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Managed care insurers have profited handsomely from Medicare Advantage plans, scoring billions in annual profits. They credit this financial wizardry to their use of sophisticated data analytics, preventative care, cost optimization, provider networks, evidence and value-based care and risk mitigation strategies. However, doctors, hospitals, and medical providers assert something else.
CITE: https://www.r2library.com/Resource
In fact, Medicare Advantage plans have been making headlines in 2024, but not in a positive light, at least for health insurance companies. Medicare is a government-sponsored health insurance benefit; generally for retired people aged 65 and older.
For most, the money for Medicare Part B medical insurance or Part C Medicare Advantage plans is withdrawn directly from Social Security benefits monthly, coupled with a relatively small monthly payment from the patient. Nearly half of the Medicare population is enrolled in Part C Medicare Advantage plans.
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However, there have been rumblings in the medical sector between medical providers and medical insurers coming to a head. So, where do you stand?
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Filed under: "Advisors Only", "Doctors Only", Accounting, Ethics, Health Economics, Health Insurance, Health Law & Policy, Healthcare Finance, Quality Initiatives, Risk Management, Touring with Marcinko | Tagged: HMO, HMOs, Managed Care, managed care insurance, Marcinko, Medicare Advantage, Medicare Advantage Plans, Medicare Part C, Part A, Part B, Part C, Part D |
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