Why is the Medicare Advantage leadership still with the company after tanking the MA business? Fire them all.
11 replies (most recent on top)
@cx in a meeting once in 2022 I was attending a presentation about Humana strategy the first time it really hit me that Humana changed drastically from when I started.
The opener was "how does Humana make money?" And they answered themselves "by denying claims". I was so shocked that I didn't pay attention and had to watch a recording to take back notes to my team. When I first started at Humana it was always "we make money by having more members" and they had much better plan options. Now there is so many plans with huge moop and deductibles. If medicare doesn't charge more that ~1600 for the first 60 days why do the advantage plans!! I miss being actually proud of who I work for.
only 425,000?
@sr
Medicare Advantage is a legalized scam.
The U.S. Government Accountability Office (GAO) estimated for Medicare overall that there were about $200 billion in overpayments (monetary losses) across federal programs in FY2022, and getting bigger year after year.
This is not patients abusing the system but insurers, hospitals, sleazy doctors.
That is a lot of tax payers money wasted.
I think there is some kind of quid pro quo between politicians, insurance lobbyists, and all in between in the healthcare hierarchy.
Watch Jon Oliver “Last Week Tonight” on HBO. He had a segment on how MA plans take advantage of members and is all about profit. Bait with gym memberships, dental and SSBCI funds. Did you know that SSBCI counts toward a member’s annual income? 😳. Anyway, the show concluded that straight Medicare generally works best for most. It’s worth a watch.
@bt agree, also please don't forget traditional Medicare does not have all the extra benefits Medicare Adv does and leaves the patients with more out of pocket costs.
Healthcare insurance profits are worse than the usury condemned in the Bible. The Bible denounces usury — the act of lending money at exploitative interest — because it preys on the poor and deepens their suffering. But usury, as evil as it is, only drains a person’s purse. It does not make them sicker. It does not hasten their death. The modern health insurance industry, by contrast, profits directly from denying care, delaying treatment, and erecting bureaucratic walls between patients and doctors. Its business model rewards suffering — every claim denied and every treatment delayed becomes a line of profit. Usury takes advantage of the poor man’s poverty; health insurance profits take advantage of his illness. One robs the pocket; the other robs life itself.
Medicare Shenanigans!
Traditional Medicare is a public program — straightforward, universal, and transparent.
Medicare Advantage takes taxpayer dollars and hands them to private insurers, guaranteeing their profits while they ration care to patients.
It’s corporate socialism:
• Public risk, private reward.
• The government pays the bills, insurers pocket the margins.
Insurers wrap the system in comforting rhetoric: “no premiums, free gym memberships, dental coverage.”
But those “extras” are bait — the real hook is data control and profit extraction from seniors’ healthcare. The more the insurer controls access, the more they can skim from the system.… I don’t know why and how insurance companies are losing money, it is basically a Casino backed by federal government. Uncle Sam always pays the bill.
This is not correct. A little reading comprehension would show you that the 425k loss is for FY 2025. Which we’ve known for quite a while. Humana expects to grow a lot during AEP.
@bj Won't stop the RIF's. They may have been unprofitable markets but it signifies a reduction in membership. Less membership doesn't equate to job security.
@OP It's the little guys/gals that take the fall. More RIF's a coming.......
@OP The message from above is these were in unprofitable markets.