HIT Consultant June 11, 2024
Fred Pennic

What You Should Know:

– A new article published in JAMA Internal Medicine reignites the debate about Medicare Advantage and traditional Medicare.

– Dr. Sachin H. Jain, CEO of SCAN Group and SCAN Health Plan, argues in favor of Medicare Advantage, while Drs. Adam Gaffney, David Himmelstein, and Steffie Woolhandler advocate for traditional Medicare.

Traditional Medicare: Lower Costs, Fewer Benefits

Traditional Medicare offers beneficiaries lower premiums, but it comes with significant out-of-pocket costs. Beneficiaries face a $1,500 deductible for inpatient care, monthly Part B premiums, and coinsurance for both outpatient services and prescription drugs. These costs often lead beneficiaries to purchase additional coverage like Part D prescription drug plans and supplemental policies, raising overall healthcare costs.

Medicare Advantage:...

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Topics: CMS, Govt Agencies, Insurance, Medicare, Medicare Advantage, Patient / Consumer, Provider
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