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.

There is a also a SECOND medicare scam from the GOP for people who wisely avoid Medicare Disadvantage called “Accountable Care Organizations”. The bottom line is that you cannot trust your primary doctor’s advice on when to seek a specialist because they pay doctors to discourage you from seeking a specialist when you need one. They don’t give you a choice about belonging to an ACO but they do have to notify you when they stick you in an ACO, so at least you know when your primary doctor has a financial incentive to discourage you from getting treatment.

https://surgerycenterok.com/blog/scam-series-pay-for-performance/

Which continued with every president since Bush and will continue with whoever the next president is.

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