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Yo_Mama_Been_Loggin

(139,235 posts)
Tue Jul 7, 2026, 02:59 PM Tuesday

Medicare update: List of lawmakers pushing for major changes via new bill

Source: Newsweek

A group of House Democrats has introduced legislation that would make some of the most significant changes to Medicare Advantage in years.

The Save MEDICARE Act of 2026 (H.R. 9544), introduced by Texas Representative Lloyd Doggett, is looking to tighten oversight of Medicare Advantage plans and overhaul payment formulas while increasing audits and recovering MA overpayments.

The lawmakers say that private insurers have been receiving billions of dollars in excessive payments while traditional Medicare is facing growing financial pressure.

“Despite their early claims of greater efficiency and lower costs, Medicare Advantage has never saved a penny. It actually costs taxpayers more each year while offering consumers less. This unjustified, costly advantage private Medicare Advantage insurers receive must be ended to save taxpayers and end the disadvantage for Traditional Medicare,” Doggett said in a statement.

Read more: https://www.msn.com/en-us/news/politics/medicare-update-list-of-lawmakers-pushing-for-major-changes-via-new-bill/ar-AA27p8f6

21 replies = new reply since forum marked as read
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Medicare update: List of lawmakers pushing for major changes via new bill (Original Post) Yo_Mama_Been_Loggin Tuesday OP
Doggett is my rep. ananda Tuesday #1
Advantage Plans already PATRICK Tuesday #2
It's about time to have something to lobby for and run on. pat_k Tuesday #3
I've never trusted Medicare Advantage plans. Dr. T Tuesday #4
Many hospitals and providers loathe the MA plans Sailingdiver 21 hrs ago #17
Thank you for confirming Dr. T 21 hrs ago #18
The woman in charge of Medicare earns Old Crank Tuesday #5
Privatization was always about grift and the myth MadameButterfly Tuesday #13
Remember when conservatives warned us of government death panels? Dr. T 21 hrs ago #20
I'd forgotten that. Man, it turns out MadameButterfly 21 hrs ago #21
A friend stopped by this moring and was telling me about a neighbor of hers. Biophilic Tuesday #6
and yet they tell you capitalism is the great system only they forgot to tell you only for the capitalist Stargazer99 Tuesday #8
The Advantage option is a huge scam. xuplate Tuesday #7
And MA insurers can cancel coverage in small communities with little warning. Lonestarblue 22 hrs ago #16
Doesn't Sellick push that crap? BidenRocks Tuesday #9
Good Pinback Tuesday #10
They need to get rid of the Part B expense mdbl Tuesday #11
Waste, Fraud & Abuse️ lonely bird Tuesday #12
Thanks misanthrope FrndStrng Yesterday #14
Thanks! More_Cowbell Yesterday #15
I'm not finding the list of lawmakers MadameButterfly 21 hrs ago #19

PATRICK

(12,455 posts)
2. Advantage Plans already
Tue Jul 7, 2026, 03:11 PM
Tuesday

in trouble. What else is in the bill beside the dead horse? Make coverage harder for seniors in general to get at "waste" and "overcharges" already destroying itself? Some companies own the provider companies as well. And the whole idea of the wholesale medical charges nobody pays hiding what is going on to begin with.

Dr. T

(866 posts)
4. I've never trusted Medicare Advantage plans.
Tue Jul 7, 2026, 04:41 PM
Tuesday

Too good to be true. No premiums, blah, blah, blah.

When I became Medicare-eligible, I went with traditional Medicare and a supplement.

Sailingdiver

(379 posts)
17. Many hospitals and providers loathe the MA plans
Wed Jul 8, 2026, 06:21 AM
21 hrs ago

And, many big named systems - Mayo and Mass General - have dropped their contracts.

The MA plans have excessive prior authorization denial rates, are slow to reimburse, and have cumbersome administrative requirements all of which cost healthcare systems more and offer patients less.

Dr. T

(866 posts)
18. Thank you for confirming
Wed Jul 8, 2026, 06:38 AM
21 hrs ago

the little bits I've pieced together to form my opinion. United Healthcare and some others occasionally show up in headline news and it's never good.

Old Crank

(7,474 posts)
5. The woman in charge of Medicare earns
Tue Jul 7, 2026, 04:49 PM
Tuesday

Well under $500k. Medicare Advantage CEOs rake in millions.
No reason for them to earn more than the head of Medicare. They do less.

