Trump Signs Executive Order Expanding Medicare Advantage Plans

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Good article on how the Medicare Advantage Plans may bew good for some people but most find out they don’t have the freedom to select their caregivers.
President Donald Trump on Thursday delivered a speech bashing Medicare for All with right-wing talking points and signed an executive order aimed at steering more elderly Americans into the arms of the private insurance industry.

Trump signed the executive order during an event Thursday afternoon at The Villages, a large retirement community in central Florida. Under the new order, the government will encourage patients to consider private Medicare Advantage plans as alternatives to traditional Medicare, which covers tens of millions of elderly Americans and people with disabilities. The directive would also expand supplemental benefits Medicare Advantage can offer.

Michael Lighty, an activist with the Democratic Socialists of America's Medicare for All campaign, said Medicare Advantage plans "are the worst and most accurate example how we pay the wrong way for healthcare."

"The healthcare industry loves them, too—they are the fastest growing, most profitable private health plans, which are heavily subsidized by taxpayers," Lighty told Common Dreams. "Compared to traditional Medicare, the Medicare Advantage plans cost more, and restrict access."

In a statement, Social Security Works president Nancy Altman called Medicare Advantage "a hustle designed to allow for-profit corporations to suck up public dollars."

"Medicare Advantage is stealth privatization intended to undermine traditional Medicare, which is an effective, popular government program and therefore loathed by Republican ideologues," said Altman. "Today's executive order is yet another giveaway to the corporations that run Medicare Advantage plans."

"Ironically," Altman added, "the Trump administration is framing the executive order as an attack on Medicare for All. In fact, the massive flaws of Medicare Advantage epitomize the need to get for-profit greed out of health care by improving Medicare and expanding it to cover all Americans."

As Trump parroted right-wing fearmongering about Medicare for All—such as the claim that it would lead to far longer wait times for care—consumer advocacy group Public Citizen said the public should not "be fooled by Trump's corporate-backed talking points."
https://www.commondreams.org/news/2019 ... g-medicare

As a retired RN I worked with Medicare all my career. I saw many cases where those on Advantage Plans that were denied non-emergency services. Their plan was not accepted for those services, because of no contract between the the facility physician.

Best example, I have seen my family doctor since 1996. He doesn’t take any of the Advantage Plans. So I would have to get a new doctor.. I checked around just to see and when I called many of the doctors listed said they were on the plan, BUT WERE NOT taking new patients on the plan. Others said they weren’t on the plans anymore.

All I can say is read and check everything out before signing up and you clan change within the first 30 days.
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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I "think" I've been grandfathered in on my BCBS supplemental Plan F since I received a letter saying it was no longer available to "new" applicants. Said I was good to go - just got more expensive.

I do not believe nary a one of my physicians accepts Advantage plans (several have signs in office so stating and to be prepared to pay for services before departing). Advantage plans are a total intrusion between insurance and patients physician and procedures - pretty close to those tea party death panels they continue to refer to that do not exist.

FDT/ABT
"Being Republican is more than a difference of opinion - it's a character flaw." "COVID can fix STUPID!"
The greatest, most aggrieved mistake EVER made by USA was electing DJT as POTUS - TWICE!!!!!

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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Last numbers I saw, 34% of those on Medicare had Medicare Advantage (MA) plans and they are the fastest growing segment of Medicare, the other two segments are straight Medicare and Medicare Supplements. Even Kaiser has MA plans. In my area very few physicians accept straight Medicare, they all take HMO plans both non-Medicare and MA plans. Since mine is mostly paid for by my former employer and I live in a rural area I have only two choices both MA PPO plans.
"Everyone is entitled to their own opinion, but not their own facts." - Daniel Patrick Moynihan

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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Two Americas.

‘Out here, it’s just me’: In the medical desert of rural America, one doctor for 11,000 square miles

https://www.washingtonpost.com/national ... story.html

In the medical desert that has become rural America, nothing is more basic or more essential than access to doctors, but they are increasingly difficult to find. The federal government now designates nearly 80 percent of rural America as “medically underserved.” It is home to 20 percent of the U.S. population but fewer than 10 percent of its doctors, and that ratio is worsening each year because of what health experts refer to as “the gray wave.” Rural doctors are three years older than urban doctors on average, with half over 50 and more than a quarter beyond 60. Health officials predict the number of rural doctors will decline by 23 percent over the next decade as the number of urban doctors remains flat.
It is an unfortunate human failing that a full pocketbook often groans more loudly than an empty stomach.

- Franklin D. Roosevelt

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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K9s wrote: Sat Oct 05, 2019 12:18 pm Two Americas.

