4.2 • 5.3K Ratings
🗓️ 6 June 2025
⏱️ 23 minutes
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0:00.0 | Medicare is America's government-run health care plan. |
0:08.9 | It provides care for anyone's 65 and over and some people with disabilities. |
0:13.9 | But what a lot of people may not realize is that a majority of those on Medicare get it through a program called Medicare Advantage. |
0:21.9 | Yeah, there's more than 60 million people in Medicare, and more than half of those are in Medicare Advantage at this point. |
0:28.6 | And the thing about Medicare Advantage is that the plans are paid for by the government, but managed by private insurance companies. |
0:37.1 | Medicare Advantage is sort of dominated by these huge insurance companies like United |
0:41.6 | Health Group, Humana, Edna, and Elevance. |
0:44.6 | And that's really why we called the series at some level Medicare Inc. |
0:49.3 | Because people think, oh, this is a government program. |
0:51.9 | But it's also a huge, huge, huge business for some of the |
0:55.6 | biggest companies in America. |
0:58.9 | I'm Chris Weaver. |
1:00.3 | I'm Anna Wildy Matthews. |
1:01.9 | I'm an investigative reporter at the Wall Street Journal. |
1:04.4 | And I cover health insurance for the Wall Street Journal. |
1:07.8 | My colleagues, Anna and Chris, have been investigating the Medicare Advantage program for over a year. |
1:13.5 | So when you and the team looked into the program, what did you find? |
1:17.7 | What we found was that Medicare Advantage insurers were basically gaming the system to get paid billions of dollars more. |
1:30.8 | And at the same time, creating barriers to accessing care. |
1:32.9 | Over the next two episodes, we'll lay out some of what the journal's investigative reporting |
1:37.9 | team found. |
1:42.8 | Today is about how insurers use questionable practices to profit off of the Medicare system. |
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