Earlier quoted context omitted.
Medicare is relatively simple compared to most insurance companies and their rules. Insurance providers write custom lines of business for employers per state and allow those employers to customize the coverage however they like. This happens annually with revisions done to exclude or include coverage as the employer dictates. Insurance companies, and employers, come up with byzantine rules for what's covered, when i…
> Medicare is relatively simple compared to most insurance companies and their rules. As someone who's actually had to deal with this complexity and implement software to facilitate it, I can assure you that Medicare is not at all simple, by any stretch of the imagination. It's not even standard or consistent within Medicare within a geographical region , even if you limit the scope to Part A and Part B, excluding co…
Medicare is by volume the larges provider but size is actually a benefit because it means that it's dealt with more frequently and is more familiar to care providers.
A care provider isn't multi-regional, thus when they deal with Medicare it's mostly consistent. The interface is at least similar. However they can have 100 patients with United Healthcare and each patient will have a unique and different line of insurance.
Medicare isn't simple, it's just a small piece of a very big shit sandwich.