125. Medicare Advantage: Cutting Through the Noise

Medicare Advantage critics pound the program with shoddy analyses. We showcase the good ones on quality, value, and savings.

About The Podcast:

Millions of Americans feel confused and frustrated in their search for quality healthcare coverage.

Between out-of-control costs, countless inefficiencies, a lack of affordable universal access, and little focus on wellness and prevention, the system is clearly in dire need of change.

Hosted by healthcare policy and technology expert Marc S. Ryan, the Healthcare Labyrinth Podcast offers accessible, incisive deep dives on the most pressing issues and events in American healthcare.

Marc seeks to help Americans become wiser consumers and navigate the healthcare maze with more confidence and certainty through The Healthcare Labyrinth website and his book of the same name.

Marc is an unconventional Republican who believes that affordable universal access is a wise and prudent investment. He recommends common-sense solutions to reform American healthcare.

Tune in every week as Marc examines the latest developments in space, offering analysis, insights, and predictions on the changing state of healthcare in America.

About The Episode:

On this episode, Marc pushes back on the Medicare Advantage critics, who pound the program with shoddy analyses. He showcases the good studies showing MA’s quality, value, and savings.

Key Takeaways:

Medicare Advantage’s critics pound the program with shoddy analyses.

But numerous studies show the quality, value, and savings in MA.

MedPAC’s studies on MA’s favorable selection are easily debunked as there is great evidence MA serves some of the most vulnerable.

 So-called overpayments in risk adjustment have also been going away due to reforms.

Studies show that MA means much lower utilization among beneficiaries through managed care and care management.

Others show that enrollees in MA have much lower out-of-pocket costs.

Despite attacks by critics, still more analyses show overall lower per-beneficiary costs of MA compared with FFS.

MA also has a halo effect over overall Medicare spending.

The greater the MA penetration, the lower cost trends in Medicare as a whole.

Connect With Marc:

Marc on LinkedIn

Marc on Twitter

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Resources:

THL’s Newsfeed

THL’s Blog

The Healthcare Labyrinth: A Guide to Navigating Health Plans and Fixing American Health Insurance

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