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question everything

(48,808 posts)
136. You may want to read the whole story again. I have no idea where you got your conclusions
Fri Nov 22, 2024, 01:26 PM
19 hrs ago
The story points a finger at insurance companies who refuse coverage for sick patients at the end of their lives, forcing them to switch to Medicare and, yes, get the government, yes, we, the taxpayers, to save the for profit companies millions.

If you've bothered to go to the source - free link, you'd read:

Patricia Greene had spent a month recovering from a devastating stroke when her Medicare Advantage insurer, a unit of UnitedHealth Group, decided to stop paying for her nursing home.

The 85-year-old was so weak and fragile, her son said, that she couldn’t even get herself out of bed. Her family felt she wasn’t ready to leave the facility in New York City’s Queens borough. So she dropped her UnitedHealth coverage and enrolled in the traditional version of Medicare run directly by the federal government.

That decision saved UnitedHealth tens of thousands of dollars in the months that followed, billing records show, and shifted onto taxpayers the cost of later hospital and nursing home care in what turned out to be the final months of her life.

A Wall Street Journal analysis of Medicare data found a pattern of Medicare Advantage’s sickest patients dropping their privately run coverage just as their health needs soared. Many, like Greene, made the switch after running into problems getting their care covered.



THAT'S when they find out what a fucking scam it is Skittles Tuesday #1
You can warn them Hope22 Tuesday #2
"too good to be true" seems lost in the wind Skittles Tuesday #4
Just recently turned 65 Babajida Yesterday #109
um - young pup Skittles Yesterday #114
lol Babajida Yesterday #120
I agree Skittles Yesterday #121
Your primary care office cannot refuse Medicare patients Ms. Toad 22 hrs ago #132
Are they quitting or are they intentionally being kicked out? ... aggiesal Tuesday #50
either way it's more proof what a fucking scam they are Skittles Tuesday #52
I agree, but if they were kicked out, if I was running the government ... aggiesal Tuesday #53
LOL Skittles Tuesday #54
I agree with that too. It's what I would do. n/t aggiesal Tuesday #55
My wife was on Medicare Advantage plan until the end of her life at140 Tuesday #56
of course there are always the exceptions Skittles Tuesday #57
you are right about the goal of MA at140 Tuesday #60
it is odd that they do not specify in the article Skittles Tuesday #61
The first paragraph- which I snipped to keep the allowed ones -mentioned United Healthcare question everything Tuesday #71
Humana isn't much better Skittles Tuesday #72
No complains with Humana MA HMO using now for 7 years at140 Yesterday #106
yes they do make it seem nice for now Skittles Yesterday #107
A friend recently received notice that her Advantage care was being cancelled. Lonestarblue Wednesday #101
B-I-N-G-O, this is what I'm referring to. ... aggiesal Wednesday #104
She will still be covered by traditional Medicare Voltaire2 22 hrs ago #131
Yep. Medicare Advantage was great for my mom -- until she really needed it. W_HAMILTON Tuesday #62
I am sorry about that. She should have been able to switch during open enrollment question everything Tuesday #74
She could have switched, but wouldn't have been able to afford... W_HAMILTON Tuesday #82
We've had this discussion here repeatedly. Voltaire2 19 hrs ago #133
When you go back to original medicare Henry203 Wednesday #103
self deleted Babajida Yesterday #111
Medicare "Advantage" was George W. Bush's attempt to privatize Medicare. OMGWTF Tuesday #3
it's an ONGOING EFFORT Skittles Tuesday #5
That would be because he's basically a pimp. dchill Tuesday #48
Part C started in Clinton. Silent Type Tuesday #27
Exactly! surfered Tuesday #46
Another GOP grift of the public and especially their MAGA base. Jit423 Tuesday #59
This is an important article. Thanks. spooky3 Tuesday #6
