Medicare Advantage Scrutiny

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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.
 
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.
 
Reading comprehension isn't your thing, huh?


Again… follow your own advice…



Weird coming from a guy upset about a post not directed at him. It's like you have no self awareness.
How is this back and forth valuable in any way?
Does anybody else wonder what's the point of spamming this board with useless articles like this?

I mean… is anyone NOT going to sell MAPD because of these hit pieces constantly posted? Do these articles help you produce more?!?
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?
 
How is this back and forth valuable in any way?

Didn't know posts had to be valuable when most posts here are either somarco spamming the board with his copy and paste, or dumb political bs.

Also, I'm pretty sure none of my posts addressed you. So you can ignore my post just like you ignore everything else.

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?

Riddle me this… Why do you think you're special enough for me to care wtf you think? You're laughing at me? Ok… wtf are you? Probably look like rmhaire… lol
 
You don't have to read these articles. In fact, put Somarco on ignore and you will not see any of his posts.

You don't have to read my comments. See how that works? Follow your own advice… see how simple that is?

And I'm not female or somarco (basically the same thing). I don't block people on the internet.
 
I'm not upset with you. I feel sorry for you

You are obviously bothered. You keep replying to me about a comment that I made about your bf.

You apparently don't appreciate industry news and so attacked the person who posted it.

You apparently are upset I attacked him…

If you wanted only a two way conversation between yourself and the original poster perhaps use the message system?

Orrrr… here is an idea… you can ignore my posts since you are so upset by them?
 
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