Grumblenuts
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- Oct 16, 2017
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Talk to a bot and your Medicare DisAdvantage "provider" sends you a check?Just type in your symptoms to ChatGPT
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Talk to a bot and your Medicare DisAdvantage "provider" sends you a check?Just type in your symptoms to ChatGPT
Talk to a bot and your Medicare DisAdvantage "provider" sends you a check?
Here's the big, dirty secret I learned only by talking to one of these MA pushing bigshots at length on the phone. I asked him, "How do you guys actually pay for all these extras you promise if you don't charge any monthly fees?" He laughed and said, "Oh, hell, the Medicare Trust Fund is enormous!" And he wasn't the only one. The major insurance companies now treat the money (which now includes all Medicare Part B payments) we've collectively socked away like their own private piggy bank.. and they're still getting away with it. It's great to hear that at least some of their stench has finally resulted in some doors being shut in their fat faces.![]()
Over 35 Million Prior Authorization Requests Were Submitted to Medicare Advantage Plans in 2021 | KFF
We analyze data from CMS to examine the number and outcome of Medicare Advantage prior authorization requests in 2021, overall and by firm.www.kff.org
Historically, Medicare beneficiaries were rarely required to receive prior authorization. That is still the case for beneficiaries enrolled in traditional Medicare, who are only required to obtain prior authorization for a limited set of services. However, virtually all Medicare Advantage enrollees (99%) were enrolled in a plan that required prior authorization for some services in 2022. Most commonly, higher cost services, such as chemotherapy or skilled nursing facility stays, require prior authorization. Prior authorization may play a role in helping Medicare Advantage plans reduce costs and maintain profits.
Absolutely wrong 100%.Brain tumors are hardly within the scope of a primary care physician.They can only refer to a specialist for specific symptoms.In which this case I'm talking about was a family member.
Dont worry about me, I'm on Medigap and my husband is too.Here's the big, dirty secret I learned only by talking to one of these MA pushing bigshots at length on the phone. I asked him, "How do you guys actually pay for all these extras you promise if you don't charge any monthly fees?" He laughed and said, "Oh, hell, the Medicare Trust Fund is enormous!" And he wasn't the only one. The major insurance companies now treat the money (which now includes all Medicare Part B payments) we've collectively socked away like their own private piggy bank.. and they're still getting away with it. It's great to hear that at least some of their stench has finally resulted in some doors being shut in their fat faces.
Dont worry about me, I'm on Medigap and my husband is too.
I'm all for original medicare. Medical for all means private plans. Sander wants it. Joe Biden doesn't want nothing to do with it.Then you should be on your knees , toots, begging that Almighty God doesn't let Sleepy Joe institute "Medicare for All" , which is actually medicare for none and sticking all of us old people into ghetto health clinics.
go to a different hospitalRural hospitals have long struggled financially and the situation is getting worse. In the mid-1940s, Congress provided funding to build hospitals in rural areas, leading to a rise in their numbers, especially in the South. By the 1980s and 1990s, those hospitals began closing, partly a result of Medicare spending.
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Florida is the #9 state with the most rural hospital closures since 2005
Sidecar Health investigated rural hospital closures in Florida using data from the University of North Carolina Sheps Center for Health Services Research.stacker.com
With the advent of Advantage Plans, what are you going to do if your hosp closes.
Was he referred to specialist?Absolutely wrong 100%.
My father died of brain cancer in 2017.
The tumor was discovered by his primary care physician. He went to the doctor with complaints of more headaches than usual and getting dizzy sometimes. The only reason my Dad lived as long as he did after that was because it was found as early as it was. And it was found by his primary physician.
My father also had colon cancer.
Also found by the same primary care physician 14 years earlier. He had 7 inches of his colon removed and the ONLY reason it didn't kill him was it WAS CAUGHT EARLY. And it was caught early because he went to his primary doctor because of bowel symptoms.
Primary care physicians are where the VAST majority of health problem are first suspected and investigated. If it takes 3-4 months to get to your primary care physician - that can wand WILL result in many-many more deaths from undiagnosed illnesses.
Medicare Advantage (MA) plans, which are allowed to exclude hospitals from their networks, pay less than traditional Medicare, often negotiating even lower rates for rural hospitals. While a few years ago it was less popular to see MA penetration in rural areas, the trend has since grown, per Hawkins of the Texas Hospital Association. That could threaten reimbursement: “All those little things add up.”
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2023 forecast: Amid dwindling COVID relief funds, rural hospitals face a 'fiscal cliff'
In the first year of the pandemic, 19 rural hospitals closed their doors. | With dwindling provider relief funds, rural hospitals are expected to return to pre-pandemic levels of profitability. Here are the strategies experts predict will be on the table going into the next year.www.fiercehealthcare.com
Was he referred to specialist?
Was he referred to specialist?
So the primary diagnosed both and colon cancer right there in his office. With no referrals?Absolutely wrong 100%.
My father died of brain cancer in 2017.
The tumor was discovered by his primary care physician. He went to the doctor with complaints of more headaches than usual and getting dizzy sometimes. The only reason my Dad lived as long as he did after that was because it was found as early as it was. And it was found by his primary physician.
My father also had colon cancer.
Also found by the same primary care physician 14 years earlier. He had 7 inches of his colon removed and the ONLY reason it didn't kill him was it WAS CAUGHT EARLY. And it was caught early because he went to his primary doctor because of bowel symptoms.
Primary care physicians are where the VAST majority of health problem are first suspected and investigated. If it takes 3-4 months to get to your primary care physician - that can wand WILL result in many-many more deaths from undiagnosed illnesses.
I'll end up there too. Don't know what's going on exactly atm. Still being extended Medicaid even though I never asked to be. Aetna thinks they own my ass and signed up for their MA plan.. No way in hell!Dont worry about me, I'm on Medigap and my husband is too.
Yes, "Medical for all" is gibberish. It's not Medicare4All by any stretch and Sanders knows it. He's just sold out. No one sane cares what Joe Biden wants.I'm all for original medicare. Medical for all means private plans. Sander wants it. Joe Biden doesn't want nothing to do with it.
Obama is the one who killed it.I'm all for original medicare. Medical for all means private plans. Sander wants it. Joe Biden doesn't want nothing to do with it.
Let me guess, you saw the word "Florida" and immediately felt you need to run and protect DeSantis?Thanks for admitting it really isn't a Florida or DeSantis problem! Article might mean more if they actually listed the first 8 states!
Yes he did...he was a coward...Obama is the one who killed it.
my son just showed me that site....i like it....Just type in your symptoms to ChatGPT