‘Out here, it’s just me’: In the medical desert of rural America, one doctor for 11,000 square miles

https://www.washingtonpost.com/national ... story.html

In the medical desert that has become rural America, nothing is more basic or more essential than access to doctors, but they are increasingly difficult to find. The federal government now designates nearly 80 percent of rural America as “medically underserved.” It is home to 20 percent of the U.S. population but fewer than 10 percent of its doctors, and that ratio is worsening each year because of what health experts refer to as “the gray wave.” Rural doctors are three years older than urban doctors on average, with half over 50 and more than a quarter beyond 60. Health officials predict the number of rural doctors will decline by 23 percent over the next decade as the number of urban doctors remains flat.
That definitely defines Texas. What has happened to people wanting to become doctors? They look at the amount of time and money spent to get there the massive student loans, the loans to go into practice or buy into a practice vs. what their income will; be and then they say forget it. My family doctor and his wife a radiologist have told their children not to go into medicine.
Facts do not cease to exist because they are ignored.-Huxley
"We can have democracy in this country, or we can have great wealth concentrated in the hands of a few, but we can't have both." ~ Louis Brandeis,

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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The average medical school graduate leaves with about $200,000 in debt and then there is internship, residency... We have more allopathic and osteopathic medical schools opening up but they're mostly for profit. And most will end up practicing in metro areas where they can make money to pay down their debt. And evenings and weekends they'll probably also work because they don't have after hours coverage like a rural practice. It takes a rare young physician dedicated to rural medicine to tough it out. Britain has had to import physicians to staff the NHS, they don't graduate enough and many move away.

In rural areas it will become mostly PAs and NPs, few physicians probably mostly around rural hospitals. I had a physician that ran his practice on mostly NPs and PAs and they do a fair job, I prefer an MD/DO as a primary.
"Everyone is entitled to their own opinion, but not their own facts." - Daniel Patrick Moynihan

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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What I've noticed is newer (younger) and older (that have had their own practice) and deciding all the office expense, taxes, payroll, malpractice insurance, etc. just isn't worth the headache, are both choosing an association in their field. Even my GP has or is in an associated care group, albeit, local. My older GP couldn't get anyone to take over his thriving practice. Same for my urologist, cardiologist and ENT when they retired. Having said that, they all drive big expensive vehicles, live in expensive gated communities - and they are not poor. There is also a heavy component of Asian Indian and Pakistani's opening practices. I spent couple of days in hospital last week (split between ER and admittance) - and not a complaint, but only three of the attending doctors, nurses and aides were white and most were immigrants. My care was excellent.
"Being Republican is more than a difference of opinion - it's a character flaw." "COVID can fix STUPID!"
The greatest, most aggrieved mistake EVER made by USA was electing DJT as POTUS - TWICE!!!!!

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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Almost every GP I ever worked for (20 years ago) had a small practice and the wife (always the wife) ran the front office. If they didn't run it like a family business, it is more of a headache and harder to handle as a business. In the past 20 years, I saw a lot of MDs leave and go into financial-type or other businesses. MD salaries plummeted, too, in the past 20 years.

I guess they thought they would make more money? They still made a LOT of money compared to most Americans, but it is hard to go down in salary after a while of living that way.
It is an unfortunate human failing that a full pocketbook often groans more loudly than an empty stomach.

- Franklin D. Roosevelt

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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I spent couple of days in hospital last week (split between ER and admittance)
Hope you're doing better Wino!

I haven't seen stats but it seems that solo practices are fading replaced by group medical practices, especially for primary care physicians. In my area there are a number of physicians from India, Pakistan, the Middle East and Asia and they might have been trained in their birth countries or elsewhere in the world. And quite a few Americans who go to Mexico or the Caribbean for medical school and come back to the US for clerkships, internships and residencies.
"Everyone is entitled to their own opinion, but not their own facts." - Daniel Patrick Moynihan

Re: Trump Signs Executive Order Expanding Medicare Advantage Plans

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Thanks for asking - Viral gastroenteritis, or stomach flu - 14 hours of puking before daughter got me to ER. Still have sore muscles from upchucking. Otherwise, back to normal, but still drained and tire easily. I could have done without it. LOL Initial thoughts were gall bladder and/or pancreas, but both checked out ok between CT and sonogram.

I'm lucky - have Medicare w/supplemental. With Advantage, I expect I would have been kicked to the curb about mid-night after four huge doses of anti-vomit in IV's - this was shades of "The Exorcist" minus the 360 head spin. Didn't go away until almost 6 AM next day, but by then, due to age, they wanted to get me rehydrated and observed - no arguments from me. Again, my care was top rate from ER to hospital to discharge.
"Being Republican is more than a difference of opinion - it's a character flaw." "COVID can fix STUPID!"
The greatest, most aggrieved mistake EVER made by USA was electing DJT as POTUS - TWICE!!!!!

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