If you were to rank the worst products currently sold by HMOs, these limited benefit plans would have to be up there with Fee-For-Service Medicare Advantage plans.

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The tragedy is that Medicare Advantage architecture is far from perfect and HHS could save money if it wanted to, in particular by targeting the private fee-for-service plans that mimic all of traditional Medicare's dysfunctions except with an element of private profit.

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Medicare has many other flaws such as its encouragement of open-ended, fee-for-service benefits a model that nearly all employer health plans abandoned more than a decade ago.

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