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View Diary: Understanding the $716 Billion Dollar Figure (113 comments)

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  •  The only real advantage in Advantage (3+ / 0-)
    Recommended by:
    Smoh, HappyinNM, blue denim

    I am on Medicare, and have a Medicare Advantage program.  The cost to me is $0.

    The only real reason I signed up is the out of pocket maximum it provides.  If I just had regular "Original" Medicare, my annual OOP would have no max, so a massive medical problem, like heart attack, stroke, cancer could wipe me out financially.

    But with an Advantage sign up, my OOP is limited to $5,400.  That is still a lot, but I could cover it.

    So one easy change to Medicare could make the Advantage SCAMS go away.  Put an OOP annual maximim on it.

    "We borrow this Earth from our Grandchildren."

    by Arizona Mike on Sat Aug 18, 2012 at 04:59:00 AM PDT

    •  The government doesn't have to do that. The... (1+ / 0-)
      Recommended by:
      Smoh companies offering MAs will do what they want. And those offerings change periodically anyway.

      The government under ACA is removing the subsidies -- what private insurers do is up to them. In Massachusetts, both Blue Cross and Tufts are continuing to offer MAs, but may change their enticements along the way.

      A PALINDROME: Slip-up set in Utah. Trail, no? M. Romney -- odd! Elder an AMC man, a Red-led doyen. Mormon liar that unites pupils?

      by Obama Amabo on Sat Aug 18, 2012 at 05:48:06 AM PDT

      [ Parent ]

      •  I don't think that MA companies can just (0+ / 0-)

        "do what they want." As with everything health care in the USA, it's complicated.

        What Medicare is doing with MA plans under ACA is paying bonuses to MA plans that meet specific quality health care criteria. So far, the criteria and bonus payments have been generously applied (and somewhat controversial, of course). The intention is not to eliminate MAS, but to make many substandard MAs around the country clean up their standards/quality or disappear. And, of course, to eliminate the 17% MA subsidy from Medicare.

        MA plans do have to comply with Medicare standards in health care procedures offered. Variations between MA plans have mostly been in copays and monthly fees, and in frills not offered by Medicare.

        The sh*t those people [republicans] say just makes me weep for humanity! - Woody Harrelson

        by SoCalSal on Sat Aug 18, 2012 at 10:08:21 AM PDT

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