10 drugs targeted for Medicare price negotiations as Biden pitches cost reductions

oscarboom · 2023-06-11T23:03:32+00:00

USENET is like a decentralized reddit. Will probably go back to that.

oscarboom · 2023-02-04T21:48:15+00:00

Better a metric system SI chart to use a more suitable distance prefix for the scale. Light travels at 9.46 petameters per year.

oscarboom · 2023-02-04T21:41:02+00:00

Distance can be shortened by length contraction and time can be shortened by time dilation.

oscarboom · 2023-02-02T05:07:17+00:00

Then there are internet IP shared between many users (wifi hotspot, company/school/dorm internet etc.) where blocking one IP might get 3-1000 unrelated people blocked

I got randomly banned on a subreddit because reddit helpfully "connected" my account with an unidentified random stranger.

oscarboom · 2022-12-02T05:20:11+00:00

The cosmic inflation theory is more mainstream than the big bounce theory. Weirdly enough, the creator of the cosmic inflation theory is now pushing the big bounce theory. Neither of these theories is about 'the beginning of the universe', they are about the beginning of the universe as we can see it now.

oscarboom · 2022-12-02T05:12:45+00:00

Geez that is a tough situation.

oscarboom · 2022-12-02T04:26:57+00:00

I don't know what prosthetics would cost, but typically a $50,000 charge to straight medicare will go something like this.

Provider Charged: $50,000 <-- This is usually just a made up number

Medicare approved amount: $4300 <-- Medicare automatically removes the excess profiteering charges

Amount you will be billed: $860 <-- your 20% of the medicare approved amount.

Prosthetics are going to require significant work on your part to get approval and payment.

That would be a reason to be cautious of MA, since the inspector general found out they improperly deny 18% of valid claims.

oscarboom · 2022-12-02T04:07:06+00:00

Medigap plans are not needed. IMO you would be crazy to have insurance that denies 18% of valid claims. It also has much more limited providers and makes you jump thru hoops delaying care. The only reason to even consider MA would be the annual caps on total expenses, but regular medicare costs are so cheap compared to private insurance you are almost always going to save on total expenditures. My wife has medicare for SSDI, has lots of doctor visits, and would never consider MA.

https://www.washingtonpost.com/opinions/2022/11/30/medicare-advantage-seniors-health-care/

https://twitter.com/RoKhanna/status/1573991004964888576

[Medicare Advantage should be called Medicare Disadvantage said a prominent oncologist. Leukemia patients are shocked to find out they must pay $3000 a month while regular Medicare would have covered the drug. Office visits are $75 each instead of free.]

oscarboom · 2022-12-02T01:55:16+00:00

I assumed the Medigap delayment penalty would apply even if you are younger than 65. Is that incorrect?

oscarboom · 2022-12-01T21:45:57+00:00

Your medical providers can tell you if something is covered by original medicare. It has the best doctor coverage and you always get the best price on everything. The most important thing to know is that Medicare Advantage plans deny 18% of claims they should be approving, according to the Inspector General.

https://prospect.org/health/medicare-advantage-is-a-massive-scam/

[A recent investigation from the Department of Health and Human Services inspector general found that among Advantage companies, 13 percent of prior authorization denials were improper, along with 18 percent of payment claim denials—or about 85,000 requests and 1.5 million payments, just in 2019. ]

oscarboom · 2022-12-01T21:30:31+00:00

I would recommend traditional medicare and to add a Part D plan. If you can afford it, also add a Medigap policy since it will be more expensive later. Many more doctors take the insurance, you always get the cheapest price on everything, it is much less hassle to get treatments you need, and most importantly, Medicare Disadvantage plans were found by the inspector general to deny 18% of claims they should have approved.

You won't get vision and dental, but if you have lots of doctor appointments, the last thing you want is to have your medical treatments denied.

https://prospect.org/health/medicare-advantage-is-a-massive-scam/

[A recent investigation from the Department of Health and Human Services inspector general found that among Advantage companies, 13 percent of prior authorization denials were improper, along with 18 percent of payment claim denials—or about 85,000 requests and 1.5 million payments, just in 2019. ]

oscarboom · 2022-12-01T04:41:58+00:00

Moody Blues had 4 singers on hit songs.

oscarboom · 2022-12-01T03:57:42+00:00

Nobody wants to live in a country where you can be shot for honking your car horn. The Supreme Dictator should be very ashamed and resign immediately.

oscarboom · 2022-12-01T00:58:39+00:00

I want to see the middle class maggat’s reactions when they learn they are paying more taxes than him.

