HHS Office of Inspector General’s Post

Prior authorization requirements often times delay care to the detriment of patient care in both Medicare advantage and other plans. Moreover, even with prior authorization both Medicare advantage and other private pair of plans frequently still seek to reconsider, approvals and challenge coverage relied on both providers and patients after the delivery of care. What’s your experience and how you can improve this problem.

Unhappy patients and unhappy providers. Healthcare is not one size fits all and #utilizationmanagement tools need to catch up with the times. Special thanks to HHS Office of Inspector General for calling this out. #managedcare #priorauthorization #Medicare #MedicareAdvantage

📣 🚨 #MedicareOpenEnrollment runs 10/15 – 12/7! 🚨 Each year, #Medicare plans change—and so do people's health needs. Yet only about 10% of enrollees take the opportunity to switch plans. This means many end up overspending for coverage they don't need or use. Now is a great time to revisit Medicare coverage options. NCOA offers trusted tools to help #OlderAdults understand all their choices and choose a plan that best fits their lives and budget. For more Medicare information and resources, visit www.ncoa.org/Medicare

#VBC aims to reduce unnecessary utilization and costs while providing the right quality care. #MA enrollees got less intensive post-acute care than those in traditional #Medicare but didn't have a big delta in short-term outcomes, per JAMA Health Forum https://bit.ly/3TaBQVo

It's #WellderlyDay and today we highlight the health needs of older adults. As Medicare members face loneliness and social isolation, healthcare leaders are taking action by employing Pyx Health to intervene with guided human companionship - improving health outcomes and lowering wasted spending. Let's continue to get seniors the access to care and support they deserve. #BecauseNoOneGetsBetterAlone

Dietitians play an integral role in Primary Care and help improve the health and wellbeing of Ontarians. The problem: Many dietitians are leaving primary care due to the lack of appropriate compensation. Ontario Health | Santé Ontario Let's work to fix the problem. Like and share our infographic to get the word out. #equalpay4equalwork #registereddietitians #primarycare #ontariohealth

This is why preventative health and human-focused Healthcare is essenti for the black and latino community. So many socioeconomic disparities hold us back from obtaining the proper health care that we deserve. I know many healthcare professionals that are here to impact these numbers and I tell you I'm here right alongside you to do the same. #preventativehealth #patientcare #primarycare

With aging parents and in-laws, healthcare expenses can quickly overwhelm. Women need to consider the potential burden of medical costs not only for their parents but also for themselves in the later stages of life. #HealthcareCosts #MedicalExpenses #AgingParents #ElderlyCare #CaregiverLife #SeniorHealth #AgingWell #LongTermCare #FamilyCaregiver #ElderCare #MedicalBills #keepyourlife #garthhassel

With aging parents and in-laws, healthcare expenses can quickly overwhelm. Women need to consider the potential burden of medical costs not only for their parents but also for themselves in the later stages of life. #HealthcareCosts #MedicalExpenses #AgingParents #ElderlyCare #CaregiverLife #SeniorHealth #AgingWell #LongTermCare #FamilyCaregiver #ElderCare #MedicalBills #keepyourlife #garthhassel

Dietitians deserve better (fair!) compensation. Check out this infographic Shannon shared below by the Primary Care Dietitians' Association to see the impact dietitians can make (we know it!). We need to demand better access and better pay. #registereddietitians