As decribed here and here, some wacky lefty at the University of Pennsylvania's Wharton School has come up with a completely nutty theory about how the public Part C Medicare Advantage health plan works. It appears to me to show a significant misunderstanding of Medicare in general, so bad that you can hardly believe the person works in an academic institution.
To be clear, as I have written here multiple times, I’m all for the cuts to the 3% higher reimbursements currently given to the disproportionately poor and minorities on Part C.
The Wharton finding that further cuts to Part C will have no impact on the plans is absurd. It is clear that the relatively minor cuts to these reimbursements that have already occurred to Part C since 2010 under the Patient Protection and Affordable Care Act (the 9% average cut in reimbursements countered by the separate allegedly illegal bonus program) have already decreased Part C plan availability, increased average OOP limits, increased actual premiums paid (as opposed to average premiums offered), increased co-pays and deductibles, and severely tightened networks. How could someone possibly conclude -- given those facts -- that further more extreme cuts will not even further decrease plan availability, increase OOP limits to the maximum, further increase premiums, increase co-pays and deductibles, and even more severely tighten networks?
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