as hospitals not taking their plans.

 

[PCBI]

I had 205 or so with humana pre AEP. I’ve added about 50 more during AEP.

Ouch
Thats a lot of switching and waste of time.

 

[straightnochaser]

Ouch
Thats a lot of switching and waste of time.

He added 50 to his 205........ added

 

[PCBI]

This cause was and is the Democrat regime

Not true. The problems fall under the ledger of subsidized programs. Since 2005 when these companies took over in house agent programs its been a free for all to make a bunch of money off the system. I cant believe Aetna is reimbursing golf membership costs to beneficiaries. Where does it end?

It ends now in a recession.

Reset.

 

[PCBI]

He added 50 to his 205........ added

They will need switched later.

Wait for it!

 

[straightnochaser]

They will need switched later.

Wait for it!

Y'all are so desperate for MAPD to fail.. why do you care so much? Why do you want 30,000,000+ people to lose their insurance?