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Medicare Advantage

Visiting Mayo Clinic | Last Active: Sep 10 1:43pm | Replies (30)

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@vic83

For sure we want to understand the differences between Medicare plans, because it is key in the abillity to get the healthcare we need at Mayo Clinic amd other institutions.
It is not a big jump to arrive at "Medicare for all" in this discussion since people also discuss their "before Medicare" plans. I look at these discusisons through the lens of my background (degree in Economics, worked in Corporate America, many years of researching business and industries) ...so my "diagnosis" is based on assessment of numbers.
In strategic planning we first set goals/objectives, then study solutions and decide which one provides the most. So if our objective is affordable quality healthcare for all, we have to look at the numbers - outcomes and costs. Even 20+ years ago there were several studies showing how the US healthcare system is twice as high as Switzerland (the second highest) with no better outcomes. I also recall a study that asked nurses if they would go to a not-for-profit or profit hospital and they said "not-for-profit" I suspect the reason being that the NFP hospital does not have to cut corners to meet profit objectives.
Medicare administration is more cost effective than private health insurance because it does not have the sales and marketing expenses, it does not have to renegotiate with many providers each year, etc. And it has a uniform coding system...providers also have more costs because they need to hire people to process all kinds of different insurance claims. Our additional issue in the US is not having enough doctors!!!!

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Replies to "For sure we want to understand the differences between Medicare plans, because it is key in..."

When I still had a choice in medical insurance coverage (before my former employer of a medium sized staff picked one to be the default), I called each of the billing departments of my medical providers for their opinion. Without fail, each chose the same nonprofit advantage plan. You'd find it quite difficult to find a provider or hospital that rejects this plan in this service area. The point I am trying to make is that all of your posts are definitely extremely the truth about most Advantage plans, I hope readers know that they are not all equal and there is at least one out there that is as good as your excellent choice. Unfortunately, it's difficult to find the nonprofit plans, the web postings are those of the big insurance companies. Now, things are always changing, not always for the better. Each of us in any situation needs to be aware that our present situations are subject to change, usually costing more money.