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#medicare

11 posts11 participants0 posts today

DATE: April 15, 2025 at 07:00PM
SOURCE: BioWorld MedTech

Direct article link at end of text block below.

#CMMI again under pressure as @CMSGov closes several programs

t.co/aUHieQMdE4

#medtech #reimbursement #medicare

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t.co/aUHieQMdE4

#medtech

Articles can be found by scrolling down the page at bioworld.com/topics/85-bioworl .

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t.coCMMI again under pressure as CMS closes several programsBy Mark McCarty

Is anyone else seeing Medicare not pay for prior auth stuff now?

Last year #medicare approved #Botox for #migraines after two hospital admissions where they were billed about $25,000 each.

I guess they figured preventative measures at $5000 a pop would be better than $50,000 in a summer. I had this procedure 20 years ago and after the third round of shots it lasted almost a year and it was amazing.

This time my first round was in December, my second round was in February, I was supposed to get the third set in April but they kept postponing it. I assumed it was a staffing problem. Then I looked at my EOB.

Medicare had paid them NOTHING. I am shocked & I think they are too.

I get financial aid at this hospital so regardless I don’t have to pay, but I also don’t want the Hospital system I appreciate and depend on getting ripped off for $10,000 worth of bills.

I would be freaking out right now if I had this procedure at pain management because that would mean I would be shut off from pain management if I was unable to pay this $10,000.

Maybe it’s just me, but please be warned. It doesn’t seem like having a prior authorization matters much anymore. If you qualify for Hospital financial aid please apply now before they stop giving it out.

I don’t know what to do about this but I canceled my next appointment. They keep moving it anyway I assume they want to make sure they’re going to get paid before they do it again. I don’t even think it’s helping anyway. These are menstrual related migraines not tension headaches triggering migraines.

I sent them a message and I asked them if I should be appealing this before it’s too late. I think I only get 120 days to appeal. Concord Hospital Nurology is so awful I’ll never go there again but I still don’t want them getting ripped off.

Replied in thread

"It is not the first time the Israeli army has targeted al-Ahli Hospital; it was bombed on October 17, 2023, in a massacre that killed over 400 displaced people taking shelter in the hospital’s crowded courtyard. At the time, directly bombing hospitals was still taboo, so the Israeli army denied targeting the hospital, instead claiming, without evidence, that an allegedly misfired Islamic Jihad rocket had struck the hospital.

In the most recent strike on al-Ahli, the Israeli army this time admitted targeting the hospital but claimed to have been attacking a Hamas command-and-control center. The Israeli army made similar claims in 2023 and 2024 about al-Shifa Hospital in #Gaza City. After the two invasions of #alShifa in November 2023 and March 2024, no evidence could be provided to substantiate these claims.

The Israeli army has not so far provided any evidence of a Hamas command center in #alAhli Arab Hospital."
mondoweiss.net/2025/04/israel-

(edit) A video from the crime: mastodon.social/@drmadsgilbert

#warcrimes #IsraelWarCrimes #IsraelTerroristState #palestine #health #medicare #genocide #gazagenocide
@palestine @israel

Aftermath of an Israeli strike on the Al-Ahli Arab Hospital in Gaza City on April 13, 2025. (Photo: Omar Ashtawy/APA Images)
Mondoweiss · Israel just bombed the last operational hospital in northern Gaza — againBy Tareq S. Hajjaj
Continued thread

…Sens Murkowski & Collins joined Democrats last week to back a bipartisan amendment led by Sen Hawley that would have eliminated the #Medicaid cuts from the budget. Their effort failed after GOP leaders labored to ensure its defeat. A broader amendment *vowing* to *protect* Medicaid & #Medicare passed [meaningless platitudes].

Idiot says what now?

#DrOz Pushed for #AI #HealthCare in First #Medicare Agency Town Hall

Dr. Oz, who now controls the Centers for Medicare & #Medicaid Services & its $1.5 trillion budget, promoted the idea that AI avatars could replace frontline health care workers.

#health #medicine #PublicHealth #Trump #idiocracy #kakistocracy
wired.com/story/dr-oz-ai-healt

WIRED · Dr. Oz Pushed for AI Health Care in First Medicare Agency Town HallBy Leah Feiger
Continued thread

Day ten⚕️🏥

#AnthonyAlbanese will on Tuesday pledge $500m for 20 youth specialist care centres, as well as $225m for 31 new and upgrades to #Medicare mental health centres, and $200m to expanding or starting 58 #Headspace centres.

The #YouthCentres will be focused on addressing what is called “the missing middle”, or complex needs that can be addressed outside #hospitals

Why does it take an election for this kind of funding to mental health when Prof. McGorry has been calling out for a decade?

#AusPol / #Labor / #health <theguardian.com/australia-news>

the Guardian · Australia election 2025 live: Labor pledges $1bn for mental health; Dutton and Albanese prepare for first debateFollow live

Why I called Bob Herman a "master bluster-buster" a few weeks ago:

He doesn't mince words in reminding us where the money the government gives insurance companies comes from: Our pockets.

"Health insurers that sell Medicare Advantage plans are going to get billions more in taxpayer money next year."

via @STAT
statnews.com/2025/04/07/medica

STAT · Trump gives major lift to 2026 Medicare Advantage paymentsInsurance companies will get billions of dollars more from the federal government in 2026.
#cms#hhs#ma