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Traditional Medicare

All articles tagged with #traditional medicare

health1 year ago

Higher Costs for Medicare Advantage Disenrollees Compared to Traditional Medicare

A KFF analysis reveals that Medicare spending is 27% higher for individuals who disenroll from Medicare Advantage and switch to traditional Medicare compared to those who remain in traditional Medicare. This spending disparity, averaging $2,585 per person, persists across various health conditions and demographics, with significant differences noted among older adults, racial minorities, and dual-eligible beneficiaries. The study raises questions about the factors driving disenrollment from Medicare Advantage, the challenges of obtaining supplemental insurance, and the implications for Medicare's financial sustainability.

healthcare2 years ago

The Hidden Dangers of Medicare Advantage Plans: A Nurse's Warning

A nurse's TikTok video advising against enrolling in Medicare Advantage plans has sparked a debate among viewers. The nurse expresses concerns that these private insurance alternatives may deny crucial healthcare services that traditional Medicare would cover. However, she acknowledges that there may be instances where a Medicare Advantage plan offers additional benefits that could be more beneficial to a patient. Commenters shared both positive and negative experiences with these plans, with some healthcare workers criticizing them and others praising their effectiveness.

healthcare2 years ago

St. Charles Health System Considers Dropping Medicare Advantage

St. Charles Health System in Oregon is advising local senior citizens to switch from Medicare Advantage plans to traditional Medicare due to concerns about patient care, access, and affordability. The health system cited difficulties in receiving approvals for medical procedures and delays in finding skilled nursing or rehab facilities that accept Medicare Advantage insurance. St. Charles is evaluating its participation in Medicare Advantage plans and is urging patients to review their health insurance coverage during the upcoming open enrollment period. The American Hospital Association has also expressed concerns about certain Medicare Advantage plan policies that restrict or delay patient access to care.

healthcare2 years ago

St. Charles Health System Contemplates Dropping Medicare Advantage

St. Charles Health System in Oregon is evaluating its participation in Medicare Advantage plans due to concerns about patient care, access, and affordability. The hospital system is urging participants to consider shifting to traditional Medicare, citing administrative delays, denials, and frustrations with Medicare Advantage. St. Charles is not alone in expressing concerns, as the American Hospital Association has also raised issues about certain Medicare Advantage plan policies. The health system believes that encouraging patients to move away from Medicare Advantage plans is the right move for patient care and the sustainability of the health system. Patients impacted by this change will receive a letter from St. Charles and are encouraged to review their health insurance coverage during open enrollment.