Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition

Feds Killed Plan To Curb Medicare Advantage Overbilling After Industry Opposition https://kffhealthnews.org/news/article/medicare-advantage-overbilling-diagnostic-codes-cms-killed-rule/ A decade ago, federal officials drafted a plan to discourage Medicare Advantage health insurers from overcharging the government by billions of dollars — only to abruptly back off amid an “uproar” from the industry, newly released court filings show. The Centers for Medicare […]

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New Painkiller Could Bring Relief to Millions—Without Addiction Risk

New Painkiller Could Bring Relief to Millions—Without Addiction Risk https://www.scientificamerican.com/article/new-pain-medication-suzetrigine-prevents-pain-signals-from-reaching-brain/ The medication initially known as VX-548 blocks sodium channels in nerves, blocking pain signals before they reach the brain hen doctors ask Sara Gehrig to describe her pain, she often says it is indescribable. Stabbing, burning, aching—those words frequently fail to depict sensations that have […]

‘This is organized crime’: Pharmacy board blasted for alleged corruption, retaliation at public hearing

‘This is organized crime’: Pharmacy board blasted for alleged corruption, retaliation at public hearing https://1819news.com/news/item/this-is-organized-crime-pharmacy-board-blasted-for-alleged-corruption-retaliation-at-public-hearing The Alabama State Board of Pharmacy (ABOP) was subjected to a nearly two-hour grilling by lawmakers on Thursday after a recent report that found multiple “significant problems” with the board’s operations and perceived retaliatory practices against licensees. The Alabama Examiners of […]

Some things I just can’t resist sharing

How our healthcare system is nothing more/less than a FOR PROFIT BUSINESS

Calley & Casey Means: How Big Pharma Keeps You Sick, and the Dark Truth About Ozempic and the Pill I’ll admit that I did not watch this entire video – at least not right now – but I have saved this to my hard drive because I have seen where “things” have disappeared from the […]

Proper pain care let’s kids be kids

Lilly documented her journey through the medical system and it took me a long time before I could even look through things without going to pieces! Fun fact is mostly Stacey but Lilly too both worshipped Steve Ariens & read every article he ever wrote Steve just said, they just have good taste as Steve […]

Safety and Risk Assessment of No-Prescription Online Semaglutide Purchases

Safety and Risk Assessment of No-Prescription Online Semaglutide Purchases https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2821882 Introduction The popularity of branded semaglutide is surging, with widespread media coverage, viral social media exposure, and celebrity endorsements.1 Although Wegovy (Novo Nordisk) is approved for long-term weight management, Ozempic (Novo Nordisk) (only approved for type 2 diabetes) is often used off-label for this purpose. […]

I asked www.perplexity.ai: Did Nixon’s price freeze influence future U.S. economic policies

I remember that period very well, I had just graduated from Butler U in May 1970. I passed my first pharmacy board test and got licensed in July 1970 in KY. I now had my Pharmacist license and a job with a regional chain which – at the time – was a good income, so […]

Medicare Advantage insurers ranked by prior auth denial overturn rates

Medicare Advantage insurers ranked by prior auth denial overturn rates https://www.beckerspayer.com/payer/medicare-advantage-insurers-ranked-by-prior-auth-denial-overturn-rates.html Centene is the most likely to overturn a prior authorization denial decision when appealed, while Humana is the least likely, according to a KFF analysis. Medicare Advantage insurers denied 7.4% of prior authorization requests in 2022, up from 5.8% in 2021. Among those denials, […]