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Submitted URL: https://app.info.mcknightsnetwork.com/e/er?s=305496&lid=11336&elqTrackId=0bbede589fb04c8bae14938a1b85491a&utm_campaign=NWLTR_MLT_WEEKL...
Effective URL: https://www.mcknights.com/news/lawmakers-reignite-attacks-against-scam-medicare-advantage-plans/?utm_source=newsletter&utm...
Submission: On July 28 via api from US — Scanned from DE

Form analysis 5 forms found in the DOM

<form class="HMIRegistration__form" novalidate="">
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control HMIRegistration__input "><input class="form-control" type="email" id="root_subscriber_email" label="email" placeholder="*E-mail Address" value=""></div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control ">
        <div id="cntry" class="HMIRegistration__select"><select id="*Country" class="HMIRegistration__select">
            <option value="">*Country</option>
            <option value="US">United States</option>
          </select>
          <div class="HMIRegistration__select--down-caret"><svg width="14 " height="12" class="widget-svg">
              <polygon class="down-caret" points="7 12, 14 0, 0 0"></polygon>
            </svg></div>
        </div>
      </div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Clinical Daily</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight’s Business Solutions On</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Weekly Roundup</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Spotlight On</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Daily Update</span></div>
      </div>
    </div>
  </div>
  <div class="HMIRegistration__row HMIRegistration__opt-in-email">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite"><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
              <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
            </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">I would like to receive relevant information via email from McKnight's .</span></div>
    </div>
  </div>
  <div class="HMIRegistration__row HMIRegistration__opt-in-email">
    <div class="HMIRegistration__column u-col12">By registering you consent to the collection and use of your information to provide the products and services you have requested from us and as described in our
      <a href="https://www.haymarketmediaus.com/haymarket-media-inc-privacy-policy/ " target="_blank">privacy policy</a> and
      &nbsp;<a href="https://www.haymarketmediaus.com/haymarket-media-inc-terms-and-conditions-of-service/" target="_blank">terms and conditions</a></div>
  </div><button class="HMIRegistration__submit" type="submit">SIGN UP FOR OUR NEWSLETTERS</button>
  <div class="HMIRegistration__us_privacy-policy privacy__terms" id="newsletter-asset"><a href="https://www.haymarketmediaus.com/haymarket-media-inc-privacy-policy/" target="_blank">Privacy Policy</a> &nbsp;|
    &nbsp;<a href="https://www.haymarketmediaus.com/haymarket-media-inc-terms-and-conditions-of-service/" target="_blank">Terms &amp; Conditions</a></div>
</form>

https://www.mcknights.com/

<form class="search focus-label d-flex" id="mobile-search" aria-hidden="false" action="https://www.mcknights.com/">
  <input class="searchinput predictive-search" id="q" type="text" placeholder="Search" value="" name="s">
  <button class="submit border-0" type="submit"><svg role="presentation" class="icon icon--search" aria-label="search">
      <use xlink:href="https://www.mcknights.com/wp-content/themes/hm-mck-child/assets/svg/src.svg?ver=1663179338#search"></use>
    </svg></button>
</form>

<form class="HMIRegistration__form" novalidate="">
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control HMIRegistration__input "><input class="form-control" type="email" id="root_subscriber_email" label="email" placeholder="*E-mail Address" value=""></div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control ">
        <div id="cntry" class="HMIRegistration__select"><select id="*Country" class="HMIRegistration__select">
            <option value="">*Country</option>
            <option value="US">United States</option>
          </select>
          <div class="HMIRegistration__select--down-caret"><svg width="14 " height="12" class="widget-svg">
              <polygon class="down-caret" points="7 12, 14 0, 0 0"></polygon>
            </svg></div>
        </div>
      </div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Clinical Daily</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight’s Business Solutions On</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Weekly Roundup</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Spotlight On</span></div>
      </div>
      <div class="HMIRegistration__form-control--checkbox ">
        <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
                <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
              </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">McKnight's Daily Update</span></div>
      </div>
    </div>
  </div>
  <div class="HMIRegistration__row HMIRegistration__opt-in-email">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite"><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
              <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
            </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">I would like to receive relevant information via email from McKnight's Long-Term Care .</span></div>
    </div>
  </div>
  <div class="HMIRegistration__row HMIRegistration__opt-in-email">
    <div class="HMIRegistration__column u-col12">By registering you consent to the collection and use of your information to provide the products and services you have requested from us and as described in our
      <a href="https://www.haymarketmediaus.com/haymarket-media-inc-privacy-policy/ " target="_blank">privacy policy</a> and
      &nbsp;<a href="https://www.haymarketmediaus.com/haymarket-media-inc-terms-and-conditions-of-service/" target="_blank">terms and conditions</a></div>
  </div><button class="HMIRegistration__submit" type="submit">SIGN UP FOR OUR NEWSLETTERS</button>
  <div class="HMIRegistration__us_privacy-policy privacy__terms" id="newsletter-asset"><a href="https://www.haymarketmediaus.com/haymarket-media-inc-privacy-policy/" target="_blank">Privacy Policy</a> &nbsp;|
    &nbsp;<a href="https://www.haymarketmediaus.com/haymarket-media-inc-terms-and-conditions-of-service/" target="_blank">Terms &amp; Conditions</a></div>
</form>

