Not to underplay horrific cost burdens exposed here, but the lead patient in this story, paying $10k copay for MS drug on Medicare this year, will see expenses capped at ~ $3,200 in 2024. (Story does mention $2k cap in 2025.)
https://www.nytimes.com/2023/02/07/health/medicine-insurance-payments.html?utm_source=newsletter&utm_medium=email&utm_campaign=newsletter_axiosvitals&stream=top
The Medicine Is a Miracle, but Only if You Can Afford It
A wave of new treatments have cured devastating diseases. When the costs are too much, even for the insured, patients hunt for other ways to pay.
RT @[email protected]
@[email protected] @[email protected] It’s important to remember that you aren’t making a decision on your health at age 65. It’s what you want when you are older and sicker. And in most states, you need underwriting to switch Medigap plans or go from MAPD to Medigap
🐦🔗: https://twitter.com/kgmom219/status/1620426097518350336
Jenny Chumbley Hogue on Twitter
“@caseyadams360 @xpostfactoid It’s important to remember that you aren’t making a decision on your health at age 65. It’s what you want when you are older and sicker. And in most states, you need underwriting to switch Medigap plans or go from MAPD to Medigap”
Israeli fascism:
"the natural course of a regime whose internal logic promotes the supremacy of one group over another."
RT @[email protected]
.@[email protected] of @[email protected] on how Israel's Supreme Court "is a stronghold of justice for Jews only. It does not champion universal human rights, but the human rights of Jews, in a Jewish state." https://dawnmena.org/the-silent-branch-how-israels-supreme-court-crushes-palestinian-rights/
🐦🔗: https://twitter.com/DAWN_Journal/status/1620151865068621824
The Silent Branch: How Israel’s Supreme Court Crushes Palestinian Rights
Israel’s Supreme Court is a stronghold of justice for Jews only. It does not champion universal human rights, but the human rights of Jews, in a Jewish state.
The Existential Threat of Greed in US Health Care
In this Viewpoint, Donald Berwick explores the pursuit of profit in US health care across sectors—such as pharmaceutical companies, insurers, hospitals, and physician practices—and its harms to patients, and then offers potential solutions.
Treason, fraud, and autocracy.
RT @[email protected]
Graham: I’m for Donald Trump because I know what I’m going to get
🐦🔗: https://twitter.com/Acyn/status/1620252230954663936
Acyn on Twitter
“Graham: I’m for Donald Trump because I know what I’m going to get”
RT @[email protected]
Important: Senate Dems say the Judiciary Committee will "take a hard look" at John Durham's "abuses" as revealed by the NYT. Dems should take this on. It'll counter House GOP BS by showing what a real investigation into "weaponizing government" looks like:
https://www.washingtonpost.com/opinions/2023/01/30/john-durham-investigation-trump-house-gop/
🐦🔗: https://twitter.com/ThePlumLineGS/status/1620168225798619136
Awful new details about the Durham probe demand a serious response
With the House GOP spewing propaganda, Senate Democrats must show that real probes of genuine abuses are possible.
Biden administration is straining to turn a 40-year battleship course on antitrust enforcement.
https://prospect.org/economy/2023-01-25-pitched-battle-corporate-power/
A Pitched Battle on Corporate Power
Biden’s expansive executive order seeks to restore competition in the economy. It’s been a long, slow road to get the whole government on board—but there are some formidable gains.
No one like Radley Balko to bring deep perspective to the latest police abuse
RT @[email protected]
"The evidence is overwhelming: Giving roving teams of police officers added authority, elite status, a long leash, and a vague mandate is a formula for abuse."
Don't miss this @[email protected] piece in the NYT
https://www.nytimes.com/2023/01/29/opinion/tyre-nichols-police-scorpion.html
🐦🔗: https://twitter.com/bernybelvedere/status/1620116867972231170
Opinion | Tyre Nichols’s Death Proves Yet Again That ‘Elite’ Police Units Are a Disaster
They shatter the trust of the community, and the results can be deadly.
RT @[email protected]
Big news from @[email protected] to begin extrapolating MA audit findings to the whole contract. Previously, they would only clawback payments for benes where overpayments were found. Potentially an opportunity to begin penalizing the biggest offenders! https://www.cms.gov/newsroom/fact-sheets/medicare-advantage-risk-adjustment-data-validation-final-rule-cms-4185-f2-fact-sheet
🐦🔗: https://twitter.com/djmeyers2/status/1620190981948846080
Medicare Advantage Risk Adjustment Data Validation Final Rule (CMS-4185-F2) Fact Sheet | CMS
In a final rule released today, the Centers for Medicare & Medicaid Services (CMS) finalized technical details regarding the Medicare Advantage (MA) Risk Adjustment Data Validation (RADV) program that CMS uses to recover improper risk adjustment payments made to Medicare Advantage (MA) plans.
CMS will "extrapolate" the amount to claw back from MA plans for inflated risk scores from its audits of a representative sampling of each, attributing the estimated overpayment to a plan's full enrollment roster, starting with the audits for 2018.