Dr. T

(866 posts)
20. Remember when conservatives warned us of government death panels?
Wed Jul 8, 2026, 06:49 AM
21 hrs ago

But, they never mentioned the private insurance company death panels we've been dealing with for decades. I'm looking at you, Sarah Palin.

MadameButterfly

(4,342 posts)
21. I'd forgotten that. Man, it turns out
Wed Jul 8, 2026, 06:55 AM
21 hrs ago

they're actually ok with death panels. Not just for Grandma.

Biophilic

(6,841 posts)
6. A friend stopped by this moring and was telling me about a neighbor of hers.
Tue Jul 7, 2026, 04:53 PM
Tuesday

She was getting the Medicare Advantage shuffle. The woman is a republican, as is her husband, who is considerably older and has numerous serious conditions. Med Advantage has pulled back from paying for his doctor bills etc. She's having to find a new doctor. Has been told that would be 7 months. She was upset, to say the least. My friend didn't say much until she was with me when she just let loose. The neighbor had spent hours saying how great Med Advantage was. My friend has stuff with her regular Medicare. She felt very vindicated.

Those bastards just keep raking in the money while giving as little out as possible and the amount seems to be getting smaller and smaller.
There is part of me that is a bit smug cause I talked my friend into doing just regular Medicare, but I still feel badly for people who thought they were going to be taken care of. It's just plain wrong. I hate the insurance companies.

Stargazer99

(3,615 posts)
8. and yet they tell you capitalism is the great system only they forgot to tell you only for the capitalist
Tue Jul 7, 2026, 05:42 PM
Tuesday

xuplate

(270 posts)
7. The Advantage option is a huge scam.
Tue Jul 7, 2026, 05:38 PM
Tuesday

Ask a nurse and they will tell you Original Medicare is the Cadillac of insurance.

Lonestarblue

(13,679 posts)
16. And MA insurers can cancel coverage in small communities with little warning.
Wed Jul 8, 2026, 05:49 AM
22 hrs ago

If they are not making outrageous profits from some medical practices, they just drop them. It happened to a friend last year. Original Medicare cannot cancel coverage.

Pinback

(13,765 posts)
10. Good
Tue Jul 7, 2026, 05:52 PM
Tuesday

Every time this subject comes up, we hear from several DUers who report that their experience with M.A. is peachy, and I say, Good for them. The problem is people whose plan screws them over or shortchanges them in ways that regular Medicare would not. And of course M.A. is part of the creeping privatization that Republicans want to foist on us.

Consumer finance expert Clark Howard has some thoughts about Medicare Advantage:
https://clark.com/insurance/health-insurance/medicare-advantage-plans/

Why I Think Medicare Advantage Plans Stink
(Excerpt)
About half of people who are eligible for Medicare choose Advantage plans for any of a number of reasons. And many people are happy with the Advantage plans they’ve picked. In fact, every time I say something negative about them, I hear from people who are upset with me because they are beyond thrilled with the Advantage plan they chose.

My objections are simple. Once you are in an Advantage plan, it’s difficult to switch to regular Medicare. After your first 11 months, in most states, you can’t easily buy a supplement without passing a medical evaluation. And you likely will have trouble switching to a competitor’s Advantage plan if yours turns out to be a bad choice.

In other words, you could end up being a prisoner of the Advantage plan you pick at 65 for the rest of your life — even if it turns out to be crummy or becomes rotten over time. In my opinion, this is a fatal flaw of Medicare Advantage plans. You could also end up with a serious illness, and the choice of doctors and facilities you are allowed under your particular Advantage plan could be the difference between life and death. With traditional Medicare, you have many more options to seek out the best care, best specialists and best hospitals for your illness.

Yes, traditional Medicare is more difficult to understand and buy upfront. Your premiums may even be higher. But you are your own boss of your healthcare. With Medicare Advantage, understand that the insurer makes money by limiting your care and your options.

That lower cost could kill you.

mdbl

(9,095 posts)
11. They need to get rid of the Part B expense
Tue Jul 7, 2026, 07:16 PM
Tuesday

It's shit that we pay into medicare all our life then have to pay again in retirement. Throwing everyone off Advantage Plans and forcing them to find Part G or N at great expense is no better of an option for most people. Part B + a Medigap plan will run the average person $450 a month or more. This doesn't even include coverage for medication. That's not better IMO.

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