<form class="HMIRegistration__form" novalidate="">
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control HMIRegistration__input "><input class="form-control" type="email" id="root_email" label="email" placeholder="*E-mail Address" value=""></div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control HMIRegistration__input "><input class="form-control" type="password" id="root_password" label="password" placeholder="*Password" value=""></div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite"><span class="HMIRegistration__sprite-border "></span><span class="HMIRegistration__sprite-checkmark "><svg width="15" height="15" class="widget-svg">
              <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
            </svg></span><span class="HMIRegistration__sprite-fill "></span></span><span class="HMIRegistration__text ">Keep me signed in</span></div>
    </div>
  </div><button class="HMIRegistration__submit" type="submit">Log in</button>
</form>

<form class="HMIRegistration__form" novalidate="">
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control HMIRegistration__input"><input class="form-control" type="email" id="root_subscriber_email" label="email" placeholder="*E-mail Address" value=""></div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control HMIRegistration__input"><input class="form-control" type="password" id="root_registerPassword_password" label="password" placeholder="*Password" value=""></div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control"><select class="HMIRegistration__select">
          <option value="">Please select the category that best describes your organization.</option>
          <option value="86">Adult Care</option>
          <option value="92">Continuing Care Retirement/Life Care Community</option>
          <option value="93">Healthcare Facility Corporate Headquarters</option>
          <option value="87">Home Health Care/Traditional Home</option>
          <option value="88">Hospice</option>
          <option value="91">Hospital with LTC Unit</option>
          <option value="89">Hospital/Health Network</option>
          <option value="90">Independent Living</option>
          <option value="94">Pharmacy</option>
          <option value="95">Psychiatric/Behavioral Health/Mental Health</option>
          <option value="96">Rehabilitation</option>
          <option value="97">Senior Living/Assisted Living</option>
          <option value="98">Skilled Nursing/Long-term Care/Post-Acute</option>
          <option value="99">Other Business Services (Design, FinServ, Manufacturing, etc)</option>
          <option value="100">Other</option>
        </select>
        <div class="HMIRegistration__select--down-caret"><svg width="14 " height="12" class="widget-svg">
            <polygon class="down-caret" points="7 12, 14 0, 0 0"></polygon>
          </svg></div>
      </div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control"><select class="HMIRegistration__select">
          <option value="">Please select the option that best describes your title level.</option>
          <option value="101">Administrator/Asst Administrator/Executive Director</option>
          <option value="102">Owner/Operator</option>
          <option value="111">C-level and equivalent</option>
          <option value="103">VP/SVP/EVP and equivalent</option>
          <option value="104">Director/Asst Director and equivalent</option>
          <option value="127">Manager/Asst Manager/Supervisor and equivalent</option>
          <option value="113">Non-management/Staff</option>
          <option value="125">Pharmacist</option>
          <option value="159">Consultant</option>
        </select>
        <div class="HMIRegistration__select--down-caret"></div>
      </div>
    </div>
  </div>
  <div class="HMIRegistration__row ">
    <div class="HMIRegistration__column u-col12">
      <div class="HMIRegistration__form-control">
        <div id="cntry" class="HMIRegistration__select"><select id="*Country" class="HMIRegistration__select">
            <option value="">*Country</option>
            <option value="US">United States</option>
          </select>
          <div class="HMIRegistration__select--down-caret"><svg width="14 " height="12" class="widget-svg">
              <polygon class="down-caret" points="7 12, 14 0, 0 0"></polygon>
            </svg></div>
        </div>
      </div>
    </div>
  </div>
  <h4 class="HMIRegistration__sub-title">Email Newsletters</h4>
  <div class="HMIRegistration__form-control--checkbox ">
    <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border u-active"></span><span class="HMIRegistration__sprite-checkmark u-active"><svg width="15" height="15" class="widget-svg">
            <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
          </svg></span><span class="HMIRegistration__sprite-fill u-active"></span></span><span class="HMIRegistration__text u-active">McKnight's Clinical Daily</span><span class="HMIRegistration__text HMIRegistration__desc">: The McKnight’s Clinical
        Daily e-newsletter, a joint effort of McKnight's Long-Term Care News and McKnight's Senior Living, provides succinct coverage of clinical developments affecting care for the aged. Each item is researched and written by our editors to meet the
        specific needs of long-term care and senior living professionals. Readers gain timely information about new medicines, new treatments, caregiving innovations, tech tools and more. Best of all, it is presented by McKnight’s, a journalistic
        brand that the sector knows and trusts.</span></div>
  </div>
  <div class="HMIRegistration__form-control--checkbox ">
    <div class="HMIRegistration__checkbox"><span class="HMIRegistration__sprite "><span class="HMIRegistration__sprite-border u-active"></span><span class="HMIRegistration__sprite-checkmark u-active"><svg width="15" height="15" class="widget-svg">
            <path class="checkmark" d="M5.6,13.4C3.7,11.6,1.9,9.8,0,8c0.8-0.8,1.6-1.6,2.3-2.3c1.1,1,2.2,2.1,3.3,3.1c2.4-2.4,4.7-4.8,7-7.2 c0.8,0.8,1.5,1.6,2.3,2.3C11.9,7,8.8,10.2,5.6,13.4z"></path>
          </svg></span><span class="HMIRegistration__sprite-fill u-active"></span></span><span class="HMIRegistration__text u-active">McKnight’s Business Solutions On</span><span class="HMIRegistration__text HMIRegistration__desc">: McKnight’s
        Business Solutions On supplements are two-page advertorials that highlight the many ways our sponsors are serving the sector. These marketing pieces are created by our custom projects team.</span></div>
  </div>
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News


