So over the years Medicare Advantage and Medicaid Managed Care have shiften the money from socialism to Corporatism. The ACA is a massive welfare program for the Corporatist parasites.
Interesting how Kaiser Health News and Public Broadcasting cherry pick parts of the truth and end up giving a very distorted picture. You can count on these stories being slanted to shift from Corporatism back to Socialism ... all the while ignoring the difference between welfare to big Corporatists and true Capitalism.
Since the topic is also about Medicare, I’d like to take the opportunity to warn about all these “Medicare Advantage Plans”; to anyone considering doing this—don’t with a capital “D”. It all sounds so great and fantastic, and it’s fantastically a fraud. You pay your premium, then get next to nothing in coverage for all that’s promised. Don’t get had. Love you my FReeper friends.
(It’s okay, I didn’t fall for it because my parents warned me about it a long time ago).
:-)
Excellent points. When you have a third party paying the brunt of the bill patient care becomes an after thought.
Some states have NO IDEA what they are doing and are dictatorial giving instruction to the MCO’s like “You can't deny claims of providers who aren't even enrolled in the medicate system and their NPI’ designated taxonomies (specialty codes) don't match what they are billing for. (EG a psychiatrist billing for a surgery) So that state understandably is fraught with fraudulent billing.
Some states have built in incentives and penalties and have good accountability built into their systems. Including access to care requirements and measures on how many under their care get standard medical screenings & pediatric check ups.
The MCO’s aren't perfect but I believe they are MUCH MUCH better than the fraud saturated straight fee for service Medicaid programs. But they only spend the money to monitor what the states require them to.