How is Medicare Advantage Actually Funded!?

In this episode of our podcast, we delve deep into the intricacies of Medicare Advantage (Part C) plans, a popular choice among Medicare beneficiaries. With many  $0/month premium options that offer additional benefits not covered by Original Medicare, many are left wondering, "What's the catch?" Join us as we answer that very question!

Key Highlights

• Understanding Medicare Advantage: A concise overview of how these plans work, their history, and why they're an attractive option for seniors.
• Funding Insights: Insight into the funding process, including federal budget impacts and the shift in Medicare payments towards these plans.
• Differences Unveiled: A look at how Medicare Advantage and Original Medicare funding diverge, emphasizing the capitated payments model.
• Key Terms Explained: Simplified explanations of benchmarks, risk scores, and quality payments, and their roles in Medicare Advantage funding.
• Challenges Addressed: Discussion on the systemic issues like risk adjustment, coding practices, and their implications for beneficiaries and Medicare's future.
• Our Take: Reflecting on the balance between offering valuable benefits to beneficiaries and the financial realities facing Medicare Advantage plans.

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Giardini Medicare is an independent insurance agency specializing in helping Medicare beneficiaries enroll in the Medigap or Medicare Advantage plan that fits their needs during their transition to Medicare. We are licensed and work virtually in the following states:  AZ, CA, FL,  IL, IN, KY, MI, MD, NC, OH, PA, SC, TX. If we do NOT work in your state, we can refer to agents that we know, like & trust across the country.

Check out our website at  https://gmedicareteam.com/ Also, see our additional educational content on our YouTube Channel.

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Sources:

We used far too many sources in the making of this episode to list here, but here is a link to a Google doc that includes the sources so you can take a look and do a deep dive on your own! https://docs.google.com/document/d/1kpE8TX-cXcEzVK5FFbZ7EUcgdD3qfdIRLFXxiuHefx0/edit?usp=sharing