In Somarco's defense, I will say I agree with this article. I had an Advantage plan for about 6 months last year. Worst decision I have made. Ended up back in the hospital shortly after it went into force. Had problems with getting tests the Dr wanted approved. When I got out my Dr ordered home health. At te end of the first cert, the HH did a pre cert but the advantage plan denied it. Never had any of these problems with my med supp. The country pays and non covered charges ended up costing me more than my premiums for the supp were. I am now back on a supp and have just finished with another round of HHC. No problems getting it approved or recertified. Also hav e no problem getting my drugs covered. As long as I can pay the premium for my med supp I will never go back to advantage nor would I reccomend it to anyone else.
Medicare Advantage Scrutiny
- Thread starter somarco
- Start date
- Thread starter
- #42
Both Medicare and Medicaid are susceptible to payment errors—over $100 billion worth in 2023. Known as "improper payments," these are payments that are either made in an incorrect amount or should not have been made at all.
We testified about our numerous recommendations to CMS and Congress that reduced improper payments, enhanced program integrity, and saved billions of dollars in Medicare and Medicaid.
Other recommendations remain unimplemented. For example, we recommended that Congress take action to address that Medicare pays more for certain services based on where they are provided. Doing so could save Medicare $141 billion over 10 years.
I find it appalling that reports, going back dozens of years, admitting that fraud totaling in the billions is not a one off thing . . . but something that occurs EVERY YEAR.
Yet for some reason, no one does anything about it . . . until now.
We testified about our numerous recommendations to CMS and Congress that reduced improper payments, enhanced program integrity, and saved billions of dollars in Medicare and Medicaid.
Other recommendations remain unimplemented. For example, we recommended that Congress take action to address that Medicare pays more for certain services based on where they are provided. Doing so could save Medicare $141 billion over 10 years.
Medicare and Medicaid: Additional Actions Needed to Enhance Program Integrity and Save Billions
Both Medicare and Medicaid are susceptible to payment errors—over $100 billion worth in 2023. Known as "improper payments," these are payments that...
www.gao.gov
I find it appalling that reports, going back dozens of years, admitting that fraud totaling in the billions is not a one off thing . . . but something that occurs EVERY YEAR.
Yet for some reason, no one does anything about it . . . until now.
- Thread starter
- #43
No one is forcing you to stay . . .
Medicare bro
Guru
- 339
Great stuff from all of you. I learned a lot.
Tune in same time tomorrow.
MedicareWAA
Guru
- 500
How is this back and forth valuable in any way?
Riddle me this … what's the point of continuing to argue back and forth about it? What value are you creating, aside from some of us laughing at you because you won't stop whining?
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