Medicare Will Require Prior Approval for Certain Procedures. A pilot program in six states will use a tactic employed by private insurers that has been heavily criticized for delaying and denying medical care.
https://www.nytimes.com/2025/08/28/health/medicare-prior-approval-health-care.html
Posted by coolbern
4 Comments
[no paywall](https://www.nytimes.com/2025/08/28/health/medicare-prior-approval-health-care.html?unlocked_article_code=1.iE8.fWL2.-qQseQMY0Fuj&smid=url-share)
So…death panels?
Deny, defend, depose. Fuck the US scam called healthcare. Deathcare is far more fitting.
>The A.I. companies selected to oversee the program would have a strong financial incentive to deny claims. Medicare plans to pay them a share of the savings generated from rejections.
The way it needs to work is, they need a penalty of 3 times or 5 times or whatever they get for a denial for any denials reversed on medical necessity so that the denials are high quality. They need a disincentive for lousy denials.
If that is missing, it’s rigged.