Quote:
Originally Posted by Rainger99
If MA was supposed to save the government money but is actually costing more, do people expect MA to be abolished?
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Follow the money. I am on traditional Medicare with a supplement. Last year I paid Medicare Part B $175/Month and my supplement was about $200 a month with a yearly Deductible of $240 and co-pays of $20 per visit. Not much opportunity for me to overcharge.
Providers must the use government CMS provided diagnostic codes which define how much they will be paid. Surely some providers may abuse the codes but there are two levels of authority above (CMS and Supplement Plan) to monitor.
About the only giveaway is Health Cub membership free which my supplement provides.
That is OK with me, as it is my choice and we happen to use. If it wasn't OK , I would be feeling that I was being overcharged by $60 a month.
With Medicare Advantage most of the control is transferred to the Medicare Advantage. They establish the Price of support, establish provider payments, and feedback to Medicare.
For failure I would say that the Medicare Provider is the Guilty party. They did not do their job.