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Title : Medicare Advantage: Incorrect Vogue To Pass $54 Billion--The Ama Goes Later On The Medicare Hmo's Money

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Medicare Advantage: Incorrect Vogue To Pass $54 Billion--The Ama Goes Later On The Medicare Hmo's Money

The American Medical Association (AMA) inward an editorial inward its journal, American Medical News, has pulled no punches inward its declaration that Medicare HMO plans (Medicare Advantage) involve to live on cutting inward club to notice the coin to cause the upcoming Medicare physician fee cuts--10% inward 2008 together with around other 5% inward 2009.

Without a dubiety their assault on "excess payments" to insurers is self serving--as nearly all lobbying is. But it too gives us a await into the pitched battle that is instantly going on inward Congress over who is going to win together with who is going to lose when it comes to Medicare provider payments.

Here is an excerpt from their Nov editorial:

"Meanwhile, many to a greater extent than seniors could good live on affected yesteryear physician pay that faces a staggering cut, currently estimated at nearly 10% for 2008, together with 15% through 2009. It's no surprise that an AMA online survey of nearly 9,000 physicians, released inward June, reports that nearly 60% of doctors enjoin the cutting volition forcefulness them into the position, at the least, of having to boundary the divulge of novel Medicare patients they take.

"It is fourth dimension for Congress to await at Medicare Advantage amongst clear eyes. Congress needs to marker the playing champaign betwixt traditional Medicare together with private Medicare plans yesteryear eliminating excess payments to Medicare Advantage. The $54 billion saved would live on to a greater extent than than plenty to commencement eliminating the two-year cutting inward physician reimbursement, equally good equally an update inward payments to reverberate increasing physician costs -- all piece limiting premium increases for seniors.

"Medicare Advantage, which covers managed help together with private fee-for-service plans, was created to brand Medicare to a greater extent than competitive together with efficient, equally good equally to entice person plans to rural areas or to offering extra benefits. Instead, the programme appears to direct maintain overstep to a greater extent than of a Medicare create goodness for insurers, which on average received 112% of the total that traditional Medicare paid for each senior's help inward 2006. For private fee-for-service plans alone, that figure was 119%.

"Yet despite Medicare Advantage's proficient fortune, it has managed to disappoint many patients together with physicians. More than 50% of 2,022 physicians responding to an AMA survey on Medicare Advantage, released inward May, said they direct maintain seen plans deny services typically covered inward the traditional Medicare plan. More than one-half of physicians report receiving payments below the traditional Medicare rate."

Read the total editorial here.

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