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Title : Another Authorities Report Questions The Medicare Wages Business
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Another Authorities Report Questions The Medicare Wages Business

You tin flame immediately add together the Government Accountability Office (GAO) to MedPAC as well as the CBO as highly respected regime agencies who conduct keep issued reports questioning the cost effectiveness of the private Medicare program.

This time, the GAO said:

• Insurers volition have $86 billion this yr for the private Medicare plan--Medicare Advantage.
• Last yr the government paid the private plans $8.3 billion to a greater extent than than the traditional Medicare program would conduct keep spent on the same enrollees.
• Private insurers volition collect $54 billion to a greater extent than over the adjacent iv years than the traditional Medicare plan would conduct keep spent for the same seniors.
• A "relatively small" percentage of the coin volition instruct to extra benefits for seniors.
• The extra benefits seniors get inwards these plans are financed partly past times higher senior premiums deducted from their Social Security checks.
• 30% of the seniors enrolled inwards private Medicare plans are inwards plans that volition pass less than 85% of their premiums on benefits.
• Overall out-of-pocket costs are less for seniors inwards the private plans but 16% of beneficiaries pay to a greater extent than for infirmary stays as well as 19% pay to a greater extent than for habitation wellness attention services.

Acting CMS administrator, Kerry Weems, defended the programme noting that "choice" is "at the heart" of the value someone Medicare brings to seniors. He besides said the private plans add together an extra $1,100 per beneficiary inwards value beyond master copy Medicare.

However, the GAO study reminded everyone that Medicare Advantage was never intended to survive a means to channel to a greater extent than coin to merely the seniors who signed upward for it--it was besides created to salvage coin overall for the Medicare program.

Democrats predictably jumped on the findings calling for Medicare Advantage cuts inwards social club to fund other Medicare priorities--such every bit the Medicare MD fee fix.

At a Congressional hearing, solely i Republican spoke on the tape calling the study from the non-partisan GAO, "a imitation study amongst imitation conclusions."

Well, it is a lot to a greater extent than than that. It is all the same i to a greater extent than analysis past times a highly respected third-party maxim that Medicare Advantage is costing taxpayers a lot more rather than saving anything.

Medicare Advantage payments to someone wellness plans would conduct keep been cutting terminal yr if it were non for President Bush maxim he would veto whatever neb that did so. But immediately President Bush has solely xi months to instruct as well as tin flame survive easily bypassed past times the Congress waiting for the new President to accept over as well as sign a budget.

It's going to accept a lot to a greater extent than than some backbench Republican yelling "fake" to plow this fighting merely about for the private Medicare plans.

Prior posts:
CBO Issues a Major Report on Medicare Advantage Plans--Pours More Fuel on the Private Fee For Service Fire

MedPAC Recommends a Reasonable Road Map For Reducing Private Medicare Advantage Payments--Plan Would Equalize Payments Over a Five-Year Period

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