Forbes June 15, 2022
Medicare Advantage (MA) managed care plans have the potential to vastly improve care for older adults in the US. A fully-integrated health model that combines primary and specialty care, physical therapy, hospital care and even some limited personal supports could improve the quality of life for patients and save the government a substantial amount of money.
But increasingly, analysts say these managed care plans, often run by for-profit insurance companies, neither save money nor deliver better care than traditional, fee-for-service Medicare.
One reason, they say, is that plans have gotten better at gaming the payment system. Because the government pays plans based on the health status of their members, the insurers find ways to make their patients appear as sick...
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