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To: metmom

“Six states — New Jersey, Ohio, Oklahoma, Texas, Arizona, and Washington — will begin using the Wasteful and Inappropriate Service Reduction (WISeR) Model to perform prior authorization evaluations, CMS announced in a Federal Register notice. This will apply to 17 services that CMS says ‘are vulnerable to fraud, waste and abuse.’”

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


3 posted on 10/12/2025 10:11:22 AM PDT by Brian Griffin
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To: Brian Griffin
This story seems framed in part by some of our experiences of late.

My bride -- we're in our 70s, by the way -- has gotten multiple solicitations for "free" visits by someone to assist with "evaluations," "wellness checks" and the like. Some "free" tests have arrived, hoping for a postage prepaid response. Many text messages soliciting in like manner, and the snail mail gets "whole life screening" and the like being marketed, all for "free" as long as they can bill Medicare. I get fewer, because I bark back at some of these, being less pleasant than is she.

Driving by various pharmacies in supermarkets and all, "free" shots of all sorts are proffered. Covid, Covid+flu, shingles and one had seven different "offerings" all for FREE, whe covered by Medicare. Even offered at times for a small "debit card" freebie to entice.

The system needs be constrained. Perhaps not for some, but that is our view. For the "healthcare" -- meaning insurance -- "for all," for which the Democrats were willing to shutdown the government, we're bankrupting this nation in slow motion.

What are we leaving our kids? Debt and more debt. The system much be reigned in.

13 posted on 10/12/2025 10:37:41 AM PDT by Worldtraveler once upon a time (Degrow government)
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