not only the "free stuff" rampartd Tuesday #11
And all the admin costs, and profit for the insurer, etc. nt spooky3 Tuesday #13
i can't even fit this into "capitalism." rampartd Tuesday #15
Seniors had better be ready to push back hard if spooky3 Tuesday #16
i am a cancer survivor rampartd Tuesday #19
Hang in there! I have a relative whose care in the last two years has spooky3 Tuesday #20
i've seen the numbers paid out by medicare and my supp. blue cross rampartd Tuesday #24
Totally agree. Nt spooky3 Tuesday #28
there is NO REASON a session of chemo should cost that much Skittles Tuesday #65
And the fact that we as a country allow it to happen. spooky3 Tuesday #79
My wife has had, and survived, cancer twice DFW Tuesday #29
Wow! I hope she is ok now. nt spooky3 Tuesday #64
Amazingly, yes, she is. DFW Wednesday #87
I'm happy for her and your family. Nt spooky3 Wednesday #88
Thanks. We were extremely lucky, and never forget it. DFW Wednesday #89
Congratulations! Nt spooky3 Wednesday #90
oh my god what a beautiful family. I have had open arthritisR_US Yesterday #108
Thanks, you're very kind! And it sounds like you've been through the wringer more than most! DFW Yesterday #116
Ralph Reid was doing his shit and it was illegal but our conservative arthritisR_US Yesterday #117
I live in Germany DFW Yesterday #118
Canada? So many of us are looking at the Canadian system as an example.. question everything 23 hrs ago #124
Alberta is extremely conservative but other provinces in the arthritisR_US 16 hrs ago #142
I have advanced emphysema from a genetic condition misanthrope Wednesday #97
This message was self-deleted by its author Skittles Wednesday #85
? Skittles Wednesday #105
In economic theory it is called 'rent seeking'. Voltaire2 19 hrs ago #134
kickbacks for the people who add people to these scams Skittles Tuesday #63
Unless they are in a guarantee issue state how do they do it? Tadpole Raisin Tuesday #7
They aren't switching to another private plan; they spooky3 Tuesday #10
I know they aren't switching to another M.A. plan. That wouldn't help at all. Tadpole Raisin Tuesday #17
So your earlier post was commenting about supplemental plans? spooky3 Tuesday #18
If they were in an Advantage plan they didn't have a supplement. Tadpole Raisin Tuesday #23
If their income is low enough... littlemissmartypants Tuesday #45
True! Although when over 65 sometimes the asset test knocks you out Tadpole Raisin Tuesday #51
Already there... littlemissmartypants Tuesday #58
Sorry about that. Can the manufacturer help? They often do for expensive drugs question everything Tuesday #70
Thanks for the suggestion. There's a manufacturer discount card. ... littlemissmartypants Tuesday #83
A system that makes it normal for people to stress out over this DFW Wednesday #100
yeah, not just income, assets. Voltaire2 19 hrs ago #135
Dr Ozis gonna fix it 🙃 Deuxcents Tuesday #8
there are youtube videos with the hack Oz pimping for Advantage Skittles Tuesday #9
Social Security Advantage. The Musk/Swarmy Plan Traildogbob Tuesday #12
Once you really need care.. Macrophylla Tuesday #14
I work in Neurosurgery Horse with no Name Tuesday #32
What would you recommend? Babajida Yesterday #112
steer clear of any doctor office pimping for Advantage Skittles Yesterday #119
Agreed n/t Horse with no Name 23 hrs ago #123
I would recommend doing your homework Horse with no Name 23 hrs ago #122
There will be no more traditional Medicare mnhtnbb Tuesday #21
no Skittles Tuesday #25
You'll be wheeled into the alley behind the hospital awaiting doom. erronis Tuesday #38
That's what I mean. mnhtnbb Tuesday #39
it will all eventually be turned over to private insurance Skittles Tuesday #40
This is exactly what I think, too XanaDUer2 Wednesday #93
They're already screwed by then. If you join Advantage you will likely be locked out of traditional Medicare supplements tritsofme Tuesday #22
Hubs and I would pay 800 per month on original Medicare. And I have had excellent care... Demsrule86 Tuesday #33
