XPost: alt.fan.rush-limbaugh, alt.politics.republicans
Medicare Will Require Prior Approval for Certain Procedures
By Reed Abelson and Teddy Rosenbluth
The New York Times
Aug. 28, 2025 Updated 1:06 p.m. ET
A pilot program in six states will use a tactic employed by private
insurers that has been heavily criticized for delaying and denying
medical care.
Like millions of older adults, Frances L. Ayres faced a choice when
picking health insurance: Pay more for traditional Medicare, or opt for
a plan offered by a private insurer and risk drawn-out fights over
coverage.
Private insurers often require a cumbersome review process that
frequently results in the denial or delay of essential treatments that
are readily covered by traditional Medicare. This practice, known as
prior authorization, has drawn public scrutiny, which intensified after
the murder of a UnitedHealthcare executive last December.
Ms. Ayres, a 74-year-old retired accounting professor, said she wanted
to avoid the hassle that has been associated with such practices under
Medicare Advantage, which are private plans financed by the U.S.
government. Now, she is concerned she will face those denials anyway.
The Centers for Medicare and Medicaid Services plans to begin a pilot
program that would involve a similar review process for traditional
Medicare, the federal insurance program for people 65 and older as well
as for many younger people with disabilities. The pilot would start in
six states next year, including Oklahoma, where Ms. Ayres lives.
The federal government plans to hire private companies to use artificial intelligence to determine whether patients would be covered for some procedures, like certain spine surgeries or steroid injections. Similar algorithms used by insurers have been the subject of several
high-profile lawsuits, which have asserted that the technology allowed
the companies to swiftly deny large batches of claims and cut patients
off from care in rehabilitation facilities.
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FACT CHECK: President Trump Will Always Protect Social Security, Medicare
The White House
March 11, 2025
The Trump Administration will not cut Social Security, Medicare, or
Medicaid benefits. President Trump himself has said it (over and over
and over again).
Elon Musk didn't say that, either. The press is lying again.
https://www.whitehouse.gov/articles/2025/03/fact-check-president-trump-wi ll-always-protect-social-security-medicare/
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May 22, 2025
Trump promised not to touch Medicare. 24 hours and half a trillion
dollars later, Republicans passed a bill that will slash Medicare.
https://www.facebook.com/RepKClark/videos/trump-promised-not-to-touch-med icare-24-hours-and-half-a-trillion-dollars-later-/1411426273212927/&ved=2 ahUKEwiPh5eI-66PAxWNLFkFHduXMCwQFnoECAMQAg&usg=AOvVaw0EDuJtDxIo3-sNEEpS5W
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