One of the on-going scandals that most know about, but no-one seems to be doing anything about--until now...maybe?.
This is sort of a confusing issue, as the Govt. brings charges while at the same time increasing the amount insurers are being paid.
All I know is, anyone on a Medicare Advantage plan--is a fool~
www.alternet.org
Healthcare advocates have long condemned the for-profit insurance companies that manage Medicare Advantage plans for overbilling the federal government by hundreds of billions of dollars per year, using artificial intelligence and algorithms to deny patients' claims, and tricking patients with disabilities via deceptive marketing practices—and a lawsuit originally initiated by a whistleblower is accusing three such private insurance giants of taking part in overt bribery.
The U.S. Department of Justice filed a complaint Thursday under the False Claims Act, accusing three of the largest Medicare Advantage insurers—Aetna, Humana, and Elevance Health—of paying brokers hundreds of millions of dollars to steer beneficiaries toward their plans, and to steer disabled seniors away in an effort to keep them more profitable.
The American Economic Liberties Project (AELP) noted that the lawsuit comes from an unlikely place—the Trump administration, which last month announced it would substantially increase payments to the privately run plans, increasing rates to the tune of $25 billion in additional funds next year despite their history of defrauding the government and patients.
While applauding the DOJ for cracking down on the bribery scheme, the group noted that "despite its promises to crack down on such wasteful spending, the Trump administration recently announced it would substantially increase payments to private Medicare Advantage plans in 2026, rewarding their bad behavior."
This is sort of a confusing issue, as the Govt. brings charges while at the same time increasing the amount insurers are being paid.
All I know is, anyone on a Medicare Advantage plan--is a fool~
Medicare Advantage bribery scheme highlights 'bad behavior' Trump wants to reward
Healthcare advocates have long condemned the for-profit insurance companies that manage Medicare Advantage plans for overbilling the federal government by hundreds of billions of dollars per year, using artificial intelligence and algorithms to deny patients' claims, and tricking patients with...
www.alternet.org
Healthcare advocates have long condemned the for-profit insurance companies that manage Medicare Advantage plans for overbilling the federal government by hundreds of billions of dollars per year, using artificial intelligence and algorithms to deny patients' claims, and tricking patients with disabilities via deceptive marketing practices—and a lawsuit originally initiated by a whistleblower is accusing three such private insurance giants of taking part in overt bribery.
The U.S. Department of Justice filed a complaint Thursday under the False Claims Act, accusing three of the largest Medicare Advantage insurers—Aetna, Humana, and Elevance Health—of paying brokers hundreds of millions of dollars to steer beneficiaries toward their plans, and to steer disabled seniors away in an effort to keep them more profitable.
The American Economic Liberties Project (AELP) noted that the lawsuit comes from an unlikely place—the Trump administration, which last month announced it would substantially increase payments to the privately run plans, increasing rates to the tune of $25 billion in additional funds next year despite their history of defrauding the government and patients.
While applauding the DOJ for cracking down on the bribery scheme, the group noted that "despite its promises to crack down on such wasteful spending, the Trump administration recently announced it would substantially increase payments to private Medicare Advantage plans in 2026, rewarding their bad behavior."
