🔥The 9th Round of Easy Loan, Earn $40 Reward is in progress❗️ ⏰ Promotion Period: January 15th - Feburary 15th, 2025 👉 Register now and check more details at gate.io/campaigns/358

Thank you to International Conference on Residency Education for enlisting Jordan M. Warchol, MD, MPH, FACEP and I to guide this fascinating conversation - and especially thank you to the residents (and everyone!)who brought their crucial perspectives.

🚨 #FixPriorAuth survey 1K physicians: ❗️24% report that PA has led to a serious adverse event for a patient in their care (e.g., hospitalization, permanent impairment, death) ❗️95% report that PA somewhat or significantly increases physician burnout 👉 tinyurl.com/4yuh7ze7

Prior auth may not seem like it impacts the life of Emergency Physicians… 🚨BUT 🚨 Prior auth hurdles exacerbate ED crowding! - limiting bed openings that impede inpatient transfers to other facilities - patients present to the ED for studies not readily obtained as outpatients

🌠 Bipartisan bill intro’d to avert pending Medicare cuts & provide ⬆️ (1/2 MEI) as rec by MedPAC 👏TY ⁦Dr. Greg Murphy⁩ ⁦Rep. Jimmy Panetta⁩ ⁦Rep. Mariannette Miller-Meeks, M.D.⁩ ⁦Ami Bera, M.D.⁩ ⁦Larry Bucshon, MD⁩ ⁦Rep. Kim Schrier, M.D.⁩ ⁦John Joyce, M.D.⁩ ⁦⁦Congressman Raul Ruiz, M.D.⁩

2nd in series “documenting how the increasing reliance on ill-trained nurse practitioners is imperiling US patients.” “…NP instruction isn’t standardized, & the clinical hours…already a fraction of those completed by physicians—are largely unregulated.” bloomberg.com/news/features/…

🚨1/2 “A careful balance was reached with passage of the #NSA, and successful implementation of the law requires all parties to abide by the requirements of the statute. Unfortunately, many health plans are failing to do so.” #Congress must pass HR9572

🧵AMA strongly urges “⁦MedPAC⁩ to recommend that #Congress update physician payment on an annual basis by the full increase in inflation as measured by the…MEI to ensure predictability & stability for physician payment and to maintain or improve access to care.”

Author describes 2 caps that patients face in Medicare Advantage (MA). But wait, there’s more. This 🧵 includes messages from the author (🚩) on how the “caps” are not all-encompassing limits. And related points (🤔) to ponder & prompt pause. tinyurl.com/3vhyup4v Read ⤵️

Prior authorization has become consistently abused as a way for insurers to delay or deny necessary care for patients, as determined by their physicians. Reigning in this harmful ploy must be a priority for protecting the health of our state.

Insurers get a boost for the Medicare plans they administer— but still have onerous prior auth so patients don’t get the care they need. Oh and insurers continue to post record profits year over year. And physicians, who are actually taking care is patients, take another cut.

Prior Authorizations shouldn’t delay care. The NMA is championing LB77 to improve transparency and accountability, ensuring faster decisions for patients and reducing administrative burdens for physicians. #NMAAdvocacy

This year, docs are taking a 2.8% pay cut from Medicare while our expenses to practice are expected to go up 3.6%. ✖️➗The math is not mathing!➗✖️ Thank you to this bipartisan group of Members of Congress for seeing the need to fix this broken part of the system.

Help make our math actually work!

Fangirling this morning at #AMANAC over Jake Sherman & Anna Palmer from Punchbowl News!

🚨Not only does #priorauth adversely impact patient care & ⬆️ ⬆️ physician frustration & burnout, it also ⬆️⬆️ costs to the entire health care system. 👉 AMA new survey results: tinyurl.com/mt2h7ded Likely of interest to @iccronline per report ⤵️ tinyurl.com/pb3tfuvs

⚠️Must-read case for caution, revision. Thoughtful, insightful reality check by Matt! Advises a structured approach that pairs clearly defined problems w/specific, evidence-backed solutions. Assistant Secretary for Technology Policy should not be folded into CMSGov. Read why not below ⤵️

Jordan M. Warchol, MD, MPH, FACEP, Immediate Past Chair of the AMA Young Physicians Section, shares three tips for crafting a standout curriculum vitae (CV). Explore strategies for showcasing your achievements with #OurAMA. spr.ly/6011FTjVf

🔥 “…much of what determines which insurers are successful in #MedicareAdvantage is not whether the insurer is providing high quality care and doing so efficiently, but simply how aggressive it is in coding.” “…$50 billion in MA #overpayments in 2024.” search.app/UZKpPAyNjQYyTz…

Great report, T. Christian Miller⁩ “…a fundamental truth: The two sides are not evenly matched…Insurers produce their own guidelines to determine whether to pay claims. When a doctor appeals a denial, insurers make all the initial decisions.” #FixPriorAuth propublica.org/article/blue-c…

Today Dr. Roger Marshall introduced S. 1640 the ‘‘Medicare Patient Access and Practice Stabilization Act of 2025’’ which would increase Medicare physician reimbursement by 8.51% starting June 1. The increase reflects a prorated reversal of the 2.83% Medicare cut physician practices