Workweek September 16, 2023
Jared Dashevsky, MD

There’s a lot to love about Medicare Advantage if you’re a beneficiary, plan issuer, or corporation in the MA market. Beneficiaries get some extra benefits like dental coverage while insurers and corporations reap massive revenues from MA payments.

Despite its stellar enrollment growth, MA—capturing 51% of the entire Medicare population—is fundamentally broken and costing the government (us taxpayers!) an unfathomable amount of money.

In this article, I’ll highlight the MA money machine, dive into its reimbursement flaws, and discuss how it’s causing the corporatization of American healthcare.

THE MONEY MACHINE

The MA space is lucrative, if a health insurer or corporation plays the game right. Below, I explain how MA plans are reimbursed. See if you can find areas to...

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