DemLabs, to random
@DemLabs@newsie.social avatar
shansterable, to USpolitics
@shansterable@c.im avatar

Medicare Advantage plans are not only ripping off America's seniors, they are bankrupting physicians and hospitals with their fraudulent scheme of "delay, deny and not pay."

The jig is up: "16% of health systems are planning to stop accepting one or more Medicare Advantage plans in the next two years. Another 45% said they are considering the same but have not made a final decision."

That seems to be pissing off Medicare Advantage CEOs. Sachin Jain, MD, CEO of SCAN Group — one of the nation's largest nonprofit Medicare Advantage companies said, "You're a nonprofit system saying you're no longer going to accept the insurance that low-income people actually have. We'll see how that works out for you."

No, you pathological piece of shit, we'll see how that works out for YOU. These health systems are already not getting paid by your fraudulent system of collecting insurance premiums but denying payment for care. They have nothing to lose. You're a sociopathic predator and you deserve bankruptcy and imprisonment.

https://www.beckershospitalreview.com/finance/nearly-half-of-health-systems-are-considering-dropping-ma-plans.html

itnewsbot, to ArtificialIntelligence
@itnewsbot@schleuss.online avatar

AI cannot be used to deny health care coverage, feds clarify to insurers - Enlarge / A nursing home resident is pushed along a corridor by a nurse... - https://arstechnica.com/?p=2002239 #artificialintelligence #medicareadvantage #unitedhealth #healthcare #navihealth #algorithm #nhpredict #science #health #humana #cms #ai

StillIRise1963, to random
@StillIRise1963@mastodon.world avatar

"And now, Republicans are saying that if they retake the White House they will change the Medicare rules so that people newly turning 65 will enroll by default into Medicare Advantage rather than real, traditional Medicare, further enhancing the profits of these massive, billion-dollar insurance giants while rapidly killing off real, traditional Medicare."

https://www.rawstory.com/raw-investigates/medicare-advantage-2667187728/

PeachMcD,
@PeachMcD@union.place avatar

@StillIRise1963
an insurance agent defending called the @ThomHartmann show yesterday to talk about why his customers liked it
Hartmann let him slit his own throat for a while, then dismantled him on the air
It was lovely

philip_cardella,
@philip_cardella@historians.social avatar

@StillIRise1963 Republicans, especially under W, are great at naming things.

Who would choose when you can have instead?

Answer: anyone who knows Medicare Advantage isn't Medicare at all just a fancy federally supported private insurance scam.
.

FAIR, to random
@FAIR@mastodon.world avatar

Private health insurance is a 90-year-old failed social experiment. Media coverage of it has been failing for nearly as long.

https://fair.org/home/skip-the-last-two-paragraphs-and-other-time-saving-tips-for-healthcare-news-consumers/

ricardoharvin,
@ricardoharvin@mstdn.social avatar

@FAIR "...if we continue on the path of incremental "progress" begun by the Affordable Care Act, [U.S.] Americans can expect everyone to have health insurance that covers our medical needs without the threat of bankruptcy in about 500 years."

are all tools to limit or deny full, top-quality to everyone. It's the only thing universal about the system.

True, whole body , now!

brittanytrang, to Medicine
@brittanytrang@newsie.social avatar

Every time Bob & Casey publish a story about how plans deny care, I think it can't get crazier.

But then more whistleblowers come out of the woodwork, and it does get crazier.

Their latest:

used secret rules to restrict rehab care for seriously ill Advantage patients

https://www.statnews.com/2023/12/28/medicare-advantage-united-health-navihealth-rehab-care-restrictions/ via @STAT

itnewsbot, to Insurance
@itnewsbot@schleuss.online avatar

Humana also using AI tool with 90% error rate to deny care, lawsuit claims - Enlarge / Signage is displayed outside the Humana Inc. office building ... - https://arstechnica.com/?p=1990918 #insurancecoverage #medicareadvantage #post-acutecare #unitedhealth #claimdenial #nursinghome #insurance #nhpredict #coverage #medicare #science #health #humana #ai

bicmay, to Insurance
@bicmay@med-mastodon.com avatar

"More than 30 million older Americans are enrolled in Medicare Advantage plans, wooed by lower premiums and more benefits than traditional Medicare offers.

But a bipartisan group of lawmakers is increasingly concerned that insurance companies are preying on seniors, and, in some cases, denying care that would otherwise be approved by traditional Medicare."

https://www.politico.com/news/2023/11/24/medicare-advantage-plans-congress-00128353

Nonya_Bidniss, to ai
@Nonya_Bidniss@mas.to avatar

'This should be a national scandal': Medicare Advantage plans using AI for denials

"MA plans are not part of Medicare. They are a private health insurance "scam" created by a GOP-controlled Congress and signed into law 20 years ago by then-President George W. Bush 'as a way of routing hundreds of billions of taxpayer dollars into the pockets of for-profit insurance companies,'"
https://www.alternet.org/medicare-advantage-2666145220/

steve_zeke, to random
@steve_zeke@freeradical.zone avatar

Excellent brief summary of reasons to avoid Medicare (Dis)Advantage.

