Yes (if the fascists are going to stay in charge, I can at least try to negatively polarize them into hating golf)
Maximilianne on
I hate the middle class. I hate the middle the class. I hate the middle class.
scoots-mcgoot on
How is this a question? Of course!
ChipKellysShoeStore on
Me as a golfer: yes
Me as a rational human being: no
CincyAnarchy on
>Medicare Advantage’s supplemental benefits were originally limited to “health related” goods and services, such as dental care. But the [Bipartisan Budget Act of 2018](https://www.congress.gov/115/statute/STATUTE-132/STATUTE-132-Pg64.pdf#page=138) allowed plans to offer any supplemental benefits with a “reasonable expectation of improving or maintaining the health or overall function” of chronically ill enrollees.
>In 2023, Uncle Sam paid Medicare Advantage plans an [average of $14,380](https://www.cms.gov/oact/tr/2024#page=169) per beneficiary, adjusting for individuals’ expected health-care needs. This has led to plans being increasingly extensive in documenting their enrollees’ medical diagnoses, in order to obtain higher payments, including for ill-defined conditions for which claims are hard to challenge.
Medical Coding Delenda Est
dedev54 on
What the fuck
Euphoric-Purple on
> Across the country, Humana promises coverage for “pet food, pet toys, kitty litter and flea shampoo.” Nationally, 172 Medicare plans pay for hairstyling and beauty services, while others reimburse entry fees for social clubs or hunting licenses.
But there are no problems with Medicare and all reforms are inherently bad, right?
9 Comments
No
Yes (if the fascists are going to stay in charge, I can at least try to negatively polarize them into hating golf)
I hate the middle class. I hate the middle the class. I hate the middle class.
How is this a question? Of course!
Me as a golfer: yes
Me as a rational human being: no
>Medicare Advantage’s supplemental benefits were originally limited to “health related” goods and services, such as dental care. But the [Bipartisan Budget Act of 2018](https://www.congress.gov/115/statute/STATUTE-132/STATUTE-132-Pg64.pdf#page=138) allowed plans to offer any supplemental benefits with a “reasonable expectation of improving or maintaining the health or overall function” of chronically ill enrollees.
>These [Special Supplemental Benefits for the Chronically Ill](https://www.cms.gov/medicare/health-plans/healthplansgeninfo/downloads/supplemental_benefits_chronically_ill_hpms_042419.pdf) (SSBCI) would not need to be “primarily health related” or associated with hospitalizations, but could also be used to pay for groceries, utilities, education, sporting, and social activities—because they might yield incidental benefits to health.
I feel like this is not a bad idea in principle… but at the same time paying for rich retirees golfing habits is too far and clearly not the intent.
Really goes to show that bureaucracy is necessary sometimes. You can’t just hand people benefits with no plan of what should qualify or not.
>Assuming that up-front payments to plans would not be changed and that uptake would be limited, the Congressional Budget Office [estimated that](https://www.cbo.gov/system/files/115th-congress-2017-2018/costestimate/divisione.pdf) SSBCI would not increase costs to taxpayers. Yet, as [93 percent](https://www.kff.org/medicare/issue-brief/a-snapshot-of-sources-of-coverage-among-medicare-beneficiaries) of Medicare beneficiaries have one or more chronic conditions, eligibility for SSBCI benefits has grown rapidly. Payments to plans have also gone up.
>In 2023, Uncle Sam paid Medicare Advantage plans an [average of $14,380](https://www.cms.gov/oact/tr/2024#page=169) per beneficiary, adjusting for individuals’ expected health-care needs. This has led to plans being increasingly extensive in documenting their enrollees’ medical diagnoses, in order to obtain higher payments, including for ill-defined conditions for which claims are hard to challenge.
Medical Coding Delenda Est
What the fuck
> Across the country, Humana promises coverage for “pet food, pet toys, kitty litter and flea shampoo.” Nationally, 172 Medicare plans pay for hairstyling and beauty services, while others reimburse entry fees for social clubs or hunting licenses.
But there are no problems with Medicare and all reforms are inherently bad, right?
exercise and activities for the elderly is based