LAWMAKERS REIGNITE ATTACKS AGAINST ‘SCAM’ MEDICARE ADVANTAGE PLANS

Jessica R. Towhey


July 27, 2023
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Federal lawmakers and activists are turning up the heat again with attacks on
Medicare Advantage, a month after 300 members of Congress told the federal
agency that oversees the system to make it easier to manage.

Prominent progressives such as Rep. Rosa DeLauro (D-CT) and Sen. Elizabeth
Warren (D-MA), who blasted Medicare Advantage as being a “scam” by private
insurers, headlined a press conference Tuesday in Washington. Numerous speakers
derided the program and used the social media hashtag #reclaimMedicare to
advocate bringing patients back under the banner of traditional Medicare. 





Just over half of individuals eligible for Medicare are enrolled in Medicare
Advantage plans, according to information released by the Centers for Medicare &
Medicaid Services in May. In January, 30.2 million of the 59.8 million people
who have Medicare Parts A and B were enrolled in private plans. That’s a massive
increase from 2007, when just 19% of those eligible opted for Medicare
Advantage. 

“It is time to call out so-called Medicare Advantage for what it is,” DeLauro
said. “It’s private insurance that profits by denying coverage and using the
name of Medicare to trick our seniors.”

The program certainly needs improvement, a pair of  experts told McKnight’s
Long-Term Care News Wednesday.





Tyler Overstreet Cromer, head of ATI Advisory’s Medicare Innovation Practice,
said CMS has strengthened marketing requirements “to tamp down on confusing or
even deceiving ads about MA.” 

“Successful implementation of these policies will be key steps to addressing
these concerns,” Overstreet Cromer said. “Additionally, more can be done to
provide clear information about what supplemental benefits are and are not so
consumers can make more informed decisions. More data and transparency can be
powerful tools to help consumers understand their benefit choices and tradeoffs
between offerings like supplemental benefits and use of tools like prior
authorization across their Medicare options.”

Prior authorization was a target of the letter from the nearly 300 Members of
Congress. They wrote that it “remains an enormous burden on doctors’ practices
and a threat to patient care. … Insurers continue to delay and even deny
covering necessary care and overstep medical decision-making while increasing
their profits.”

Legislation has been introduced in both the House and Senate to modernize the
prior authorization process. Another bill from three House Democrats, called the
“Save Medicare Act,” would prohibit private insurance companies from using the
word “Medicare” in their plans.

Susie Mix, CEO of Mix Solutions, told McKnight’s that the most important thing
lawmakers will learn after digging into MA is that seniors are not receiving the
same or even better benefits than traditional Medicare plans would provide. 

“[The] diversion of patients going home versus a SNF, and prior authorization
debacles are just the beginning,” she said. “Looking further into the process,
they will see that in many cases, these patient stays are being dictated by an
algorithm made up by a group that has gathered data and fed it to a program.”


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