British Expats - Search Results
British Expats

Go Back  British Expats > Search Forums
Reload this Page >

Search Results

Register
FAQ
Wikiposts
Today's Posts
Search
Vendor Directory
Search: Posts Made By: Steerpike
Showing results 1 to 9 of 9
Search took 0.02 seconds.
Forum: The Trailer Park
Sep 5th 2020, 10:05 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

I really don't know much about the levels of fraud, or the 'rate' differences. If it costs Medicare 15% more to have a person on an 'Advantage' plan, I would have thought they would try to discourage...
Forum: The Trailer Park
Sep 5th 2020, 6:47 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

I don't support the 'advantage' plans or the insurance companies that administer them, but in fairness, the idea of paying a lump sum is to stop them from doing procedures that are medically...
Forum: The Trailer Park
Sep 3rd 2020, 4:35 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

I'll find out what the g/f's plan is. I believe it's with UHC.

Can you elaborate on what your last paragraph is telling me? Is 'medicare supplement plan' different from a medicare advantage plan?
Forum: The Trailer Park
Sep 3rd 2020, 3:45 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

I don't doubt the truth of what you say. Do you have any good reference material to support this? My g/f recently turned 65, and signed up for an MA plan. She was convinced it was the best option,...
Forum: The Trailer Park
Sep 3rd 2020, 3:38 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

There is a great deal of scrutiny paid to this aspect - the risk adjusted score that drives the reimbursement rate. I believe it's hard to fraud. The thing is, you don't have to engage in fraud. I...
Forum: The Trailer Park
Nov 1st 2019, 2:45 am
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

Did the NP identify herself as working for UHC or for a third party? Just curious ...
Forum: The Trailer Park
Oct 29th 2019, 8:13 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

This could well be the visit that will get 'coded' and will update your risk adjusted score. When I was involved, it had to be a 'nurse practitioner', I believe (didn't have to be a doctor, but had...
Forum: The Trailer Park
Oct 28th 2019, 6:30 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

I had the dubious honor of working for a company that was involved in doing 'risk adjustment' for MA plans. The penalties for falsifying / exaggerating the 'scores' are severe. But the great irony is...
Forum: The Trailer Park
Oct 28th 2019, 5:58 pm
Replies: 75
Views: 10,269
Posted By Steerpike

Re: Medicare time!

I believe the bolded part is true. The fee paid by the government to the plan is based on demographics, and is quite complex. The biggest factor is the 'risk adjustment score' of each individual...
Showing results 1 to 9 of 9


 
Forum Jump

Contact Us - Archive - Advertising - Cookie Policy - Privacy Statement - Terms of Service -

Copyright © 2024 MH Sub I, LLC dba Internet Brands. All rights reserved. Use of this site indicates your consent to the Terms of Use.