#Medicare coverage is changing next month

https://www.newsweek.com/medicare-coverage-changing-next-month-11188460

> “Telehealth has been a lifeline since the pandemic, giving providers the ability to reach patients, especially in rural or underserved areas who lack easy access to in-person care. If these provisions are not extended further, #rural residents and individuals with limited mobility could face serious challenges, including long travel times and reduced access to care that #telehealth once helped eliminate.”

Medicare Coverage Is Changing Next Month

Medicare telehealth options allow patients to access health care while still at home.

Newsweek
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RE: https://c.im/@cdarwin/115675859783574435

Hey #Seattle have you seen this yet? #Medicare is going to use #AI to approve/disapprove your procedures.

@cdarwin OMG. I live in Washington and am on #Medicare. Fortunately I'm on a Medicare Advantage plan with Kaiser Permanente, which actually uses science to decide which services to cover...This is completely f**ked. Thanks #DrOz . Thanks #RFKJr .

Hahaha. Got the last laugh:

I keep getting spammy AI generated calls from #Aetna about my medications (which are as needed not daily). The bot always leaves the SAME message calling in from DIFFERENT phone numbers thinking I'm not taking my medications (bad RS!). It requires a callback whether I pick up or not. I can't block because of the random incoming phone numbers, and I don't want to call to tell them to stop.

Aetna doubled my premium for 2026 to $103.00.

I went with a different provider for a $0.00 premium.

Queue maniacal laughing. 🤣

#insurance #medicare #partd

The people in the #USGovernment who decided how #Medicare ID numbers look failed spectacularly.
Medicare numbers are an 11-digit string of letters and numbers. That's already dumb, because letters are harder to read clearly over the phone than numbers.
Worse, they've allowed both 0/O and 1/l in them, making the written form also ambiguous.
These were already well-known issues before these decisions were made; #Usability testing also would have revealed them.
#smdh #CivicTech #UX

Vote against anyone who adds restrictions or who doesn’t campaign against them.

We all paid for Medicare and Medicaid. Congress is not subject to restrictions like this and neither are Musk and his death dogs.

Healthcare fraud is always provider and billing fraud. Don’t add incentives to kill people to the already death-panel-infested insurance industry.

#uspol #medicare https://c.im/@cdarwin/115675859783574435

Chuck Darwin (@cdarwin@c.im)

Medicare pilot program will allow private companies to use artificial intelligence to review older Americans’ requests for certain medical care — and will reward the companies when they deny it. In January, the federal Centers for Medicare & Medicaid Services will launch the "Wasteful and Inappropriate Services Reduction" (WISeR) Model to test 👉AI-powered prior authorizations on certain health services for Medicare patients in six states: Arizona, New Jersey, Ohio, Oklahoma, Texas and Washington. The program is scheduled to last through 2031. ❌The program effectively inserts one of private insurance’s most unpopular features — prior authorization — into traditional Medicare, the federal health insurance program for people 65 and older and those with certain disabilities. Prior authorization is the process by which patients and doctors must ask health insurers to approve medical procedures or drugs before proceeding. https://stateline.org/2025/12/04/medicares-new-ai-experiment-sparks-alarm-among-doctors-lawmakers/

C.IM

Several states will start incorporating artificial intelligence into their Medicare coverage decisions starting January 1, but some experts are unimpressed, with one telling Newsweek, "If you show me the incentive, I can show you the outcome.

The change hits in the new year as traditional Medicare recipients undergo a federal AI pilot program in Washington, Arizona, Ohio, Oklahoma, New Jersey, and Texas.

https://www.newsweek.com/map-states-where-medicare-coverage-changing-ai-next-month-11137609

#Medicare #AI #medicine

Map Shows States Where Medicare Coverage Is Changing Next Month

The change hits in the new year as traditional Medicare recipients undergo a federal AI pilot program.

Newsweek