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Buddyzbuddy

(2,056 posts)
10. So delay and deny are what's in store for our
Fri Dec 26, 2025, 03:15 PM
15 hrs ago

elderly populations most common sources of pain management, IMHO. Rather than pain management the Government seeks to replace it with cost management, not to actually save money but to convince seniors to not rely on Gov't services. If seniors give up or turn to other quasi service providers then billionaires like Musk and Ellison get to keep more of their money from paying for those services through taxes. And the quasi service providers get to make a bunch of money while also denying service. How else could they afford all of the advertising and support of PACS that support politicians that voted for this.
Yeah, that sounds about right.

Recommendations

6 members have recommended this reply (displayed in chronological order):

They really went after nerves. Is salvation through pain part of the plan? bucolic_frolic 16 hrs ago #1
Steroid injections have kept me ok on my feet redstatebluegirl 16 hrs ago #3
Me too. mgardener 16 hrs ago #4
This message was self-deleted by its author Trueblue Texan 15 hrs ago #11
I just got a shot in my shoulder LittleGirl 15 hrs ago #12
That should still be okay. Igel 14 hrs ago #17
Right? LittleGirl 13 hrs ago #41
Exactly. SergeStorms 13 hrs ago #42
Had that one too Bayard 7 hrs ago #59
Same here Bayard 7 hrs ago #58
That's what made Mother Theresa druidity33 14 hrs ago #21
How about a pilot program Henry203 16 hrs ago #2
Medicare Advantage is already set up to be able to deny claims for things that Medicare would automatically cover. thesquanderer 15 hrs ago #8
Advantage plans are private insurance, and they should be banned from using " Medicare" in their name. OMGWTF 14 hrs ago #18
I agree. Unless maybe they more honestly called it something like "Medicare Alternative" or "Medicare Private Option." thesquanderer 14 hrs ago #25
Alternative Medical Services. cstanleytech 8 hrs ago #57
They are literally Medicare plans, Authorized under the Medicare Part C statutes Ms. Toad 14 hrs ago #31
The person you're replying to said Advantage plans should not have been allowed as Medicare plans. pnwmom 2 hrs ago #63
Ban "Medicare" from their name ENTIRELY Seinan Sensei 14 hrs ago #34
huh? Skittles 10 hrs ago #54
I should have said upcoding Henry203 10 hrs ago #55
AI prior authorization approval is already a relatively common practice anciano 16 hrs ago #5
And it needs legislatively banned. benfranklin1776 14 hrs ago #27
Not just the Ai part of it, but the outside authorization mahina 14 hrs ago #32
Agreed! benfranklin1776 6 hrs ago #60
But one of the main reasons to choose standard Medicare over a Medicare Advantage plan is to minimize a third party Ms. Toad 13 hrs ago #38
"Healthcare" is an umbrella term that encompasses anciano 13 hrs ago #39
Healthcare is distinct from how that care is paid for. Ms. Toad 12 hrs ago #44
So? People pay MORE to join Traditional Medicare so that they can choose their own doctors pnwmom 11 hrs ago #48
No LtTx 10 hrs ago #53
Yes, they do, in order to get Parts A and B, which covers both hospitalization pnwmom 10 hrs ago #56
And yet the govt is clamping down on prior authorization in Advantage plans pnwmom 2 hrs ago #64
Brought to you by the same people who believe in ivermectin for covid Raven123 15 hrs ago #6
i've had the cellular. tissue application for foot wounds that would not heal rampartd 15 hrs ago #7
neck surgeries, knee surgeries, incontinence control, pain relief -- how very cruel, how very predictable 0rganism 15 hrs ago #9
So delay and deny are what's in store for our Buddyzbuddy 15 hrs ago #10
We have to move to Medicare for all and cover everything. ChicagoTeamster 15 hrs ago #13
Our doc told us pre-approval is needed for what was our usual blood test AverageOldGuy 15 hrs ago #14
If you are no standard medicare, your doctor is wrong. Ms. Toad 13 hrs ago #36
Under an Advantage plan with an HMO dickthegrouch 15 hrs ago #15
But this experiment is being done with Traditional Medicare patients, which doesn't require prior authorization. pnwmom 11 hrs ago #49
Companies running this make money with every denied claim groundloop 15 hrs ago #16
Death by spreadsheet OMGWTF 14 hrs ago #20
Private insurance companies don't run traditional Medicare. ShazzieB 14 hrs ago #22
AI "death panels"..... SergeStorms 13 hrs ago #43
But private companies WILL provide the AI services performing prior authorizations for Traditional Medicare. pnwmom 1 hr ago #66
The whole reason Iʻm paying extra for supplemental ins is to keep the imperfect gem, traditional medicare, where mahina 14 hrs ago #19
"Just reading our DUers here and the impacts this would make to their lives is powerful." BumRushDaShow 14 hrs ago #24
This part caught my eye. ShazzieB 14 hrs ago #23
Amen 💪🏼 benfranklin1776 14 hrs ago #28
Don't You Mean OhioTim 12 hrs ago #46
I know what you mean, but I prefer not to think in those terms. ShazzieB 5 hrs ago #61
Doesn't sound reasonable or even rational Joinfortmill 14 hrs ago #26
Does one need advanced approval to die? milestogo 14 hrs ago #29
That's next... 2naSalit 11 hrs ago #50
So they're creating those death panels that Sarah Palin warned us about WestMichRad 14 hrs ago #30
Trump Qualifies For One OhioTim 14 hrs ago #33
two actually - do his diapers require prior approval? RainCaster 4 hrs ago #62
Deep brain stimulation for the treatment of essential tremor progressoid 13 hrs ago #35
At best, it will delay treatment. Treatment delayed is treatment denied. SunSeeker 13 hrs ago #37
It is not just AI needs to be destroyed - but the insertion of third party judgment (of any kind) Ms. Toad 13 hrs ago #40
I expect this is being pilot-tested to eventually become a permanent change (with more procedures needing prepproval) BumRushDaShow 12 hrs ago #45
I agree. Ms. Toad 12 hrs ago #47
I know for those of us feds who planned to maintain their FEHB insurance plans when Medicare-eligible BumRushDaShow 10 hrs ago #51
When I had a cancer diagnosis, I was in surgery 2 days after getting the diagnosis, pnwmom 2 hrs ago #65
The U.S. is the only modern nation without a universal tax supported health care system for all their citizens. It makes ShazamIam 10 hrs ago #52
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