Tag Archives: Medicare Advantage

‘Staggering’: Watchdog Finds Medicare Advantage Plans Deny Necessary Care

“These plans are designed to maximize profits for corporations, NOT to provide high-quality healthcare,” said Social Security Works.

By Jessica Corbett  Published 4-28-2022 by Common Dreams

Photo: Myfuture.com/flickr/CC

A government watchdog revealed Thursday that Medicare Advantage plans—which are offered by private companies but required to follow rules set by the government healthcare program—deny medically necessary care to tens of thousands of enrollees each year.

The revelation came in a report released by the U.S. Department of Health and Human Services Office of Inspector General (OIG), which examined a random sample of 250 prior authorization denials and 250 payment denials issued by 15 of the largest Medicare Advantage Organizations (MAOs) during the first week of June in 2019. Continue reading

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Advocates Sound Alarm Over Quiet Trump Era Move That Could Further Privatize Medicare

“The Biden administration should immediately kill this toxic legacy of the former president.”

By Jake Johnson, staff writer for Common Dreams. Published 3-13-2021

Seema Verma, administrator of the Centers for Medicare and Medicaid Services during the Trump administration. Photo: Paul Morigi/flickr/CC

A little-noticed scheme hatched in the late stages of the Trump presidency has consumer advocates and universal healthcare proponents warning about a creeping attempt to further privatize Medicare—an effort the Biden administration is being urged to stop in its tracks.

On December 3, the Centers for Medicare and Medicaid Services (CMS)—then under the leadership of Seema Verma—unveiled an innocuous-sounding proposal titled the Geographic Direct Contracting Model (Geo) with the purported goal of delivering “Medicare beneficiaries value through better care and improved quality.” Continue reading

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