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To: Les H who wrote (50787)	1/15/2026 5:33:49 PM
From: Les H	Respond to of 51327

Humana distorts its Medicare Advantage data: What you see is not what you get January 6, 2026 by Diane Archer Humana had internal research showing that its clinics delivered higher hospitalization and ER rates than other clinics that Humana did not own. That said, the clinics allow Humana to ensure that its Medicare Advantage primary care providers are “coding” patients and “meeting” Medicare quality standards in ways that increase Humana’s Medicare revenues. (Medicare pays Medicare Advantage insurers more for enrollees with more diagnosis codes on the theory that they will use more care.) One study found that Humana’s clinics were able to add enough extra codes to patient records to generate 50 percent more income from Medicare, even though its enrollees did not receive more care. Humana distorts its Medicare Advantage data: What you see is not what you get \| JustCare Similar to what I just went through with physical therapy which wanted to keep me there indefinitely when I told them I was fit enough to end the therapy and felt I had overstayed at 6 months. I wanted to cut it off at 4 months but encountered some foot and ankle injuries that they weren't particularly effective at solving. I questioned the need to use outpatient therapy for the hip when the prescribed home therapy and the walking were effective. After some questionable tests of hip strength, the therapist said he could get it past Medicare since he was submitting the diagnosis. I'm planning on using a personal trainer at the gym since weight-training is a more quantifiable method for improving strength. Government can’t control corporate greed in Medicare Rx coverage January 5, 2026 by Diane Archer, Just Care Government can’t control corporate greed in Medicare Rx coverage \| JustCare Saw it first-hand with the diabetic supplies automatic refills for a parent. The automatic refills are a great way to milk the system by sending drugs a member no longer need or is taking at a lower dosage. There is As with prescription opioids, there is a big black market for diabetic supplies.