Talk of The Villages Florida - View Single Post - Recomendations for PCPs who accept Original Medicare
View Single Post
 
Old 02-07-2025, 11:17 PM
tophcfa's Avatar
tophcfa tophcfa is online now
Sage
Join Date: Feb 2015
Location: Wherever I happen to be.
Posts: 7,738
Thanks: 3,621
Thanked 11,269 Times in 3,584 Posts
Default

Quote:
Originally Posted by retiredguy123 View Post
Post No. 18 states that one reason for only accepting a few advantage plans is "to be available for appointments in a reasonable timeframe". This is consistent with my theory that, by not accepting original Medicare, you make the Villages-owned facilities more available to Villagers. Yes, anyone can join an advantage plan, but The Villages reserves the right to limit the number of advantage plans that they will accept. In my opinion, if you allow too many advantage plans to be used, as well as original Medicare, you could very likely overcrowd the Villages-owned facilities, and defeat the purpose of constructing facilities within The Villages. If the Villages-owned facilities become so crowded that Villagers cannot get a convenient appointment, why bother to construct facilities on Villages property? At least the current system allows some control over the number of patients using the facilities.
???? Really?? If the facilities are overcrowded it will discourage new facilities? By that logic, if the current facilities are empty, then health care facilities will be tripping over themselves to build more facilities with not enough patients to utilize the facilities. In my opinion, the reason no Medigap plans, and limited MA plans, are accepted, is purely profit motivated, with little regard to serving the best interests of the general Villages populations health care needs.

The bottom line is that plans are accepted that offer the highest reimbursement rates, or guaranteed fixed annual payments, which yield the highest profit margins that can be earned on the available existing facilities.

Last edited by tophcfa; 02-07-2025 at 11:23 PM.