What plan do you have? Babajida Yesterday #113
The concept of a plan has always been the same... Moostache Tuesday #26
Sadly, original Medicare covers only 20 days of nursing home care, after that you pay $204 or so for next 80 days. Silent Type Tuesday #30
Not all Medigap policies pay this...most folks go on Medicaid. Demsrule86 Tuesday #34
This is why we need long term insurance except they are getting so expensive question everything Tuesday #78
Unfortunately, I see no chance of nursing home coverage in next 20 years at least. Good point about those who are Silent Type Tuesday #80
This is bullshit. You can't go back to orginal Medicare after Advantage...unless you Demsrule86 Tuesday #31
You can go back to original Medicare, buy you'll pay 20% out of pocket unless you qualify for a Medigap policy, which Silent Type Tuesday #35
That is false. totodeinhere Tuesday #68
Better go read that again. 63-day window applies to the FIRST YEAR you go on MA. After that, underwriting applies Silent Type Tuesday #73
Thanks for the correction. n/t totodeinhere Tuesday #75
It's overly complicated. I don't see how anyone keeps up with it. Silent Type Tuesday #77
That is not true! Liberal In Texas Tuesday #36
If your advantage plan is canceled that may set up a special circumstance Tadpole Raisin Tuesday #66
Wall Street Journal Cirsium Tuesday #37
Switching? Jill Hanson Tuesday #41
So did I, though in some case you can IF you have a lot of money. Auggie Tuesday #42
During open enrollment as is right now question everything Tuesday #44
You can definitely go back to original/heritage Medicare. But, there is no guarantee you can get a Medigap policy, Silent Type Tuesday #76
Medicare alone (Parts A/B leaving you with a 20% copay) is a permitted switch. Ms. Toad 17 hrs ago #141
False fact upstream..... Granny Blue Tuesday #43
I think... littlemissmartypants Tuesday #47
For 2025, Medicare Advantage plans have cut benefits and raised premiums and copays, across the board dlk Tuesday #49
Kick dalton99a Tuesday #67
I'm so damn sick of this crap soandso Tuesday #69
I thought wryter2000 Tuesday #81
You can during open enrollment see 44, above question everything Tuesday #84
no you CAN go back Skittles Wednesday #86
I don't know why everyone is so worried Zorro Wednesday #91
Humana is terminating 560,000 members because they are not profitable enough dalton99a Wednesday #92
This happens with for profit companies. Their fiduciary is for their shareholders who expect them question everything Wednesday #94
With Dr. Oz sabbat hunter Wednesday #95
I don't get it. The premium for my plan is $36/month. milestogo Wednesday #96
This is how the story started question everything Wednesday #98
I'm enrolled in both milestogo Wednesday #99
GOP evil julmur Wednesday #102
Anyone here old enough to have Medicare? Babajida Yesterday #110
that's the issue Skittles Yesterday #115
There are professionals who help individuals through the labyrinth of enrolling question everything 22 hrs ago #126
Most if not all are paid a commission by the insurer dalton99a 22 hrs ago #128
Look for State Health Insurance Assistance Programs ie: SHIP CousinIT 18 hrs ago #139
100% elder abuse Babajida 17 hrs ago #140
I always assume a slick commercial indicates a weak or bad product. lindysalsagal 23 hrs ago #125
Problem is once they sign up for an advantage plan, transferring JohnSJ 22 hrs ago #127
VERY Misleading article. I'll explain why. Typical of the WSJ though, siding with private insurers CousinIT 22 hrs ago #129
You may want to read the whole story again. I have no idea where you got your conclusions question everything 19 hrs ago #136
The headline is badly written then. CousinIT 18 hrs ago #138
Neither MA or Medicare cover long term nursing home costs. Voltaire2 22 hrs ago #130
Medicare covers some stay when one is released from the hospital. Go read the original stroy question everything 19 hrs ago #137
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