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Reverse engineering Medicare, Inc.

Journalists navigated patient privacy and vast data to reveal insurance giants making billions off US seniors

Christopher Weaver, The Wall Street Journal
April 3, 2025

One doesn’t just wake up one morning and decide to reverse engineer the federal government’s convoluted Medicare Advantage payment system. Taxpayers spend billions of dollars each year on excessive payments to private insurers in Medicare Advantage, but it is shrouded in secrecy and fueled by vast reams of patient data.

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