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pnwmom

(110,043 posts)
16. All this is about is coercing Traditional Medicare people to switch to for-profit Advantage plans.
Fri Jul 25, 2025, 05:12 PM
Jul 25

Advantage plans ALREADY have half of the Medicare business, and they already use AI. That would be the perfect group of test subjects for any study of how well AI was working.

But Traditional recipients are paying HIGHER PREMIUMS -- and rejecting freebies like gym memberships -- in order to NOT have the for-profit insurers deciding on their care, rather than their doctors. Why should any Traditional Medicare recipients have to continue to pay Traditional premiums while being switched to AI-driven prior-authorization processes -- the thing they were trying to avoid when they chose a more expensive Traditional plan?

It seems to me that this is just all a way to get more people to switch to Advantage plans. If they're going to be forced to get prior authorizations anyway, they might as well take the freebies.

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Oh, fuck off. W_HAMILTON Jul 25 #1
I predict a sudden surge in opioid addiction and deaths in those states Fiendish Thingy Jul 25 #2
Like all that Fentanyl from Canada! BidenRocks Jul 25 #10
Either or are quite acceptable to the Republican party. Buddyzbuddy Jul 25 #11
This message was self-deleted by its author Skittles Jul 25 #3
Although they did not specify services, pre-authorizations were proposed in last months of Biden admin. Silent Type Jul 25 #4
Pre-approval for many services... SickOfTheOnePct Jul 25 #5
+1. If we were willing to make certain compromises, I think there is a chance to enact universal coverage. Silent Type Jul 25 #6
All this is about is coercing Traditional Medicare people to switch to for-profit Advantage plans. pnwmom Jul 25 #16
People take M Advantage because they think it's best for them. Since more than half choose MA, that Silent Type Jul 25 #17
We DON'T have to accept that pre-approvals using artificial intelligence will ONLY be tested pnwmom Jul 25 #8
Actually, Medicare has used algorithms to audit doctors and other providers for decades. AI Silent Type Jul 25 #18
Trump Death Panels LudwigPastorius Jul 25 #7
That may be OK, but only if it applies to... BurnDoubt Jul 25 #9
Well, markodochartaigh Jul 25 #12
Yep!!! BurnDoubt Jul 25 #15
Congressional health care OrangeJoe Jul 25 #13
I've posted the same thing in past years... SickOfTheOnePct Jul 25 #14
Because this is what I do for a living Horse with no Name Jul 25 #19
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