Must read for those in or approaching .

Say NO to

https://minnesotareformer.com/2023/11/03/medicare-advantage-is-a-money-grab-by-big-insurers/

japanskier, to Insurance

Just another quick reminder for that “Medicare Advantage” is not .

is private, for-profit that is owned by .

For profit makes more money when they deny you care because it reduces their expenses.

They literally make more money when you die earlier since you are cheaper to care for.

Think about it.

https://medicareguide.com/medicare-advantage-to-original-medicare-180767

GottaLaff, to random
@GottaLaff@mastodon.social avatar

9-25-23 Nicole’s Moving Shows #6 – Wendell Potter on (Not) Medicare DISAdvantage

https://nicolesandler.com/9-25-23/

ProPublica, to Insurance
@ProPublica@newsie.social avatar

UnitedHealthcare tried to deny Chris McNaughton health coverage. He fought back, filed a lawsuit and exposed the #insurance company’s inner workings.

None of the UnitedHealthcare representatives heard in this video responded to our requests for comment.

Shortly after we published our story, United settled Chris’ #lawsuit. The terms are confidential.

#HealthCare #Patients #Doctors #Hospitals #Health #News #Video #Audio

https://www.youtube.com/watch?v=SDOS8I0wp24

Alienated53,
@Alienated53@mastodon.online avatar

@ProPublica Glad for ProPublica reporting on this. However, very similar stories/exposés have been happening for years. They show just how badly a profit-motive driven capitalist insurance system perverts and dehumanizes the healthcare system. Makes it even more obvious the scam to privatize is evil. Despite the recurring exposés, the 's lock on our political system prevents serious change.

ThomHartmann, to random
@ThomHartmann@mstdn.social avatar

Over the past 40 years, Republicans have pulled off an incredible magic trick. They’ve convinced average working people that tax cuts benefit them when in fact the opposite is true. How much longer will America fall for their BS?

https://hartmannreport.com/p/how-the-gop-suckered-america-on-tax-b1a

Alienated53,
@Alienated53@mastodon.online avatar

@ThomHartmann Probably as long as the and / owners operate the most pervasive propaganda network ever assembled, the . Even the falsely labeled "left" MSNBC carries a multitude of pro- and ads.

rchusid, to random
@rchusid@med-mastodon.com avatar
rchusid, to random
@rchusid@med-mastodon.com avatar

The Medicare Advantage scam. “The scholarship shows that when patients get sick, they try to go back to traditional Medicare.”

https://www.levernews.com/the-20-billion-scam-at-the-heart-of-medicare-advantage/

pluralistic, to random
@pluralistic@mamot.fr avatar

Remember ""? promised us that was a prelude to a Stalinist nightmare in which unaccountable bureaucrats decided who lived or died based on a cost-benefit analysis of what it would cost to keep you alive versus how much your life was worth.

--

If you'd like an essay-formatted version of this thread to read or share, here's a link to it on pluralistic.net, my surveillance-free, ad-free, tracker-free blog:

https://pluralistic.net/2023/04/26/death-panels/#what-the-heck-is-going-on-with-CMS

1/

pluralistic,
@pluralistic@mamot.fr avatar

CMS's solution is perverse: they're working with Humana to expand (a scam that convinces patients to give up Medicare and enrol in a private insurance program, whose private-sector death panel rejects 13% of claims that Medicare would have paid for). The program will pay private companies $32,000 for every patient who agrees to cease care and die. As our friends on the right like to say, "incentives matter."

17/

punklawyer, to random
@punklawyer@mastodon.sdf.org avatar

SO CALLED "MEDICARE ADVANTAGE* CAN CRIPPLE YOU IN THE RACE AGAINST CANCER

MA beneficiaries are far less likely than traditional Medicare beneficiaries to receive cancer care at a teaching hospital (23 percent with Medicare versus 8 percent with MA), Commission on Cancer-accredited hospital (57 percent versus 33 percent) or NCI-CCC (15 percent versus 3 percent).

is not an advantage for many seniors with cancer
https://thehill.com/opinion/healthcare/3963071-medicare-advantage-is-not-an-advantage-for-many-seniors-with-cancer/

petersuber, to Insurance
@petersuber@fediscience.org avatar

"Health companies have rejected medical claims for as long as they’ve been around. But a investigation found artificial intelligence [] is now driving their denials to new heights in ."
https://www.statnews.com/2023/03/13/medicare-advantage-plans-denial-artificial-intelligence/

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