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Payment Cuts Proposed for Medicare Advantage Insurers — Physician’s First Watch

Medical News |
February 24, 2014

Payment Cuts Proposed for Medicare Advantage Insurers

By Amy Orciari Herman

The Centers for Medicare and Medicaid Services has proposed cuts in payments to insurers that run private Medicare plans, known as Medicare Advantage. Some 30% of Medicare-eligible beneficiaries are enrolled in these plans, the Wall Street Journal reports.

The cuts approach 8%, according to one Wall Street analyst, who expected a cut rate closer to 6% or 7%.

Insurers say such cuts translate to smaller networks of doctors and hospitals, as well as higher out-of-pocket costs for patients, Reuters reports.

A final ruling on the regulations is expected from the Centers in early April.

Reader Comments (1)

TINA DOBSEVAGE Physician, Internal Medicine, My office

I agree with CMS that payment to Medicare Advantage programs should be cut. These programs cost more with often poorer outcomes than traditional Medicare. I do not like that my taxes fund insurance company profits.

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