The Marvelous Ms. Medicaid
@msmedicaid.bsky.social
Medicaid advocate.
Nemesis to most insurers.
SME on getting approvals.
An absolute delight.
Nemesis to most insurers.
SME on getting approvals.
An absolute delight.
Pinned
Hi there guys and dolls!
Please allow me to introduce myself- The Marvelous Ms. Medicaid.
Here with the goal of helping you understand how the fuck Medicaid works, what cuts mean, how to understand insurance talk & to kick some MAHA ass.
We’ve got work to do buttercups, shall we get started?
Please allow me to introduce myself- The Marvelous Ms. Medicaid.
Here with the goal of helping you understand how the fuck Medicaid works, what cuts mean, how to understand insurance talk & to kick some MAHA ass.
We’ve got work to do buttercups, shall we get started?
Fuck pretty much everything. 💯
November 22, 2025 at 5:06 PM
Fuck pretty much everything. 💯
Reposted by The Marvelous Ms. Medicaid
(1/9) The CG and Hate Symbols: What We Know So Far (a thread).
Yesterday, WaPo reported that the CG has removed swastikas, confederate flags, and nooses from a list of "hate symbols". This is both technically correct, and an oversimplification.
Yesterday, WaPo reported that the CG has removed swastikas, confederate flags, and nooses from a list of "hate symbols". This is both technically correct, and an oversimplification.
November 21, 2025 at 5:40 PM
(1/9) The CG and Hate Symbols: What We Know So Far (a thread).
Yesterday, WaPo reported that the CG has removed swastikas, confederate flags, and nooses from a list of "hate symbols". This is both technically correct, and an oversimplification.
Yesterday, WaPo reported that the CG has removed swastikas, confederate flags, and nooses from a list of "hate symbols". This is both technically correct, and an oversimplification.
Reposted by The Marvelous Ms. Medicaid
We’ve updated our ACA Marketplace FAQs to provide information about the latest policy changes, including changes to who is eligible to purchase marketplace plans or get financial assistance.
Learn more: https://on.kff.org/4fzAviF
Learn more: https://on.kff.org/4fzAviF
November 21, 2025 at 6:08 PM
We’ve updated our ACA Marketplace FAQs to provide information about the latest policy changes, including changes to who is eligible to purchase marketplace plans or get financial assistance.
Learn more: https://on.kff.org/4fzAviF
Learn more: https://on.kff.org/4fzAviF
Sequins are forever ❤️
November 21, 2025 at 3:41 PM
Sequins are forever ❤️
Reposted by The Marvelous Ms. Medicaid
The toad could not think of a story.
November 21, 2025 at 2:37 PM
The toad could not think of a story.
Reposted by The Marvelous Ms. Medicaid
Good morning ppl! It’s Federal Fuckery Friday… let me tell you, the ladies are fighting and the rumors over who is actually making the deals and running the @hhsofficial.bsky.social slap!. Has Malarkey secured deals outside of Lowly’s human car? Is Malarkey controlling vaccine messaging?
a woman wearing a purple hoodie and hoop earrings is saying hold my earrings .
Alt: a woman wearing a purple hoodie and hoop earrings is saying hold my earrings .
media.tenor.com
November 21, 2025 at 1:28 PM
Good morning ppl! It’s Federal Fuckery Friday… let me tell you, the ladies are fighting and the rumors over who is actually making the deals and running the @hhsofficial.bsky.social slap!. Has Malarkey secured deals outside of Lowly’s human car? Is Malarkey controlling vaccine messaging?
Reposted by The Marvelous Ms. Medicaid
This is your brain on drugs. Any questions?
November 21, 2025 at 1:26 PM
This is your brain on drugs. Any questions?
If anything happens to a sitting member of congress, it’ll be truly horrific but so fucking help me god if ANYTHING happens to Rep. Crockett I will burn this motherfucker down.
This needs to stop. Now.
This needs to stop. Now.
Statement from Rep. Crockett on Threat at D.C. Office
November 21, 2025 at 1:35 PM
If anything happens to a sitting member of congress, it’ll be truly horrific but so fucking help me god if ANYTHING happens to Rep. Crockett I will burn this motherfucker down.
This needs to stop. Now.
This needs to stop. Now.
🚨🚨 Washington Residents, take note.
The rest of us, brace.🚨🚨
This is one of the biggest fears I had with impending cuts/losing access. Providers don’t have to accept Medicaid/medicare. The payments are abysmal at best.
Insurance doesn’t matter if no one accepts it.
This is devastating.
