There are differences between companies like Google and Amazon and health care. I would like to think about the contrast of Amazon and health care...

Question Answered step-by-step There are differences between companies like Google and Amazon andhealth care. I would like to think about the contrast of Amazon and health care when it comes to consumer choices. You have begin what I think is a great discussion, and along with it I would like to think about consumer choices. On Amazon for any one category of product there are often multiple choices, price ranges, and customer reviews. With health care there are limitations going as far as availability of needed services depending upon who the insurance carrier is.I will give an example of a problem I see in long-term care, and this is related to Medicare Advantage (managed care) plans. I don’t know what kind of sales pitch data goes along with selling a Medicare recipient the managed care package, and am wondering how the skilled nursing benefit section is presented. With Medicare Advantage plans versus traditional Medicare, there are sometimes limited to no opportunities for a Medicare beneficiary to get needed skilled care in the nursing home. Chapter 8 of the Medicare Skilled Nursing Manual is to apply to all Medicare beneficiaries, but I am seeing over and over that these benefits are being denied to the managed Medicare consumer. There have been numerous residents in the hospital who were denied coverage of even one day in skilled nursing when the truth is that if they had retained traditional Medicare there would have been coverage. Whatever the benefits to the managed care are, it hurts to see beneficiaries denied skilled care when they need it.QUESTION: Do you have experience with working with managed Medicare plans? If so, what are your findings? Health Science Science Nursing MHA 543 Share QuestionEmailCopy link Comments (0)