When Congress debated cutting payments to Medicare Advantage plan sponsors, what did the sponsors threaten? To get out of the Medicare market. Yet can they really afford not to be in the Medicare market, especially given that 3 of the top Fortune 500 companies in 2011 were WellCare Health Plans, Humana, and Centene, all of which are health insurers with a high proportion of … [Read more...] about Medicare = Big Bucks for Insurers ~ Can They Afford to Leave the Market?
Several Health Insurance Counseling and Advocacy Programs (HICAP) have reported on a few Medicare Advantage plans that are back-billing their enrollees for past monthly premiums. Many of these plans did not bill beneficiaries for months or even years at a time and are now sending them a bill for a large lump sum. Beneficiaries receiving such bills are rightly distressed and … [Read more...] about Some MA Plans Are Back-Billing Enrollees for Past Premiums