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Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

Thanks for your reply,  There are four entities involved in this model:  Medicare, Doctors, The Middlemen, and Us.  Medicare wants less cost, Doctors want more pay, and Middlemen want to earn a good profit.  How do we think "Us" will fare?
serenitytoo 02-27-2022 08:18 AM
0
Replies
1
Kudo
13942
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

Thanks for posting.  I found a link for this "new" program at https://innovation.cms.gov/innovation-models/aco-reach It's way too complicated for me to understand, but perhaps that's the point.
serenitytoo 02-25-2022 04:12 PM
1
Reply
1
Kudo
14107
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

You may also have heard how some companies have been sued for padding their Advantage programs. This is one headline from the Department of Justice: "Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischargin...
serenitytoo 12-14-2021 04:00 PM
1
Reply
1
Kudo
19643
Views

Medicare & Insurance

Direct Contracting: Turning Regular Medicare into Medicare Advantage

A recent news article reported on a program that might start to privatize Medicare.  It was started under the former President and is for now being continued by the current President.  I wonder why I haven't seen the usual AARP activism on this topic...
serenitytoo 12-14-2021 09:18 AM
9
Replies
7
Kudos
25138
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

Thanks for your reply,  There are four entities involved in this model:  Medicare, Doctors, The Middlemen, and Us.  Medicare wants less cost, Doctors want more pay, and Middlemen want to earn a good profit.  How do we think "Us" will fare?
serenitytoo 02-27-2022 08:18 AM
0
Replies
1
Kudo
13942
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

Thanks for posting.  I found a link for this "new" program at https://innovation.cms.gov/innovation-models/aco-reach It's way too complicated for me to understand, but perhaps that's the point.
serenitytoo 02-25-2022 04:12 PM
1
Reply
1
Kudo
14107
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

You may also have heard how some companies have been sued for padding their Advantage programs. This is one headline from the Department of Justice: "Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischargin...
serenitytoo 12-14-2021 04:00 PM
1
Reply
1
Kudo
19643
Views

Medicare & Insurance

Direct Contracting: Turning Regular Medicare into Medicare Advantage

A recent news article reported on a program that might start to privatize Medicare.  It was started under the former President and is for now being continued by the current President.  I wonder why I haven't seen the usual AARP activism on this topic...
serenitytoo 12-14-2021 09:18 AM
9
Replies
7
Kudos
25138
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

Thanks for your reply,  There are four entities involved in this model:  Medicare, Doctors, The Middlemen, and Us.  Medicare wants less cost, Doctors want more pay, and Middlemen want to earn a good profit.  How do we think "Us" will fare?
serenitytoo 02-27-2022 08:18 AM
0
Replies
1
Kudo
13942
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

Thanks for posting.  I found a link for this "new" program at https://innovation.cms.gov/innovation-models/aco-reach It's way too complicated for me to understand, but perhaps that's the point.
serenitytoo 02-25-2022 04:12 PM
1
Reply
1
Kudo
14107
Views

Medicare & Insurance

Re: Direct Contracting: Turning Regular Medicare into Medicare Advantage

You may also have heard how some companies have been sued for padding their Advantage programs. This is one headline from the Department of Justice: "Sutter Health and Affiliates to Pay $90 Million to Settle False Claims Act Allegations of Mischargin...
serenitytoo 12-14-2021 04:00 PM
1
Reply
1
Kudo
19643
Views

Medicare & Insurance

Direct Contracting: Turning Regular Medicare into Medicare Advantage

A recent news article reported on a program that might start to privatize Medicare.  It was started under the former President and is for now being continued by the current President.  I wonder why I haven't seen the usual AARP activism on this topic...
serenitytoo 12-14-2021 09:18 AM
9
Replies
7
Kudos
25138
Views
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Date Registered ‎10-29-2017 04:08 PM
Last Visited ‎09-20-2023 01:29 PM
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Total Kudos Received 10
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