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  2. Opinion - Corrective action is needed to preserve Social ...

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    Whereas Social Security is administratively efficient, Medicaid is afflicted by swelling improper payments and administrative cost rates much higher than Medicare Fee-for-Service. Medicaid’s ...

  3. 'It doesn't make sense': Why millions of children have lost ...

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    Medicaid paperwork issues caused by the unwinding process have left families scrambling to get care for children with chronic conditions. 'It doesn't make sense': Why millions of children have ...

  4. Will Donald Trump Solve Medicare's Biggest Problem in 2025?

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    Will Trump fix Medicare's biggest problem in 2025? Medicare was created in 1965 to provide health insurance for Americans aged 65 and older. In 1999, Part C (Medicare Advantage) plans were added ...

  5. Cost-shifting - Wikipedia

    en.wikipedia.org/wiki/Cost-shifting

    The Problem comes from the US government programs such as Medicare and Medicaid, where prices are set low by law and so are not always able to cover all expenses. Another fact [16] influencing a level of reimbursements are negotiations between healthcare providers and insurers. Insurance providers negotiate favourable prices which also have an ...

  6. 'Deny, deny, deny': By rejecting claims, Medicare Advantage ...

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    Problems are emerging with the plans, however. ... In 2024, the Centers for Medicare and Medicaid will pay brokers a commission of between $611 and $762 for the first year of a Medicare Advantage ...

  7. Paperwork problems drive surge in people losing Medicaid ...

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    In 18 states that began a post-pandemic review of their Medicaid rolls in April, health coverage was continued for about 1 million recipients and terminated for 715,000. Of those dropped, 4 in 5 ...

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