Private Medicare Insurers Pump Up Propaganda to Preserve Profits

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Earlier this week, I wrote about the government’s long-overdue move to cut back  subsidies to private Medicare Advantage plans, much to the chagrin of the insurance companies that have profited so handsomely from this setup. As reported by the Medicare Rights Center, these insurers are already threatening to pass on the cuts to the old and disabled people who subscribe to their private plans:

The lobbyists for the insurance companies say the subsidy cuts could mean sharp premium increases and reductions in the extra benefits provided to enrollees in these plans. It is up to the companies offering these plans to decide whether to pass through the subsidy reductions to plan members. There is another option, of course.

Insurance companies can become more efficient at providing services. Universal American, a company with over 240,000 Medicare Advantage enrollees, spent just over 83 percent of its premium income on medical services for its enrollees last year. The other 17 percent went toward administrative costs and agent commissions (13 percent) and profit (4 percent).

Original Medicare spends about 3 percent on administrative costs. It does not make a profit. If Universal American and the other insurance companies could reduce their administrative costs, or even their profits, then their plan members might see little, or no, premium increase or reduction in benefits. Such a strategy, of course, puts the interests of people with Medicare ahead of the financial well-being of shareholders and insurance agents, whom Universal American recently enlisted to fight the subsidy reductions.

Actually, Universal American is trying to enlist more than just insurance agents in the struggle to hold on to their sweet deal. It’s trying to bring Medicare Advantage subscribers and other ordinary old people into the fray, through a PR initiative misleadingly named The Coalition for Medicare Choices.

The Coalition’s web site warns oldsters that unless they join the fight to “protect Medicare Advantage” from hostile government actions, it could cost them lots of money and force them to give up benefits. In a section called “Our Voices,” old people testify about how much they love and depend upon their private plans. The site even encourages geezers to get all 2.0, inviting them to Become a Champion for Medicare Choices by sharing YOUR story. It never mentions, of course, that what’s really at stake here are the insurance company’s profits, and those are what people are being asked to protect and champion.

As a final ploy to lure support from seniors, the Coalition is also hosting Medicare Advantage Community Meetings. In addition to featuring “health demonstrations” and “updates on Medicare Advantage,” these fun-filled events offer hard-up old folks door prizes and a complimentary lunch.

Isn’t it wonderful to live in a country where private companies can sell government-funded health care to old and disabled people, employing exactly the same tactics that are used to sell bogus time shares in the Bahamas?

(For more on the other creepy tricks insurers are using to sell Medicare Advantage plans, see this recent story by Ryan Grim on Huffington Post.)

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DEMOCRACY DOES NOT EXIST...

without free and fair elections, a vigorous free press, and engaged citizens to reclaim power from those who abuse it.

In this election year unlike any other—against a backdrop of a pandemic, an economic crisis, racial reckoning, and so much daily crazy—Mother Jones' journalism is driven by one simple question: Will America move closer to, or further from, justice and equity in the years to come?

If you're able to, please join us in this mission with a donation today. Our reporting right now is focused on voting rights and election security, corruption, disinformation, racial and gender equity, and the climate crisis. We can’t do it without the support of readers like you, and we need to give it everything we've got between now and November. Thank you.

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