Medicare Advantage plans cost the government billions more than traditional Medicare. Some Republican lawmakers, particularly those in the GOP’s Doctors Caucus, are now calling for reforms. They have witnessed insurers manipulating the program’s rules to boost profits. A practice called upcoding, where insurers make patients appear sicker to extract more money, has drawn sharp criticism. Senator Bill Cassidy highlighted issues with coverage denials during a recent confirmation hearing. The $500 billion program, initially supported by Republicans, is now under scrutiny as some acknowledge its manipulation by insurers.
Brandon Novick
@BrandonNovick
·
20h Just a reminder that taxpayers overpay the insurance companies behind Medicare Advantage plans anywhere between $80-$140 billion per year.
Cutting this would also prevent Medicaid cuts under the Republican House budget resolution.
Congressman Greg Murphy, M.D.
@RepGregMurphy
·
19h Medicare Advantage plans got a 5 % raise today. Yet the Doctors, who are the ones who actually care for the patients GET CUT every year. This is RIDICULOUS. https://cms.gov/newsroom/fact-sheets/2026-medicare-advantage-and-part-d-rate-announcement…
Real Doc Speaks
@realdocspeaks
·
1h The party in power just declared war on physicians, patients, and taxpayers with this move.
The party is punishing the following:
• Cut the pay of physicians this will force them into
employment as they can’t afford to run their practice
• Many physicians will be employed
Annals of Int Med
@AnnalsofIM
·
53m An analysis by Dr. Richard Kronick found that because of coding differences, the average #MedicareAdvantage risk score in 2021 was .19 higher than the average traditional Medicare risk score and MA plans received an estimated $33 billion in additional revenue, with $13.9 billion,
Nirmata
@En_formare
·
18h A study published in Annals of Internal Medicine reveals that coding differences between Medicare Advantage (MA) and Traditional Medicare (TM) plans led to an estimated $33 billion in additional revenue for MA insurers in 2021.
The analysis, conducted by researchers from the
Lee Fang
@lhfang
·
Feb 5 The WSJ documented over $50 billion in Medicare Advantage fraud — insurers systemically diagnosing fake diseases in patients so they can overbill the gov. That is 100000x more than any of the silly sounding grants that go viral here.
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