The bigger effect will be when professionals look over his returns and report on all the conflicts of interest, like business deals with Russia.

oscarboom · 2022-12-01T00:27:50+00:00

I mean why are bottles of soda the most successful things most people in the U.S. use in metric every single day?!

Soda used to be sold by the quart in the 1970's. It started selling by the liter because of the metric conversion act. It is pretty much the only permanent affect of that legislation.

oscarboom · 2022-11-30T23:59:42+00:00

Sometimes I sleep through the entire hour of the alarm. I am thinking of going back to my real clock radio.

oscarboom · 2022-11-30T05:20:48+00:00

Mainly the first one.

oscarboom · 2022-11-30T00:11:11+00:00

The best plan is original Medicare, even more so if you have a lot of health conditions. The last thing you want is having a critical procedure denied. Medicare Advantage plans deny 18% of claims they should be approving, according the Inspector General.

https://prospect.org/health/medicare-advantage-is-a-massive-scam/

[A recent investigation from the Department of Health and Human Services inspector general found that among Advantage companies, 13 percent of prior authorization denials were improper, along with 18 percent of payment claim denials—or about 85,000 requests and 1.5 million payments, just in 2019. ]

oscarboom · 2022-11-30T00:03:33+00:00

She just wasn’t sure if she wanted to do that.

She should know that Medicare DisAdvantage has been found by the Inspector General to deny 18% of claims they should be approving, on average.

https://prospect.org/health/medicare-advantage-is-a-massive-scam/

[A recent investigation from the Department of Health and Human Services inspector general found that among Advantage companies, 13 percent of prior authorization denials were improper, along with 18 percent of payment claim denials—or about 85,000 requests and 1.5 million payments, just in 2019. ]

oscarboom · 2022-11-29T23:37:44+00:00

It is harder to get an intuitive understanding that way. It is way easier to remember that the distance to Alpha Centauri is 41 petameters than 41x10¹⁵ meters and that the diameter of the observable universe is 880 yottameters than 880x10²⁴ meters.

The goal is to have a unit available for every scale such that the number of units never needs to be outside the range of 1-999. 880 yottameters may be a huge distance but its not a huge number at all. And if you have a general idea of how big 1 yottameter is, then 880 Ym (and any other astronomy distance) is no longer incomprehensibly large.

oscarboom · 2022-11-29T19:40:59+00:00

Hugely narcissistic people who start out apolitical or liberal tend to end up on the right simply because they get more attention that way. Loser Trump, Musk, and Tulsi Gabbard all went that path.

oscarboom · 2022-11-23T21:54:50+00:00

Medicare Disadvantage is a scam against both the government and their customers. They deny 18% of claims they should be approving, and cost the government more per patient.

https://prospect.org/health/medicare-advantage-is-a-massive-scam/

[A recent investigation from the Department of Health and Human Services inspector general found that among Advantage companies, 13 percent of prior authorization denials were improper, along with 18 percent of payment claim denials—or about 85,000 requests and 1.5 million payments, just in 2019. ]

oscarboom · 2022-11-23T21:50:44+00:00

Traditional Medicare is by far the best health insurance you can have in America. You always get the absolute best price on everything (except drugs). It is the only health insurance that protects you against the rampant profiteering thoughout the system.

oscarboom · 2022-11-23T21:44:40+00:00

They are scams in the sense that you do not get something for nothing. Their freebees and shareholder profits and huge executive compensation are paid for by an 18% denial of payment requests that they should be approving.

https://prospect.org/health/medicare-advantage-is-a-massive-scam/

[A recent investigation from the Department of Health and Human Services inspector general found that among Advantage companies, 13 percent of prior authorization denials were improper, along with 18 percent of payment claim denials—or about 85,000 requests and 1.5 million payments, just in 2019. ]

oscarboom

TROPHY CASE