Date: 7/22/24
Name of podcast: Dr. Patient
Episode title and number: 25 The Disadvantage of Medicare Advantage, Part 2

Episode summary: Part 2 discussing why Medicare Advantage plans are an actual DISadvantage for you and for our country's fiscal system. When you sign up for Medicare, you have a choice of Traditional/Original, Medicare or "Medicare Advantage", which is technically not Medicare and is instead a private health insurance company caring for you on their behalf, like a surrogate. The plans are Uber-restrictive and filled with hidden costs that many people don't recognize until it's too late. They often offer "zero dollar premiums" to lure folks in, then you might have trouble getting back into regular Medicare. Join Alexandra "Al" Eidenberg from The Insurance People, and me to hear all of the details.

Guest(s): Alexandra (Al) Eidenberg, President and Founder of The Insurance People

Key Terms: none

References:
The Insurance People homepage: www.theinsurancepeople.com
How to sign up for Medicare: https://www.medicare.gov/basics/get-started-with-medicare/sign-up/how-do-i-sign-up-for-medicare

Date: 6/16/24
Name of podcast: Dr. Patient
Episode title and number: 24 The Disadvantage of Medicare Advantage, Part 1

Episode summary:
Wow, I knew Medicare was complicated but didn't realize just how complicated. I've spent the last few weeks diving deep and was most curious about Medicare Advantage, Part C of Medicare, where beneficiaries can sign up for private health insurance. This week I'll be talking about how bad this is for our federal budget, and how the model simply doesn't work fiscally. Next week, in Part 2, I'll be talking with Al (Alexandra) Eidenberg about why it's also bad for the beneficiaries themselves.

Guest(s): none

Key Terms:
CMS - Center for Medicare and Medicaid Services
HMO - Healthcare Maintenance Organization
Beneficiary or Enrollee - the person signing up for a health plan
Fee-for-service - a model of healthcare where a doctor or hospital gives a service and is then paid for it
Capitation - a monthly payment Advantage plans get per patient that are signed up on their plan

References:
Video by Congresspeople Mark Pocan, Jan Schakowsky and Ro Khanna
Center for Medicare and Medicaid Services
How the Government Updates Payment Rates for Medicare Advantage Plans
Understanding Medicare Advantage Payment
Medicare Advantage Risk Adjustment
US Sues Cigna for fraudulent diagnostic codes
Advantage plans overpaid by about $140 billion over last 12 years
Video: How to Sign up for Medicare
MedicareFAQ: Why Advantage Plans are Bad
Understanding Medicare Advantage Payment

Other podcasts on this topic:
Arm and A Leg
The Real Investment Show

Date: 6/18/24
Name of podcast: Dr. Patient
Episode title and number: 23 In Doctors We Trust

Episode summary: What is trust as it relates to the doctor-patient relationship? How is it fostered when the very healthcare system itself works against it? Why is it important, and what can you do to foster it with your doctor?

Guest(s): none

Key Terms: none

References:
Trust, Race and Risk in American Medicine: https://onlinelibrary.wiley.com/doi/full/10.1002/hast.1080

Patient Trust in Physicians:
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1495476/

The importance of building trust in the physician-patient relationship:
https://www.wolterskluwer.com/en/expert-insights/the-importance-of-building-trust-in-the-physician-patient-relationship

Physician perspectives on building trust with patients:
https://onlinelibrary.wiley.com/doi/10.1002/hast.1528?af=R

Summary table of survey questions of patients about trust:
https://www.drpatientpodcast.com/blog/eps-22-and-23-doctor-satisfaction-and-trust-in-doctors/