CMS Office of Burden Reduction - Parody Account @CMS_Burden_GOV
The Office of Burden Reduction at CMS is run by career experts in administrative burdens and government waste. A parody account. #CMS1984onSteroids cms.gov/about-cms/obrhi Washington DC and the Moon Joined April 2023-
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"Menthols account for more than a third of all cigarettes sold in the U.S. each year and are predominantly used by Black and Hispanic smokers. Some 81% of Black smokers used menthols in 2020, compared with 30% of white smokers and 51% of Hispanic smokers, according to a Wall…
"Menthols account for more than a third of all cigarettes sold in the U.S. each year and are predominantly used by Black and Hispanic smokers. Some 81% of Black smokers used menthols in 2020, compared with 30% of white smokers and 51% of Hispanic smokers, according to a Wall…
CMS Leadership is committed to #HealthEquity. Biden administration is committed to the freedom of Blacks to kill themselves with Menthol tobacco until after the election. HHS and the FDA are committed to banning Menthol cigarettes once the votes are in on Nov 5, 2024.…
On behalf of @OIGatHHS, CMS leadership wants to emphasize that these activities are non-reimbursable under the current CPT coding guidelines. Should we request an update to the CPT coding rules for 99204 to reimburse for the "discussion of the legacies of colonialism in…
On behalf of @OIGatHHS, CMS leadership wants to emphasize that these activities are non-reimbursable under the current CPT coding guidelines. Should we request an update to the CPT coding rules for 99204 to reimburse for the "discussion of the legacies of colonialism in…
They meet all the qualifications to set the healthcare policy. Plus, they can work remotely. usajobs.gov/job/788053100 Health Insurance Specialists develop, interpret and implement health care financing policy and affect the disbursement of billions of dollars each year. Among…
They meet all the qualifications to set the healthcare policy. Plus, they can work remotely. usajobs.gov/job/788053100 Health Insurance Specialists develop, interpret and implement health care financing policy and affect the disbursement of billions of dollars each year. Among…
Our studies demonstrate that patients have very little reliable data to make informed decisions. There is no reliable data on actual network size as in the 'ability to make an appointment' with a doctor within 1-2 weeks. No transparent data on denials, prior auth gamesmanship…
Our studies demonstrate that patients have very little reliable data to make informed decisions. There is no reliable data on actual network size as in the 'ability to make an appointment' with a doctor within 1-2 weeks. No transparent data on denials, prior auth gamesmanship…
CMS leadership is open to open-sourcing great ideas. We appreciate the suggestion. Please name the companies, doctors, and nurses in the comments below, and we will issue new regulations.
CMS leadership is open to open-sourcing great ideas. We appreciate the suggestion. Please name the companies, doctors, and nurses in the comments below, and we will issue new regulations.
Google, NVIDIA, Boing, and even Apple are envious!
Google, NVIDIA, Boing, and even Apple are envious!
CMS leadership is perplexed. The @ahahospitals is hurling ballistic projectiles at @UHC; meanwhile, the @AmerMedicalAssn, in comparison, is singing love ballads. Is there a 'special' deal in the works for doctors? @JeffreyLDavis44 @DoctorJesseMD @CEO_AMA
CMS leadership is perplexed. The @ahahospitals is hurling ballistic projectiles at @UHC; meanwhile, the @AmerMedicalAssn, in comparison, is singing love ballads. Is there a 'special' deal in the works for doctors? @JeffreyLDavis44 @DoctorJesseMD @CEO_AMA
Medicare Advantage plans make a 50-70% profit margin Google, NVIDIA, Boing, and even Apple are envious!
Medicare Advantage plans make a 50-70% profit margin Google, NVIDIA, Boing, and even Apple are envious!
We congratulate @ExpressScripts for providing tremendous value-added through canny algorithms and increasing the US GDP by $44,882,688. That's #Bidenomics at work!
We congratulate @ExpressScripts for providing tremendous value-added through canny algorithms and increasing the US GDP by $44,882,688. That's #Bidenomics at work!
CMS is committed to small businesses. As part of our commitment to #equity, we go out of our way to bring small businesses such as @Optum to the decision-making process as full partners.
