Dr. Patient

Heather Johnston

A podcast that examines how today’s healthcare system affects the doctor-patient relationship and impacts how doctors and patients experience it. 

  1. Ep 24 The Disadvantage of Medicare Advantage, Part 1

    16/07/2024

    Ep 24 The Disadvantage of Medicare Advantage, Part 1

    Date: 6/16/24 Name of podcast: Dr. Patient Episode title and number: 24 The Disadvantage of Medicare Advantage, Part 1 Episode summary: Wow, I knew Medicare was complicated but didn't realize just how complicated. I've spent the last few weeks diving deep and was most curious about Medicare Advantage, Part C of Medicare, where beneficiaries can sign up for private health insurance. This week I'll be talking about how bad this is for our federal budget, and how the model simply doesn't work fiscally. Next week, in Part 2, I'll be talking with Al (Alexandra) Eidenberg about why it's also bad for the beneficiaries themselves. Guest(s): none Key Terms: CMS - Center for Medicare and Medicaid Services HMO - Healthcare Maintenance Organization Beneficiary or Enrollee - the person signing up for a health plan Fee-for-service - a model of healthcare where a doctor or hospital gives a service and is then paid for it Capitation - a monthly payment Advantage plans get per patient that are signed up on their plan References: Video by Congresspeople Mark Pocan, Jan Schakowsky and Ro Khanna Center for Medicare and Medicaid Services How the Government Updates Payment Rates for Medicare Advantage Plans Understanding Medicare Advantage Payment Medicare Advantage Risk Adjustment US Sues Cigna for fraudulent diagnostic codes Advantage plans overpaid by about $140 billion over last 12 years Video: How to Sign up for Medicare MedicareFAQ: Why Advantage Plans are Bad Understanding Medicare Advantage Payment Other podcasts on this topic: Arm and A Leg The Real Investment Show Podcast website: www.drpatientpodcast.com Podcast email, become a guest: drpatientpodcast@gmail.com

    22 min

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A podcast that examines how today’s healthcare system affects the doctor-patient relationship and impacts how doctors and patients experience it.