Welcome to DU!
The truly grassroots left-of-center political community where regular people, not algorithms, drive the discussions and set the standards.
Join the community:
Create a free account
Support DU (and get rid of ads!):
Become a Star Member
Latest Breaking News
Editorials & Other Articles
General Discussion
The DU Lounge
All Forums
Issue Forums
Culture Forums
Alliance Forums
Region Forums
Support Forums
Help & Search
Latest Breaking News
In reply to the discussion: New Medicare Program: Full List of Services That Will Need Prior Approval [View all]Buddyzbuddy
(2,056 posts)10. So delay and deny are what's in store for our
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.
Edit history
Please sign in to view edit histories.
Recommendations
6 members have recommended this reply (displayed in chronological order):
66 replies
= new reply since forum marked as read
Highlight:
NoneDon't highlight anything
5 newestHighlight 5 most recent replies
RecommendedHighlight replies with 5 or more recommendations
New Medicare Program: Full List of Services That Will Need Prior Approval [View all]
BumRushDaShow
16 hrs ago
OP
They really went after nerves. Is salvation through pain part of the plan?
bucolic_frolic
16 hrs ago
#1
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
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
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
So? People pay MORE to join Traditional Medicare so that they can choose their own doctors
pnwmom
11 hrs ago
#48
Yes, they do, in order to get Parts A and B, which covers both hospitalization
pnwmom
10 hrs ago
#56
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
Our doc told us pre-approval is needed for what was our usual blood test
AverageOldGuy
15 hrs ago
#14
But this experiment is being done with Traditional Medicare patients, which doesn't require prior authorization.
pnwmom
11 hrs ago
#49
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
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 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