Date: 6/16/24Name of podcast: Dr. PatientEpisode title and number: 24 The Disadvantage of Medicare Advantage, Part 1Episode summary: Wow, I knew Medicare was complicated but didn't realize just how complicated. I've spent the last few weeks diving deep and was most curious about Medicare Advantage, Part C of Medicare, where beneficiaries can sign up for private health insurance. This week I'll be talking about how bad this is for our federal budget, and how the model simply doesn't work fiscally. Next week, in Part 2, I'll be talking with Al (Alexandra) Eidenberg about why it's also bad for the beneficiaries themselves.Guest(s): noneKey Terms: CMS - Center for Medicare and Medicaid ServicesHMO - Healthcare Maintenance OrganizationBeneficiary or Enrollee - the person signing up for a health planFee-for-service - a model of healthcare where a doctor or hospital gives a service and is then paid for itCapitation - a monthly payment Advantage plans get per patient that are signed up on their planReferences: Video by Congresspeople Mark Pocan, Jan Schakowsky and Ro KhannaCenter for Medicare and Medicaid ServicesHow the Government Updates Payment Rates for Medicare Advantage PlansUnderstanding Medicare Advantage PaymentMedicare Advantage Risk AdjustmentUS Sues Cigna for fraudulent diagnostic codesAdvantage plans overpaid by about $140 billion over last 12 yearsVideo: How to Sign up for MedicareMedicareFAQ: Why Advantage Plans are BadUnderstanding Medicare Advantage PaymentOther podcasts on this topic:Arm and A LegThe Real Investment ShowPodcast website: www.drpatientpodcast.comPodcast email, become a guest: [email protected]

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