The One-Hour Nurse Visits That Let Insurers Collect $15 Billion From Medicare – WSJ
Information gathered from Medicare Advantage patients in their homes triggered extra payments; ‘It made me cringe’
Millions of times each year, insurers send nurses into the homes of Medicare recipients to look them over, run tests and ask dozens of questions.
The nurses aren’t there to treat anyone. They are gathering new diagnoses that entitle private Medicare Advantage insurers to collect extra money from the federal government.
A Wall Street Journal investigation of insurer home visits found the companies pushed nurses to run screening tests and add unusual diagnoses, turning the roughly hourlong stops in patients’ homes into an extra $1,818 per visit, on average, from 2019 to 2021. Those payments added up to about $15 billion during that period, according to a Journal analysis of Medicare data.
I have been in M/A for 9 years. They constantly call me and send mail to try and get me to schedule such a visit. I have ignored them for 9 years and will continue to do so.
This is is why our country is bankrupt, and unless the medical industrial complex is reigned in from doing that which is clearly illegal, and someone goes to prison, we will end, and end badly, far worse than anyone can imagine.