It's Now Open Season on Seniors: 'Medicare Disadvantage.' Unsolicited Calls, Aggressive Ads

[pnwmom]

24. Your belief is wrong. The report was produced by the Inspector General's office of HHS.

You have been lucky in your care so far. But multiple investigations over the years have shown serious problems in the care other Medicare Advantage enrollees have received.

From the NY Times link I gave you before:

The new report, from the inspector general’s office of the Health and Human Services Department, looked into whether some of the services that were rejected would probably have been approved if the beneficiaries had been enrolled in traditional Medicare.

Tens of millions of denials are issued each year for both authorization and reimbursements, and audits of the private insurers show evidence of “widespread and persistent problems related to inappropriate denials of services and payment,” the investigators found.

The report echoes similar findings by the office in 2018 showing that private plans were reversing about three-quarters of their denials on appeal. Hospitals and doctors have long complained about the insurance company tactics, and Congress is considering legislation aimed at addressing some of these concerns.