What does Medicare pay to MA plans

[somarco]

How can anyone argue with a KFF article?

Probably just me, but I find information from sources like KFF, Becker, etc a bit more credible than anecdotes and conjecture . . .

 

[StephanieCJ]

The food/utility cards need to go away. It's one thing to do an allowance for OTC items, but one carrier does a (small) food card in our area for people with certain health conditions. One of those conditions is high blood pressure, which is 90% of Louisiana if not more. I have a client living in a million dollar home getting $25/month for groceries because they have high blood pressure. MA companies should not be paid more than what the actuarial cost is to manage someone's health on OM. I do, however, like programs like Humana's DOAC for Eliquis and Xarelto. That makes sense to me because its actually treating a health condition. An allowance for pet supplies is not.

 

[Millwood]

Here is an interesting look at MAPD and making sausage. Everyone likes sausage just not how it's made.

https://www.brookings.edu/articles/...ership-structure-of-medicare-advantage-plans/