The Medicare DIS-Advantage Plans...
Many seniors are being lured into Medicare Advantage Plans due to the added benefits of hearing, dental, and gym membership coverage. Image
These plans are actually run by private insurers and actually quite profitable for insurance companies with profit margins of 5% or greater (industry average is 4%) khn.org/.../medicare-a…
Further these plans have the added problems of:
1) Narrow Networks - in fact, many of the most prestigious cancer centers in the country are excluded from these plans. Oddly enough 60% of Cancer diagnoses are in Medicare aged individuals... cancer.gov/about.../cause…
2) High Rates of Denials - A study done by the office of the Inspector General showed that in '14-'16 Advantage plans had to reverse 75% of their denials which suggests that they were denying care at way to high of a rate.
This not only delays care but also makes it more difficult for the healing team to serve our patients. oig.hhs.gov/oei/reports/oe…
Check out our 6 week course to learn more about how you too can Beat the Insurance game jared-john-wallen.mykajabi.com/offers/2wMoFLVG

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More from @JJWUrology

31 Oct
People and Corporations show you who they are... We choose to believe them!

Ohhhh the irony, two of the bad actors (insurance companies and private equity) that are inflating medical costs and harming patients and healers are suing each other and exposing to us all just a
glimpse of the deception/exploitation/greed that these corps have been using to put profits >>> patients.

United is suing Team Health (owned by the private equity Blackstone group) for over coding and thus overcharging patients by $100 million.
Fremont Emergency Medicine (an affiliate of Team Health) is suing United for their gross underpayment of frontline clinicians.

It's likely that to some extent both are true...

Private Equity is harmful to patient care because they often boost their own profits by
Read 8 tweets
30 Oct
No, no thanks, no gracias, not in a million years, never ever…

No Optum I do not want to be apart of your racketeering swamp of vertical integration.

Let’s talk about some Optum facts:
Optum is now the single largest owner of Physicians.
Optum is a subsidiary of United Health Group.

In Q2 of 2021 UHG made $4.3 billion in profits and $71.3 billion in revenue.

UHG stock share prices have grown 2200% (from $20.02 to $460.47) since Nov 2008.
Two of the main ways UHG makes such massive profits is to deny payments to physicians for services rendered (I hear from physicians everyday that this happens to) and because their PBM OptumRx uses spread pricing to inflate the cost of medications their members purchase
Read 5 tweets
29 Oct
"The Healthcare System breed passivity and dependence..." ~ Steve Forbes
The main ways that the hospitals and insurance companies do this is to:
1) Hide their prices
2) Make it complex to understand
3) Build rapport to enlist trust in patients that they will be taken care of
However what we see everyday is that these folks use deception, complexity, narrow networks and many more tactics to make it difficult and complex for patients to get any benefit from their health insurance.
Where health insurance is difficult and complex, Medical Cost Sharing
is simple and easy.
You make a monthly contribution, you have an initial unsharable amount, and you can choose any doctor you want! #simple #easy
Check out our website selfdirectedmedical.com for more information about how you too may be able to find your Checkmate
Read 5 tweets

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