We hear from health plans that medical expenses are going up; thus, Medicare needs to increase payments to @BMAlliance. The Biggest shell game requires "spending" Medicare money so that you can ask for more! UHC pays Optum, owned by @UHC Aetna pays Oak Street Health, owned by…
We hear from health plans that medical expenses are going up; thus, Medicare needs to increase payments to @BMAlliance. The Biggest shell game requires "spending" Medicare money so that you can ask for more! UHC pays Optum, owned by @UHC Aetna pays Oak Street Health, owned by…
CMS Leadership was instructed by @SecBecerra to provide a response to @RepGregMurphy: Secretary Becerra promised an answer. At @HHSGov and @CMSGov, we are committed to radical transparency. There have been NO penalties and NO fines imposed on health plans under the No-Surprises…
CMS Leadership was instructed by @SecBecerra to provide a response to @RepGregMurphy: Secretary Becerra promised an answer. At @HHSGov and @CMSGov, we are committed to radical transparency. There have been NO penalties and NO fines imposed on health plans under the No-Surprises…
Olena Berg, Asst Secretary at the US Department of Labor (Appointed by President Clinton), said in her 1999 Congressional testimony: "Under ERISA, however, if I am injured because such decisions are not made correctly or are unreasonably delayed, our legal system does not hold…
Olena Berg, Asst Secretary at the US Department of Labor (Appointed by President Clinton), said in her 1999 Congressional testimony: "Under ERISA, however, if I am injured because such decisions are not made correctly or are unreasonably delayed, our legal system does not hold…
CMS Leadership is concerned for the Congressman @RepBobGood well-being since none of what he said makes any sense at all. #ERISA is a total disaster for patients, doctors, and hospitals. youtube.com/watch?v=X2frtd…
CMS Leadership is committed to radical transparency. CMS and this account are #Sponsored by #UnitedHealthcare.
Leading a healthy lifestyle is vital for preventing cancer. @CMSGov is taking action by incorporating wellness initiatives across our programs. One way we are doing this is by providing services to help Medicaid & CHIP beneficiaries quit smoking. #BidenCancerMoonshot
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450 Followers 1K Following connect, communicate, be kind...and friggin disrupt things.
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Need results..send in.. @momsfixitall
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2K Followers 301 Following Carequality is a national-level, consensus built, #interoperability framework to enable exchange between and among health information networks.
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1K Followers 1K Following A Patient-focused physician, speaks out on health issues to clarify complexities, expose middlemen, and explore the future of medicine. NOT medical advice
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27K Followers 189 Following President Emeritus @theIHI. Former administrator @CMSGov. Pediatrician. Better care, better health, lower cost.
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2K Followers 20 Following Real Prices are Now a Patient's Right. Power to the Patients.
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6K Followers 2K Following Bernard Becker Professor, WUSTL. Health Economist. Co-Director, Center for Advancing Health Services Policy &Economics Research IPH @CAHSPER_IPH Views my own.
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Rachel D @_rachel_dolan
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Health Policy Watch -.. @HealthPolicyW
17K Followers 4K Following Independent global health policy news by accredited journalists. Free reporting by non-profit media. Sign-up 4 daily email news alerts @ https://t.co/r0HqGgafC7
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After @ChrisDHamby excellent investigative reporting in the @nytimes last month, legal action was just a question of when and not whether it would happen.
This article reports on a class action lawsuit against Multiplan by Allegiance Health Management. Multiplan is a data analytics company that works with multiple insurance companies and recommends how much they should reimburse out-of-network providers. Multiplan and the…
Why are you just reacting and not lobbying for change? You supported the passage of Obamacare which was the last nail in the coffin for Family Physicians and Primary Care. You have supported ABMS in its anti competitive practices despite the lack of improvement in quality of…
The #AAFP responded to @FTC's ban on noncompetes and emphasized how the ruling creates a level playing field for family physicians. Read our statement here: bit.ly/4aPAshn
Wow, I gave a talk to a small audience a few months ago on kaplan-meier plots. Now over 100,000 people have watched the video. Never would have guessed such a technical subject would capture the interest of so many.
My primer on Kaplan Meier Plots How to read them, and some complexities Given to the UCSF IM Residency @UCSFIMChiefs Also available on Youtube at Vinay Prasad MD MPH channel
😱
@CMS_Burden_GOV But the data does show that helping the poor is very profitable. Just ask the CEO of Molina Health (a Medicaid Insurer) who made more money in 2022 compared to even the CEO of CVS). That’s what Medicaid is for.
I guess we should compel companies to make products at price X. And then we should compel nurses and doctors to work at price X for Y hours / week. All for the good of society. In case the FTC panel is bored and looking for something to do.
