“AHIP has released data showing that enrollment in the Medicare Supplement, Medigap, has seen a steady increase from 2014 to December 2015. The data represents statistics from 11.8 million enrollees with policies from 305 separate insurers. The steady increase is due to the standard deductible, and rising out-of-pocket costs for Medicare members, AHIP says.” LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform): In a more rational economic world, government (welfare) would fill gaps in private insurance, not vice versa. But better this than an all government, single payer system. AHIP Sees 28% Increase in Medigap Enrollment
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“The DOJ’s complaint, filed Monday, argues that UnitedHealth disregarded information about Medicare Advantage beneficiaries’ conditions, which boosted the federal payments the insurer received. One particular instance described in the filing claims that UnitedHealth funded chart reviews conducted by provider HealthCare Partners in order to increase risk adjustment payments for Medicare beneficiaries.” LTC Comment (from Stephen A. Moses, President, Center for Long-Term Care Reform): When the private sector’s profit motive interacts with government’s often unrealistic expectations, problems frequently follow, whether fraud or good business practice the courts decide. DOJ: UnitedHealth ignored beneficiary conditions to bilk Medicare #goldencareagent
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