Biden in first place over Sanders after dramatic double-digit jump in first poll since Buttigieg and Klobuchar Exits
March 03, 2020
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In an effort to crack down on the misleading practices of Medicare Advantage providers, Democratic Reps. Mark Pocan, Ro Khanna, and Jan Schakowsky reintroduced legislation Tuesday that would ban private insurers from using the "Medicare" label in the names of their health plans.
The legislation, titled the Save Medicare Act, would formally change the name of the Medicare Advantage program to the Alternative Private Health Plan, an attempt to make clear to seniors that the plans are run by private entities such as Anthem, Humana, Cigna, and UnitedHealthcare.
"Only Medicare is Medicare," Pocan (D-Wis.) said in a statement. "It is one of the most popular and important services the government provides. These non-Medicare plans run by private insurers undermine traditional Medicare. They often leave patients without the benefits they need while overcharging the federal government for corporate profit."
Khanna (D-Calif.) declared that "it's time to call out 'Medicare Advantage' for what it is: private insurance that profits by denying coverage and the name is being used to trick seniors into enrolling."
"That's not right," he added. "This bill will end the scam by preventing private insurers from profiting off the Medicare brand. Our focus should be on strengthening and expanding real Medicare."
The bill, which faces long odds in the Republican-controlled House, was introduced as GOP lawmakers push for cuts to traditional Medicare as part of their broader austerity campaign.
It also comes as the Biden administration is moving ahead with a Medicare privatization scheme known as ACO REACH, a pilot program that critics warn could fully engulf traditional Medicare in a matter of years.
The Democratic trio's legislation does not specifically address ACO REACH, opting to zero in on Medicare Advantage plans that are notorious for denying necessary care to vulnerable seniors and overbilling the federal government.
The measure would impose a $100,000 penalty each time a private insurer uses the Medicare name in the title of one of their plans.
"So-called Medicare Advantage is neither Medicare nor an advantage. It is simply another scheme by the insurance companies to line their pockets."
Earlier this week, the Biden administration proposed a new rule that would strengthen audits of Medicare Advantage plans, which are paid an annual per-person rate by the federal government. Recent investigations have exposed how Medicare Advantage plans frequently overcharge the government by making patients appear sicker than they are, resulting in a higher payment.
The federal government currently expects to pay Medicare Advantage providers more than $6 trillion over the next eight years.
"Medicare reimburses Medicare Advantage plans using a complex formula called a risk score that computes higher rates for sicker patients and lower ones for healthier people," Kaiser Health Newsreported in December. "But federal officials rarely demand documentation to verify that patients have these conditions, or that they are as serious as claimed. Only about 5% of Medicare Advantage plans are audited yearly."
Medicare Advantage has grown rapidly over the past decade, with more than 28 million people in the U.S. enrolled in such plans as of 2022. MA plans often provide coverage for hearing, vision, and dental—benefits not offered by traditional Medicare, despite the efforts of progressive lawmakers to expand the program.
Some Democratic lawmakers have warned that part of the massive growth rate of Medicare Advantage plans could be due to their deceptive advertising practices.
In November, Senate Finance Committee Chair Ron Wyden (D-Ore.) released an investigative report laying out evidence of a range of "predatory actions" by private insurance companies that offer Medicare Advantage plans.
"Agents were found to sign up beneficiaries for plans under false pretenses, such as telling a beneficiary that coverage networks include preferred providers even when they do not," the investigation found. "Of particular concern to the committee were reports across states of agents changing vulnerable seniors' and people with disabilities' health plans without their consent."
Wendell Potter, president of the Center for Health and Democracy, said Tuesday that "so-called Medicare Advantage is neither Medicare nor an advantage."
"It is simply another scheme by the insurance companies to line their pockets at the expense of consumers," said Potter, a former health insurance executive with first-hand experience of the industry's misleading practices. "I applaud Congressman Pocan and Congressman Khanna for introducing this vital legislation. The healthcare market is confusing for consumers and misleading branding like so-called Medicare Advantage just makes it worse."
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'Dumbfounded' George Santos relative shocked to learn they donated $5,800 to his campaign
February 01, 2023
A relative of scandal-plagued Rep. George Santos (R-NY) says they never made a $5,800 donation to his congressional campaign despite the fact that they were listed in official documents as having done so.
Mother Jones reports that the relative, who asked not to be identified, says they are "dumbfounded" by campaign finance reports showing that they gave Santos two separate donations that just happened to total the legal maximum for individual campaign contributions.
“It’s all news to me," the Santos relative told Mother Jones. “I don’t have that money to throw around!”
Saurav Ghosh, the director for federal campaign finance reform at the Campaign Legal Center, tells Mother Jones that anyone funneling money to Santos' campaign under other people's names would be flat-out breaking the law.
READ MORE: 'That's the law': CNN host schools GOP lawmaker during debt ceiling grilling
The publication also notes that this is far from the first instance where the nature of some of Santos' campaign donors appear to have been fabricated.
"In the previous story, Mother Jones detailed instances of suspicious donations to Santos’ 2020 campaign, which he lost by 12 points," the report notes. "The examples included maximum contributions from Victoria and Jonathan Regor, who were listed as residing at 45 New Mexico Street in Jackson Township, New Jersey. A search of various databases found no one in the United States named Victoria or Jonathan Regor. Moreover, that address does not exist, according to Google Maps and a resident who lives on that street."
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Rep. David Cicilline (D-RI) suggested Wednesday that members of Congress who supported insurrections be prevented from reading the U.S. Pledge of Allegiance.
At a Judiciary committee hearing, Rep. Matt Gaetz (R-FL) presented an amendment that would require the reading of the pledge at the beginning of each hearing.
Cicilline proposed an amendment to Gaetz's amendment.
The new language "provided that the pledge should not be read by an individual who supported an insurrection against the government of the United States in any way."
"I think it's important that we can have some confidence that we don't make a mockery by selecting someone to lead the pledge of allegiance who, in fact, participated in any way in the overthrow of the government of the United States," the congressman said.
Republicans on the committee, however, opposed the amendment because it would make Democrats "judge, jury and executioner," one said.
"It shouldn't be complicated to accept this amendment," Cicilline said.
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