The rest of us, brace.🚨🚨
This is one of the biggest fears I had with impending cuts/losing access. Providers don’t have to accept Medicaid/medicare. The payments are abysmal at best.
Insurance doesn’t matter if no one accepts it.
This is devastating.
MultiCare will no longer contract with United Health Care and Aetna Medicare Advantage PPO individual plans beginning January 1, 2026.
Tacoma General Hospital
Good Samaritan Hospital
Capital Medical Center
Valley Hospital (Spokane)
Mary Bridge Childrens Hospital
Gig Harbor Medical Park
Tacoma General Hospital
Good Samaritan Hospital
Capital Medical Center
Valley Hospital (Spokane)
Mary Bridge Childrens Hospital
Gig Harbor Medical Park
November 21, 2025 at 1:30 PM
🚨🚨 Washington Residents, take note.
The rest of us, brace.🚨🚨
This is one of the biggest fears I had with impending cuts/losing access. Providers don’t have to accept Medicaid/medicare. The payments are abysmal at best.
Insurance doesn’t matter if no one accepts it.
This is devastating.
The rest of us, brace.🚨🚨
This is one of the biggest fears I had with impending cuts/losing access. Providers don’t have to accept Medicaid/medicare. The payments are abysmal at best.
Insurance doesn’t matter if no one accepts it.
This is devastating.
Isn’t the whole…confederate flag thing seditious treason? Asking for MAGA supporters confused about who trump wants them to kill…
Exclusive: The U.S. Coast Guard will no longer classify the swastika, nooses and the Confederate flag as hate symbols.
The military service drafted a new policy that classifies them as “potentially divisive.”
The military service drafted a new policy that classifies them as “potentially divisive.”
U.S. Coast Guard will no longer classify swastikas, nooses as hate symbols
The military service, which falls under the Department of Homeland Security, has drafted a new policy that classifies such items “potentially divisive.”
www.washingtonpost.com
November 20, 2025 at 9:31 PM
Isn’t the whole…confederate flag thing seditious treason? Asking for MAGA supporters confused about who trump wants them to kill…
An unparalleled record of losing…. I mean…
Leavitt: Why aren't you talking about what these members of congress are doing to encourage violence…. They're literally saying to 1.3 million active duty service members not to follow lawful orders
Reporter: Actually they said illegal orders.
Reporter: Actually they said illegal orders.
November 20, 2025 at 8:19 PM
An unparalleled record of losing…. I mean…
Hello!
Today’s treat from the narcissist is that because I won’t give in to his lies, I’m a manipulative bitch.
Like, I fucking can’t.
Not this week.
Today’s treat from the narcissist is that because I won’t give in to his lies, I’m a manipulative bitch.
Like, I fucking can’t.
Not this week.
November 20, 2025 at 7:18 PM
Hello!
Today’s treat from the narcissist is that because I won’t give in to his lies, I’m a manipulative bitch.
Like, I fucking can’t.
Not this week.
Today’s treat from the narcissist is that because I won’t give in to his lies, I’m a manipulative bitch.
Like, I fucking can’t.
Not this week.
There are currently over 26 THOUSAND Louisianians on a waitlist for HCBS waivers. 14.5 thousand of whom are children with intellectual needs. If we look at the top 10 states with the highest waitlist for these services, take a guess what party they supported.
www.kff.org/medicaid/sta...
www.kff.org/medicaid/sta...
Number of People Waiting for Medicaid Home Care (HCBS), by Target Population and Whether States Screen for Eligibility | KFF State Health Facts
State level data on Number of People Waiting for Medicaid Home Care (HCBS), by Target Population and Whether States Screen for Eligibility from KFF, the leading health policy organization in the U.S.
www.kff.org
November 20, 2025 at 4:15 PM
There are currently over 26 THOUSAND Louisianians on a waitlist for HCBS waivers. 14.5 thousand of whom are children with intellectual needs. If we look at the top 10 states with the highest waitlist for these services, take a guess what party they supported.
www.kff.org/medicaid/sta...
www.kff.org/medicaid/sta...
This was the wheelhouse I started in when first getting into healthcare ops... PA's... I am currently undefeated in getting the kids we see services they desperately need.
Also, AI has, IMO/E, created more hassle, panic and stress than most people want to admit.
www.kff.org/from-drew-al...
Also, AI has, IMO/E, created more hassle, panic and stress than most people want to admit.
www.kff.org/from-drew-al...
Why We Are Stuck with Prior Authorization Review
Prior authorization review frustrates patients and physicians, but we likely can’t just eliminate it. In his new column, President and CEO Dr. Drew Altman discusses why, and why the focus is now inste...
www.kff.org
November 20, 2025 at 3:55 PM
This was the wheelhouse I started in when first getting into healthcare ops... PA's... I am currently undefeated in getting the kids we see services they desperately need.
