New federal rules now prohibit Medicare Advantage plans from using algorithms or software to make medically necessary determinations, requiring individual-specific circumstances instead. This comes as a move to curb insurers' bogus sales tactics, with public figures like Al Sharpton, Al B. Sure!, and Newt Gingrich pressuring the Biden administration to overturn Medicare cutbacks. Salim, a policyholder, expressed concerns over insurers denying claims on a bogus basis, highlighting the potential billions made by insurers through this practice.
“I would like to see other people that are not in the same situation not get run over by these people," said Salim about fighting his insurance provider. "There’s no telling how many billions the insurers made by denying claims on a bogus basis.” https://t.co/EKRKvnhQWm
Al Sharpton, Al B. Sure! team up with Newt Gingrich to pressure Biden admin to overturn Medicare cutbacks https://t.co/yHgScgy1OH
Uncle Sam wants you … to help stop insurers’ bogus Medicare Advantage sales tactics https://t.co/KrKzO5sOEL
Uncle Sam wants you … to help stop insurers’ bogus Medicare Advantage sales tactics https://t.co/ukDLIRTaTM https://t.co/zy9dhDwROu
"New federal rules prohibit Medicare Advantage plans from relying on an algorithm or software to make medically necessary determinations instead of an individual's specific circumstances." https://t.co/J2nsemIilp