“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 →