Also, AI has, IMO/E, created more hassle, panic and stress than most people want to admit.
www.kff.org/from-drew-al...
Also, AI has, IMO/E, created more hassle, panic and stress than most people want to admit.
www.kff.org/from-drew-al...
There is literally NOTHING wrong with removing people who support your abuser from your life.
Fuck them. You deserve better.
Fuck them. You deserve better.
November 20, 2025 at 2:31 PM
There is literally NOTHING wrong with removing people who support your abuser from your life.
Fuck them. You deserve better.
Fuck them. You deserve better.
Vaccines don’t cause Autism.
Tylenol doesn’t cause Autism.
RFKj, however, will cause people to die.
Get vaccinated. Ask questions if you’re unsure of the benefit, but ask your fucking PCP.
Counting down the minutes til VFC/VFA programs are completely shut down. 💔
Tylenol doesn’t cause Autism.
RFKj, however, will cause people to die.
Get vaccinated. Ask questions if you’re unsure of the benefit, but ask your fucking PCP.
Counting down the minutes til VFC/VFA programs are completely shut down. 💔
🧪
A an angry reminder that
1. There is no causal link between vaccines & autism
2. Autism has a strong genetic component, involving ~500 genes
3. Tylenol is not linked to autism
4. RFQuack failed to get a journal to retract a large Danish study that showed no link btwn aluminum & autism
A an angry reminder that
1. There is no causal link between vaccines & autism
2. Autism has a strong genetic component, involving ~500 genes
3. Tylenol is not linked to autism
4. RFQuack failed to get a journal to retract a large Danish study that showed no link btwn aluminum & autism
November 20, 2025 at 1:05 PM
Vaccines don’t cause Autism.
Tylenol doesn’t cause Autism.
RFKj, however, will cause people to die.
Get vaccinated. Ask questions if you’re unsure of the benefit, but ask your fucking PCP.
Counting down the minutes til VFC/VFA programs are completely shut down. 💔
Tylenol doesn’t cause Autism.
RFKj, however, will cause people to die.
Get vaccinated. Ask questions if you’re unsure of the benefit, but ask your fucking PCP.
Counting down the minutes til VFC/VFA programs are completely shut down. 💔
“First, make the case for the state funding to replace any shortfalls. Then cut payments to providers. Then selectively reduce benefits if you can. Then cut people from the program. With large cuts in federal spending, the latter will be unavoidable.”
www.kff.org/from-drew-al...
www.kff.org/from-drew-al...
Why Most States Will Not Replace Federal Medicaid Cuts
In his latest Beyond the Data column, KFF’s President and CEO Drew Altman discusses how difficult it will be for states to replace lost federal Medicaid funding should Congress make significant cuts.
www.kff.org
November 20, 2025 at 2:35 AM
“First, make the case for the state funding to replace any shortfalls. Then cut payments to providers. Then selectively reduce benefits if you can. Then cut people from the program. With large cuts in federal spending, the latter will be unavoidable.”
www.kff.org/from-drew-al...
www.kff.org/from-drew-al...
This motherfucker…😡
November 20, 2025 at 1:26 AM
This motherfucker…😡
Day 1 of bereavement leave:
Kids got to school on time. ✔️
Came up with a new thread. ✔️
Took a quick nap(6.5 hours… fuck)✔️
Woke up to the best group of people telling jokes/sending pet photos❤️✔️
Stardew time now?
I cant *work* so what the fuck do I do?!
Stay tuned I guess? Help?
. . . - - - . . .
Kids got to school on time. ✔️
Came up with a new thread. ✔️
Took a quick nap(6.5 hours… fuck)✔️
Woke up to the best group of people telling jokes/sending pet photos❤️✔️
Stardew time now?
I cant *work* so what the fuck do I do?!
Stay tuned I guess? Help?
. . . - - - . . .
November 19, 2025 at 9:37 PM
Day 1 of bereavement leave:
Kids got to school on time. ✔️
Came up with a new thread. ✔️
Took a quick nap(6.5 hours… fuck)✔️
Woke up to the best group of people telling jokes/sending pet photos❤️✔️
Stardew time now?
I cant *work* so what the fuck do I do?!
Stay tuned I guess? Help?
. . . - - - . . .
Kids got to school on time. ✔️
Came up with a new thread. ✔️
Took a quick nap(6.5 hours… fuck)✔️
Woke up to the best group of people telling jokes/sending pet photos❤️✔️
Stardew time now?
