1. Medicare Advantage Plans Not Always Advantageous.
- Author
-
Swift, Diana
- Subjects
MEDICARE Part C ,INCOME ,MENTAL health services ,FINANCIAL stress ,COST shifting ,COPAYMENTS (Insurance) - Abstract
A study published in the Annals of Internal Medicine found that Medicare Advantage (MA) plans may not always provide the financial benefits they claim to offer. The study, conducted by health economist Sungchul Park and colleagues, analyzed data from the 2014-2020 Medical Expenditure Panel Survey and found that the estimated annual out-of-pocket spending for beneficiaries who switched to MA was $168 higher than those who stayed with traditional Medicare (TM). Additionally, MA enrollment was associated with a higher likelihood of catastrophic financial burden, particularly for low-income populations. The study suggests that the perception of lower costs with MA plans may be misleading, as certain services in MA plans have heavier cost-sharing burdens and limited access to in-network providers. An accompanying editorial noted that private MA plans will receive $83 billion in overpayments from taxpayers this year. The findings highlight the need for policymakers to address the growing privatization of the Medicare program and redistribute MA overpayments to benefit all Medicare beneficiaries. [Extracted from the article]
- Published
- 2024