MAY 15, 2017
When Medicare was facing an impossible $13 trillion funding
gap, Congress opted for a bold fix: It handed over part of the program to insurance
companies, expecting them to provide better care at a lower cost. The new
program was named Medicare Advantage.
Nearly
15 years later, a
third of all Americans who receive some form of Medicare have
chosen the insurer-provided version, which, by most accounts, has been a
success.
But now
a whistle-blower, a former well-placed official at UnitedHealth
Group, asserts that the big insurance companies have been
systematically bilking Medicare Advantage for years, reaping billions of
taxpayer dollars from the program by gaming the payment system.
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