A Big Problem in the Cost and Quality of Health Care
Nationally and Here in Minnesota
Medicaid has grown to represent 30% of the typical state budget and is crowding out education, transportation and other needs.
Two thirds of states have outsourced their Medicaid programs to managed care plans rather than have Medicare directly pay doctors and hospitals.
The private plan providers then often refuse to provide the data that would determine whether our tax dollars are being well-used because they regard the data as proprietary information.
Following is an article that gives an example from California. It is an example that applies to patients nationally and has also been experienced by patients in some states who have Medicare Advantage Plans where an insurance company is paid a fixed amount by Medicare for the patient, and then the insurance company is responsible for covering all of the patient's costs
"As Billions In Tax Dollars Flow To Private Medicaid Plans, Who’s Minding The Store?"
By Chad Terhune, Photos by Heidi de Marco October 18, 2018