AUTHOR: Lucretia Ryan on 7/6/2025 FIRST: Dan Smith on 7/6 | RECENT: David Lancaster on 8/17
Comments
I would be very careful about choosing a health plan that is not on the ACA marketplace. You could be charged with a huge bill because they don't follow the rules of the ACA. Here is an article I wrote. https://www.financialfreedomforwomen.org/healthcare/retiring-before-65-how-to-avoid-health-insurance-nightmares
Good article. Thank you for sharing. I'm all for reducing waste and unnecessary treatment but the CMS should hire doctors on a salary to determine if it is necessary not hire a for profit company that is only receives commission when they deny care. Denying care is exactly how the Medicare Advantage companies make money. https://www.financialfreedomforwomen.org/healthcare/did-prior-authorization-killnbsp-a-ceo
Any Medicare Advantage company will take you. These for profit companies are paid at least $1,000 a month by the federal government because you are giving up original medicare. If they can upcode you with additional diseases they get even more.
I hope I was clear. This is in no way an endorsement of Medicare Advantage which has hundreds of prior authorizations. I just wanted to alert people to what the current CMS is doing to our healthcare
If they really want to save money then they should have left a structured GLP-1 tightly managed weight loss program to save the gobs of money spent on diseases associated with obesity.
I think you’re being naive if you don’t think this will lead to people being denied care just so a for profit company can make money. If CMS wants to save money without reducing care they can hire doctors who are paid a salary regardless if they deny care. If in fact there is so much waste then the cost of these doctors will pay for themselves.
Comments
I would be very careful about choosing a health plan that is not on the ACA marketplace. You could be charged with a huge bill because they don't follow the rules of the ACA. Here is an article I wrote. https://www.financialfreedomforwomen.org/healthcare/retiring-before-65-how-to-avoid-health-insurance-nightmares
Post: Healthcare Insurance Alternatives to Covered California Marketplace
Link to comment from October 17, 2025
Good article. Thank you for sharing. I'm all for reducing waste and unnecessary treatment but the CMS should hire doctors on a salary to determine if it is necessary not hire a for profit company that is only receives commission when they deny care. Denying care is exactly how the Medicare Advantage companies make money. https://www.financialfreedomforwomen.org/healthcare/did-prior-authorization-killnbsp-a-ceo
Post: A major Medicare benefit just vanished
Link to comment from July 8, 2025
If you believe this I have a bridge for sale.
Post: A major Medicare benefit just vanished
Link to comment from July 7, 2025
Great article. Thank for posting
Post: A major Medicare benefit just vanished
Link to comment from July 7, 2025
Any Medicare Advantage company will take you. These for profit companies are paid at least $1,000 a month by the federal government because you are giving up original medicare. If they can upcode you with additional diseases they get even more.
Post: A major Medicare benefit just vanished
Link to comment from July 7, 2025
I hope I was clear. This is in no way an endorsement of Medicare Advantage which has hundreds of prior authorizations. I just wanted to alert people to what the current CMS is doing to our healthcare
Post: A major Medicare benefit just vanished
Link to comment from July 6, 2025
I’ve seen enough details to see the devil in it.
Post: A major Medicare benefit just vanished
Link to comment from July 6, 2025
If they really want to save money then they should have left a structured GLP-1 tightly managed weight loss program to save the gobs of money spent on diseases associated with obesity.
Post: A major Medicare benefit just vanished
Link to comment from July 6, 2025
I think you’re being naive if you don’t think this will lead to people being denied care just so a for profit company can make money. If CMS wants to save money without reducing care they can hire doctors who are paid a salary regardless if they deny care. If in fact there is so much waste then the cost of these doctors will pay for themselves.
Post: A major Medicare benefit just vanished
Link to comment from July 6, 2025
Here is how the for profit company United Healrhcare is denying care to make a profit https://www.wsj.com/us-news/unitedhealth-medicare-fraud-investigation-df80667f?st=vkWRh5&reflink=article_copyURL_share
Post: A major Medicare benefit just vanished
Link to comment from July 6, 2025