A “bastardized” program: reform of the advantage of the eye of the legislators of the GOP Eye Medicare

On Tuesday, a certain number of Republicans criticized the advantage of Medicare during a conference hearing, suggesting that the privatized Medicare program could be due to a Washington overhaul.

Calls to reform my Democrats are nothing new. But the members of the GOP condemning MA are notable given the traditional support of the party on the program, in which the Government contracts private insurers to manage the care of the registrants of Medicare.

It was created with the hope that it would save money in medication while improving the results. But criticisms say that the program has died out of control in the midst of growing evidence that my costs much more expensive than traditional health insurance, while restricting health care for American elderly.

“We all recognize that there is a problem,” said representative Mike Kelly, R-Pa., DTuesday’s joint auditory uring on health and surveillance of the houses and means of the house. “It’s people’s health and it’s essential.”

During the hearing, legislators criticized high rates of refusal of care and previous authorizations implemented by the MA plans. They have also expressed concerns concerning swollen expenses in MA, a large part of which comes from a practice called COD Upcoding in which insurers exaggerate their members’ diseases to generate a higher reimbursement of the government.

The federal government should spend 84 billion dollars more for my registrants this year that if these same patients were registered in traditional health insurance, according to the Congress Congress Congress.

“Can we work with insurers, work with CMS, work with MedpacWork with my democratic brothers and sisters, my republican brothers and sisters, to align incentives? Asked the representative David Schweikert, R-Ariz., The president of the surveillance subcommittee. It is one of the greatest things in our government. »»

MA in legislator reticlations

The main payers received the weight of the Flak at the hearing, the legislators by calling in particular Unitedhealthcare, the largest payer of MA with 8.2 million beneficiaries. The Unitedhealth insurer is at the center of concerns concerning the codoscope in the middle of a burst of media reports detailing how the company could have pocketed billions of dollars in the practice.

The witnesses of the hearing included the CEOs of the small payers of the MA alignment health plan and the digitization. Legislators have congratulated businesses to focus on quality and value instead of removing the profits from the program as some of their greatest peers.

“I applaud you so that it is good,” said representative Greg Murphy, Rn.c. “What I would like to see is Unitedhealthcare, Humana and Aetna sitting before us because they have botched the system.”

However, the Republicans have recognized that it can be difficult to modify MA, given its popularity with the elders and the promise to improve quality and save money at the heart of the program.

“I think we can protect the integrity of the MA while ensuring that there is a strong option for beneficiaries,” said Representative Vern Buchanan, R-Fla., The president of the health subcommittee.

The best Medicare alliance, the main hall of the payers of MA, told legislators to walk carefully in a statement before the hearing.

“While the Congress considers the future of the program, we urge political decision-makers to prioritize reflected reforms which strengthen the advantage of health insurance while protecting affordability, benefits and coordinated care on which the beneficiaries count,” said BMA CEO, Mary Beth Donahue.

“If political decision-makers have chosen to reform the payment of the AM, a reasonable objective would be to align the payments of MA on the cost of the coverage of similar registrants under traditional health insurance,” said Matthew Fiedler, principal researcher at the health center of the Brookings Institution on the health policy.

The “most important step” would be to repair “my Broken risks adjustment program, “he added.

The congress should attack the adjustment of risks, witnesses of the health plan agreed – however, they warned the legislators against the changes of workforce which were to reject the reimbursement of all the care companies managed, not only the worst cod upin delinquents.

Congress should also focus on rationalization and automation of previous authorizations, and improving transparency around approvals and refusals of care, witnesses said.

The audience suggests that the reduction of poor behavior in MA has become a largely bipartite question – even if the Republicans have ignored the calls of the Democrats to attack cod upin In the so-called “Big Beautiful Bill” of the GOP that President Donald Trump signed earlier this month.

Legislators on both sides of the aisle have introduced legislation to reform MA. More recently, Monday, the representative Lloyd Doggett, D-Texas, joined Murphy to present an invoice that would require MA plans to pay the suppliers at least as much as the traditional medicare for care.