Trump wants to expand prior authorization for traditional Medicare through private companies.

[ImNotGod]

Per Rep Mark Pocan threads post: The worst part? Those companies will get a cut for each claim they deny, clearly leading to corporations putting profits over patient care. This is unacceptable.
https://healthcareuncovered.substack.com/p/cms-is-trying-to-expand-prior-authorization

[dalton99a]

1. Kick

[Vinca]

2. That would pretty much be the end of traditional Medicare.

[ImNotGod]

4. Also the medicare advantage reform act is gaining steam which automatically signs up part B

recipients starting in 2028 to the lowest cost advantage plan whether you want it or not, another way to kill traditional, time to hit the phones and give our reps hell.

[SickOfTheOnePct]

7. Automatic sign up...

...with an ability to opt-out, but many people won't even realize that.

[vapor2]

3. Just fuck

[Silent Type]

5. It's a demonstration project in 6 states, not all states. It was also proposed during Biden admin although they

didn't specify the services to be subject to priorauthorization.

17 services to be subject to prior authorization
Here is the list of services that will go through a prior authorization process in New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington, between January 1, 2026, and December 31, 2031.

These are the services subject to prior authorization:
Electrical nerve stimulators
Sacral nerve stimulation for urinary incontinence
Phrenic nerve stimulator
Deep brain stimulation for essential tremor and Parkinson’s disease
Vagus nerve stimulation
Induced lesions of nerve tracts
Epidural steroid injections for pain management excluding facet joint injections
Percutaneous vertebral augmentation (PVA) for vertebral compression fracture
Cervical fusion
Arthroscopic lavage and arthroscopic debridement for the osteoarthritic knee
Hypoglossal nerve stimulation for obstructive sleep apnea
Incontinence control devices
Diagnosis and treatment of impotence
Percutaneous image-guided lumbar decompression for spinal stenosis
Skin and Tissue Substitutes
Application of bioengineered skin substitutes to lower extremity chronic non-healing wounds
Wound Application of cellular and/or tissue based products (CTPs), lower extremities

https://www.kiplinger.com/retirement/medicare/prior-authorization-coming-to-traditional-medicare

[Mossfern]

6. Looks like a lot of people will be in pain

Why mostly pain management treatments?
I see none of these being discretionary. They are truly quality of life treatments.

This is just a way to punish people and line the pockets of Trump's minions.
Take Trump's meds away from him. Make him suffer like the rest of us.

Evil.

[ultralite001]

8. NO...

TIA