Novo is discontinuing an insulin after cutting its price, highlighting a key gap in policy efforts: Even if officials get pharma to lower prices, companies can choose to just pull the drug, without guaranteeing someone else continues to make the compound statnews.com/2024/04/24/nov…
The original trials that lead to FDA approval for Paxlovid suggested that there was no/marginal benefit even in the high risk to using Paxlovid in those recovered from COVID The entire benefit was in the unvaccinated , who had never had COVID before. Notice the poster doctor…
@shycollie @anish_koka Mmmkay. So we've got the OP calling it "useless at best" and a blog titled "rise and fall"...and yet it clearly reduces hospitalizations/ICU/deaths. I'm glad cancer therapy isn't held to these absurd standards or these sensationalists would be the death of that as well.
Change Healthcare hack is a direct result of @CMS_Burden_GOV + @ONC_HealthIT failure to implement reforms that would make electronic transactions in healthcare safer, simpler + less costly. @AMugge @HealthIT_Policy @mickytripathi1
Are you compliant with #HIPAA Administrative Simplification rules for electronic health care transactions? Check out our 2022 Compliance Review Program Findings to learn about common violations CMS has discovered during compliance reviews: go.cms.gov/4cqtiBr #AdminSimp
“In the mandatory first-year course, “Structural Racism and Health Equity,” the aspiring medical doctors were told that modern medicine is “white science” and asked to stand for a second so-called prayer against the “occupation” of “Turtle Island” — i.e., the United States.”…
Once again, Heartfelt #THANKS to @MedSocietyNYS Division of Govt Affairs for accomplishing so much for so many Doctors & Patients in NY State
The deadline to download is April 18, 2024
It's Official. The agenda for the May 2024 AMA CPT® Editorial Panel Meeting includes a proposal to establish CPT codes for prior authorization + appeal of wrongful denials. ama-assn.org/system/files/c… #PriorAuthCPT #WrongfulDenialAppealCPT 1/15
🥇 Huge Thank You to my Cousin @ZackJonesFL in @SpeakerJohnson’s office for inviting my mother Wanda Cook to Celebrate my family's WWII history! Today my mom went to DC to join the acceptance of the Congressional Gold Medal honoring Rosie the Riveter like my grandma Mildred…
Today, I brought my Great Aunt Wanda to the Capitol to honor her mother, Mildred Reedy, who left Norman, OK at age 17 to be a #RosieTheRiveter in Pasadena, CA. The last picture we had together was in 1997 at Sooners' stadium. ⬇️Read about Mildred ⬇️ normantranscript.com/mildred-reedy-…
The @ahahospitals is taking action! 🏥 Following the alarming @nytimes investigative article by @ChrisDHamby, they've urged @USDOL DOL Secretary Julie A. Su @ActSecJulieSu to probe the shady practices of fourth party repricer @MultiPlan_Inc & @AHIPCoverage @txhealthplans members…
Oldie but goodie #Multiplan
Multiplan owners are trying to dump a worthless asset on unsuspected public markets. Multiplan business involves 1 template letter + a phone script (the letter is attached). Churchill Capital Corp III CCXX is a pile of trash, good luck #multiplan wsj.com/articles/multi…
@CMS_Burden_GOV That’s fitting since CMS is all about innovation.
The CMS inpatient hospital pay rule just dropped. Release here: cms.gov/newsroom/fact-…
The current group of physicians in the US is the most diverse in history, and simultaneously is made up of the most caustic group of shallow thinkers of my lifetime.
I'm working on a book and digging up all sorts of things. Like something out of "Mean Girls", here's where Houston OB Dr. Nelly Arielle Heiman told me I was not welcome in their FB group (Houston Women's Physician's Group.) Other members chimed in, encouraging people to report…
This story is about a religion infecting and ultimately corrupting the main mission of NPR which was supposed to be journalism. The exact same story can be told about almost every large medical institution. thefp.com/p/npr-editor-h…
Don’t think health care could produce a bigger scam than @UHC but @MultiPlan_Inc did it. Doctor charges $2,000 for surgery. Multiplan tells plan admin to pay $500 to doctor but tells employer total cost is $2,000 with $1,500 balance going to Multiplan and the admin as “fee”
Multiplan is a Private Equity company that Payers hire when there are out-of-network bills from Physicians and Hospitals. The issue is that they pay a very small fee to the physicians and pocket a huge fee. Often times the fees collected by Multiplan and the payer are higher…
Powerful piece by @ChrisDHamby @nytimes. exposing the egregious practices of @AHIPCoverage @txhealthplans members insurers using middlemen like @MultiPlan_Inc. As a physician, I'm deeply moved by his investigation into the financial incentives driving reduced out-of-network…
1/Several other key points from @ChrisDHamby excellent reporting here. 1. @UHC & “little bro” @Cigna both claim these @MultiPlan_Inc practices are “industry standard.” There are no industry standards here, their statements are self serving & biased—their statements are pure…
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