What does Medicare pay to MA plans

[wehotex]

So this is the real debate in Med Supp. vs MAPD. Depending on who you believe (don't believe hardly anyone in this business. The higher up the food chain the less I believe) MAPD is being reimbursed 13% -20% more per Bennie than OM. The whole reason MAPD got a seat at that table was they said they could do it cheaper than OM. How'd that turn out? Real reason Insurance Companies wanted in was to hold and touch every single dollar Goverment spent on OM, VA, Medicaid, IHS .
Why don't we go back to premise if can do it cheaper than Gov. fine . If not go pound dirt. MAPD being reimbursed significantly more than OM will be the straw that breaks Medicare as we know it! This has nothing to to do with care. It's simple math,simply that.

Yet politicians like Nimrata Haley want to expand MA to “save” the Medicare Fund.

 

[LostDollar]

I have been mulling over a few ideas such as reducing what Medicare reimburses for a Medicare from 80% to 70% thus increasing the cost of every supplement passing that cost ultimately along to the consumer by increased Med Supplement cost.

Or maybe we could can the Medicare Advantage program to get a better claims base in Original Medicare of both healthy and ill individuals.

 

[Midlevel]

Or maybe we could can the Medicare Advantage program to get a better claims base in Original Medicare of both healthy and ill individuals.

And let the fraud free for all expand? These numbers being tossed around are pocket change compared to what OM is saving having MAPD’s processing and paying the claims.

 

[rousemark]

And let the fraud free for all expand? These numbers being tossed around are pocket change compared to what OM is saving having MAPD’s processing and paying the claims.

Proof??

 

[wehotex]

Proof??

They often repeat that OM admin charges are about 2%. MA’s are limited to 15 or 20%, a significant amount over the 2%.

 

[axeman462]

They often repeat that OM admin charges are about 2%. MA’s are limited to 15 or 20%, a significant amount over the 2%.

The 2% argument is extremely disingenuous, seeing as how much of Medicare is administered by several different departments, and much of the marketing is done by private corporations...

 

[axeman462]

Proof??

You need proof of rampant Medicare fraud, waste and abuse???

 

[Midlevel]

You need proof of rampant Medicare fraud, waste and abuse???

My thoughts exactly. They say 100 billion but admit that’s probably low.

 

[rousemark]

You need proof of rampant Medicare fraud, waste and abuse???

No... Proof that MA is saving Medicare such great amounts.

 

[rmhaire]

Reading what you MAO guys post about advantage plans and how superior they are is more fun than going to a brand new titty bar.