Talk:Medicare Advantage

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Excessive External Links[edit]

Is anyone looking into it? I believe one step towards reducing the amount of external link would be to only link to main sites and not to individual pages across said sites. For example, there are several links to pages on, but the link to the main page would be sufficient. Puceron (talk) 06:19, 14 November 2008 (UTC)

I agree that there are too many links to government websites, but the others are a valuable resource to Medicare Advantage participants and potential participants, such as those just reaching 65. --DThomsen8 (talk) 14:49, 22 September 2009 (UTC)

Criticism Section[edit]

This article should talk about how Medicare Advantage is less efficient than Medicare because of administration overhead.

(above comment unsigned)

I agree entirely. This article is all rosewater. Recent debates in the health care reform process have shown how the 1997 Medicare Advantage deal in Congress simply followed the disastrous "privatization/deregulation" zeitgeist of recent decades (the same thinking that brought us the current Great Recession). The insurance lobby got Congress to cut private insurers a fat slice of our perfectly-serviceable Medicare system, letting them run up the administration overhead referred to above while simultaneously slashing the number of doctors willing to accept MA patients. This Wiki piece ought to be able to provide balance without bias. Presently, as another user has remarked, it reads like a PR release from Kaiser. At least check [1] TravChar (talk) 18:40, 5 December 2009 (UTC)

One source?[edit]

All the footnoted sources for this article are from one entity, Kaiser, and, as such, would seem to be inappropriately biased in its point of view, potentially differing very little from a Kaiser promotional ad.

There needs to be more balanced sourcing and analysis of the relative strengths and weaknesses of Medicare and its Advantage alternatives.cetaylor 08:16, 21 August 2009 (UTC)

More information is needed, and from more than one source. For example, some Medicare Advantage plans are offered through employers or former employers, reducing the premium costs for participants. --DThomsen8 (talk) 14:46, 22 September 2009 (UTC)
I think you're mistaking the Kaiser Family Foundation for Kaiser Permanente, which is the Health Maintenance Organization (HMO). These are two entirely separate organizations. The Kaiser Family Foundation is is well-respected, non-profit think tank and health advocacy organization EastTN (talk) 21:06, 14 December 2009 (UTC)
It's still only a single source, and the article is still one-sided by not mentioning the known flaws of Medicare Advantage. (talk) 01:23, 22 December 2009 (UTC)

Medicare Advantage experts from the Kaiser Family Foundation updated this article in March 2015 and pulled on a variety of sources, including the work of the Foundation which is a nonprofit, nonpartisan, trusted source of facts, data and analysis on health policy issues that inform all sides of debates and discussions. --Robin Sidel, Kaiser Family Foundation 14:52, 18 March 2015 (UTC) — Preceding unsigned comment added by Rsidel (talkcontribs)

An update by KFF is better than an update by some other organizations I could think of, and KFF is a useful source of information. But I would not accept your claim that it is a source of all sides of the debate. For example, I searched the site for "Krugman", and found nothing. I searched for "single payer", and found very little. In fact, I found a KFF article dismissing single payer (without bothering to quote any of the demonstrators who were hoping to get your attention). You are entitled to invite the National Federation of Independent Business (which I think is pretty far right) and not Physicians for a National Health Program to your briefings, but if you do you can no longer truthfully say that you inform "all sides" of debates. You should correctly say that you inform mainstream sides of the debate.
As for Krugman, this entry is indeed missing an important balancing of the strengths and weaknesses of Medicare Advantage. The best accessible source I can think of is Paul Krugman's column in the New York Times. He is after all a Nobel laureate in economics, a tenured professor at Princeton, and one of the most popular columnists in the New York Times, and irrefutably a WP:RS. One of Krugman's significant contributions to the debate is to critique the conservative claims that Medicare Advantage, because it is privatized, will be more efficient and cheaper than government-run Medicare. If the free market is so much more efficient, Krugman argued, why did Medicare Advantage have to get 15% more than government-run Medicare? If anybody wants to follow this up, I suggest you start by searching the New York Times for "Krugman" AND "Medicare Advantage". Another place to look would be Elisabeth Rosenthal's series on health care in the New York Times. --Nbauman (talk) 01:17, 20 March 2015 (UTC)

Effects of the health care reform[edit]

This section refers to "Trustees" but nowhere in the article is it made clear who/what a Trustee is. (talk) 10:49, 15 February 2017 (UTC)

2017 Medicare Advantage Enrollment Numbers Incorrect[edit]

According to the actual source behind footnote #4, the "8 million members" only refer to Humana members of both Medicare Advantage and Medicare Part D plans, not Medicare Advantage plan enrollees nationwide.[1]

The parts in question:

Speaking to shareholders gathered at Humana's downtown Louisville headquarters, Broussard emphasized that Humana Inc. (NYSE: HUM) would focus on "quality membership growth" in Humana's Medicare Advantage and Medicare Part D plans. Medicare Advantage is [...]. Medicare Part D is [...]. Humana provides these privately administered Medicare plans to over 8 million members, according to a recent filing with the U.S. Securities and Exchange Commission.

Someone will probably have to review at least the other figure citations in this sentence to make sure similar errors don't exist (a quick glance at the 2015 numbers and they already seem wrong, the cited article was written in May 2014). On an unrelated note, the sentence itself doesn't really fit in with the rest of the paragraph or the paragraph immediately preceding it, both of which focus on the Medicare Advantage enrollment process and not the numbers themselves. --Dypsonian (talk) 07:22, 7 July 2017 (UTC)

Overall percentages; ordinary doctor visits[edit]

I came to this page, and read the whole thing, hoping to find out what percentage of current Medicare recipients are on Medicare Advantage vs. traditional Medicare. Although there are one or two absolute numbers ("x millions"), this is meaningless to me; nowhere did I find a percentage, and I'll have to look elsewhere.

On a more minor note, early in the article I saw this sentence, about core/traditional Medicare: "Part B provides payments to physicians and surgeons in hospitals and skilled nursing facilities, as well as for medically necessary outpatient hospital services such as ER, laboratory, X-rays and diagnostic tests, certain preventative medical services, and certain durable medical equipment and supplies."

I think this is a little misleading as it seems to leave out ordinary doctor-office visits, not in the "preventative services" category -- for example, you get the flu and you go to your doctor's office. It's not "outpatient hospital services" but it seems to me (as a classic Medicare recipient) to be covered. I'm not absolutely sure so I didn't edit the sentence -- my doctor's office happens to be in the "outpatient" building of a hospital complex, so maybe that's why it's covered for me? But I suspect that Part B covers that for everyone and so "ordinary doctor visits" or something like that should be added to the sentence.

External links modified (January 2018)[edit]

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  1. ^ Larson, Chris (20 April 2017). "Humana CEO: Obamacare exit not about politics". Louisville Business First. Retrieved 7 July 2017.