Saw this today and thought he made an interesting point...
[COLOR=#1a548f]AARP and the privatization of Medicare
[/COLOR][COLOR=#9c8d43]
ASK THIS | November 02, 2007[/COLOR] Medicare Advantage plans are heavily subsidized, private plans that are luring older citizens away from Medicare.
AARP is both criticizing this practice and taking part in it at the same time. What’s
AARP up to here, and why aren’t news organizations doing a better job in reporting the drain on Medicare?
Q. People are switching from traditional Medicare to private plans because they think they’re getting a good deal. As more make the switch, what are the ramifications for Medicare itself?
By Gilbert Cranberg
[COLOR=#0000ff]gilcranberg@yahoo.com[/COLOR]
Call it the riddle of
AARP. It’s truly puzzling why an organization that represents some 38 million individuals 50 and over, many of whom depend on Medicare, would
[COLOR=#0000ff]endorse a Medicare offshoot[/COLOR] – Medicare Advantage – that siphons money from traditional Medicare and is seen by many as part of an effort to privatize Medicare.
AARP says in ads, “Discover the only Medicare Advantage health plan that carries the
AARP name.” The plan is provided by UnitedHealthcare, among the nation’s largest for-profit health insurers.
Why should anyone drop out of popular, tried and true government-run Medicare and opt for a private insurance plan? The chief reason is that Medicare has been grossly overpaying the private plans to cover seniors who desert traditional Medicare. The generous payments make it possible to lure seniors with attractive premiums and benefits. In some places they even rebate the $93.50 monthly Part B premium. It’s not unusual for Medical Advantage plans to offer enrollees free health club membership and zero premium for coverage that includes the Part D drug benefit without extra cost.
Of course, there is cost, including profits to the private insurer, but seniors are willing to enroll because it seems like such a good deal and because they may not realize that leaving traditional Medicare in the lurch weakens it for other seniors.
AARP understands all this.
[COLOR=#0000ff]It criticizes the over-payments[/COLOR] to Medicare Advantage. It declared recently, “The $54 billion in excess payments private Medicare Advantage plans in Medicare are due to receive should be used to improve the Medicare program by keeping premiums down as access to doctors is preserved...Congress should stop subsidizing private insurance companies in Medicare with excess payments.”
AARP added pointedly that the extra benefits offered by Medicare Advantage plans “are subsidized by taxpayers and through higher premiums paid by ALL Medicare beneficiaries....private insurance plans keep a significant portion of these excess payments for their own profits.”
If you sense a disconnect between what
AARP says and what it does by endorsing a Medicare Advantage plan that profits when
AARP members enroll, well, as I said at the outset, it’s a puzzle.
AARP spokesmen say that the organization is working to eliminate the overpayments and that its mission is to improve the “Medicare Advantage marketplace.”
Perhaps the plan it endorses is a superior product, but
AARP in effect is endorsing something it believes is too heavily subsidized. Its endsorsement amounts to a seal of approval for Medicare Advantage despite the serious misgivings
AARP has expressed about it.
Reducing or eliminating the overpayments will be an uphill battle. The insurance companies are not only a potent lobbying force, they now have as allies millions of enrollees who benefit from the overpayments and aren’t bashful about defending what they see as their interests.
AARP in effect is adding potential lobbyists in support of the insurance companies each time it induces a senior to join its endorsed Medicare Advantage plan.
If
AARP succeeds in cutting the overpayments, a likely result could be higher Medicare Advantage charges or reduced benefits, or both, for
AARP members who enroll. The plan
AARP is touting says enrollees are protected against such changes for a year. Thereafter, those who follow
AARP’s advice and buy the coverage could find that the organization’s lobbying on payments to Medicare Advantage has been at their expense.
If you read the small print at the end of
AARP’s ad for Medicare Advantage you learn that “UnitedHealthcare pays a fee to
AARP and its affiliate for use of the
AARP trademark and other services.” I asked the
AARP spokesmen how much
AARP is paid for its endorsement of the plan. I was told that, as a “private business contract,” it won’t be disclosed. I said that
AARP is a membership organization, and that, as a member, I believe I am entitled to the information. It was not disclosed.
Was
AARP influenced to endorse a Medicare Advantage plan because of a financial tie-in? I do not know. I do know that the drain of money from Medicare by Medicare Advantage is harmful to a lot of seniors.
AARP’s interest in stemming the drain is laudable, but its chances of success are iffy at best. A recent move in the U.S. House to cut the overpayments did not succeed.
I simply cannot fathom why
AARP lends itself to what looks all too much like an effort to privatize a prize government program.
Nor do I understand why the press does not regard any of the above as newsworthy. Medicare is important to readers, and
AARP has big membership and influence. Yet what you just read came not from accounts in the mainstream press but by simply following up
AARP’s ad for Medicare Advantage in my local newspaper.
Perhaps buyouts and the like have so shorn newsrooms of old-timers that few if any are left who relate to the concerns of seniors. If so, and if that explains why
AARP and Medicare Advantage are a non-story, it would be a colossal blunder. What seniors lack in demographics that appeal to advertisers they more than make up in loyalty to newspapers as readers.
I recently attended a sales pitch for Medicare Advantage by a private insurance company, Humana, that has made a major effort to switch seniors from traditional Medicare. No one from the press covered it. But then, hardly a day passes without an insurer advertising similar sessions. The implications for Medicare in the drive to undercut it are enormous, and the press is missing the story.

Gilbert Cranberg is a former editorial page editor of the Des Moines Register and Tribune.

E-mail:
[COLOR=#0000ff]gilcranberg@yahoo.com[/COLOR]
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AARP Endorsed Medicare Advantage Plan.
Posted by [COLOR=#0000ff]Gary Fox, CPA, CMA[/COLOR] - President, Senior Benefit Services
11/02/2007, 01:14 PM
AARP is endorsing the United Healthcare Medicare Advantage Plan for one reason...money!
AARP gets ENORMOUS kickbacks from those insurance products it endorses. Just because a product is ENDORSED
By
AARP does NOT mean it is the BEST product.In West Virginia there are 146 different
MA Plans for 2008...and the
AARP endorsed Plan is NOT the best in our professional opinion. They also "ENDORSE" a Medicare Supplement Plan which is over priced and is EXACTLY the same as Plans offered by other insurance companies. Why??? $$$$$$$
AARP members need to start thinking for themselves a whole lot more than they do now!
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