I cant *work* so what the fuck do I do?!
Stay tuned I guess? Help?
. . . - - - . . .
Reposted by The Marvelous Ms. Medicaid
Now if you’ve made it with me this far, sweet cheeks, then good on you for caring! 🤟🏻
If you haven’t caught on, private policies make payers a fuck ton more net profit.
So encouraging anyone to leave marketplace, or ending ACA expansion, or the premium subsidies is literally saying go make those
If you haven’t caught on, private policies make payers a fuck ton more net profit.
So encouraging anyone to leave marketplace, or ending ACA expansion, or the premium subsidies is literally saying go make those
a cartoon of donald duck sitting in front of stacks of gold coins
Alt: a cartoon of Scrooge mcduck sitting in front of stacks of gold coins
media.tenor.com
November 9, 2025 at 8:00 PM
Now if you’ve made it with me this far, sweet cheeks, then good on you for caring! 🤟🏻
If you haven’t caught on, private policies make payers a fuck ton more net profit.
So encouraging anyone to leave marketplace, or ending ACA expansion, or the premium subsidies is literally saying go make those
If you haven’t caught on, private policies make payers a fuck ton more net profit.
So encouraging anyone to leave marketplace, or ending ACA expansion, or the premium subsidies is literally saying go make those
Reposted by The Marvelous Ms. Medicaid
be nonexistent. Which, since Medicare and commercial policies don’t support, that means it’s YOU left paying for these services.
One “act of god” is all it takes. In the blink of an eye you could go from healthy to needing 24 hour care.
A BLINK OF AN EYE. I’ve seen it.
It’s an undeniable fact
One “act of god” is all it takes. In the blink of an eye you could go from healthy to needing 24 hour care.
A BLINK OF AN EYE. I’ve seen it.
It’s an undeniable fact
a white truck is driving down a snowy road next to a car
Alt: a white truck is driving down a snowy road next to a car
media.tenor.com
November 9, 2025 at 8:00 PM
be nonexistent. Which, since Medicare and commercial policies don’t support, that means it’s YOU left paying for these services.
One “act of god” is all it takes. In the blink of an eye you could go from healthy to needing 24 hour care.
A BLINK OF AN EYE. I’ve seen it.
It’s an undeniable fact
One “act of god” is all it takes. In the blink of an eye you could go from healthy to needing 24 hour care.
A BLINK OF AN EYE. I’ve seen it.
It’s an undeniable fact
Reposted by The Marvelous Ms. Medicaid
So while MCD/ACA are predictable, they aren’t profitable.
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
a woman in a sequined dress is standing in front of a door and says but hey
Alt: a woman in a sequined dress is standing in front of a door and says but hey
media.tenor.com
November 9, 2025 at 8:00 PM
So while MCD/ACA are predictable, they aren’t profitable.
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
Coverage/payment amounts are heavily regulated and while MCOs can wiggle a little here, they can’t wiggle into sustainable profit.
LTSS services are a huge chunk of payer costs as MCOs. Medicare, Medigap, and commercial policies don’t cover
Reposted by The Marvelous Ms. Medicaid
Almost every major player in the insurance game also act as an MCO for Medicaid and a marketplace payer.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
a man in a suit and tie says you gotta pump those numbers up
Alt: a man in a suit and tie says you gotta pump those numbers up
media.tenor.com
November 9, 2025 at 8:00 PM
Almost every major player in the insurance game also act as an MCO for Medicaid and a marketplace payer.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
Why’s that matter? Because Medicaid/ACA are CHEAP CHEAP CHEAP.
While Medicaid/ACA margins for payers are steady and reliable, without financial risk, the net profit is slim to none.
Reposted by The Marvelous Ms. Medicaid
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Trump Renews Attacks on Obamacare in New Push Over Government Shutdown
www.nytimes.com
November 9, 2025 at 8:00 PM
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
People often think I’m being overreactive. Dramatic. Alarmist.
I get the importance of SNAP. But I don’t think some of you understand how bad the healthcare crisis is.
Funneling even more profit to major payers should be a crime against humanity.
“For profit healthcare” should NEVER exist.
I get the importance of SNAP. But I don’t think some of you understand how bad the healthcare crisis is.
Funneling even more profit to major payers should be a crime against humanity.
“For profit healthcare” should NEVER exist.
Heya dollfaces..
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Let’s talk about Trump and his “money sucking, big bad insurance companies” plan of sending citizens the funds used for the ACA.
Oh, baby cakes, let’s talk about this.
And let’s talk about what this would mean for those money suckers…
www.nytimes.com/2025/11/09/u...
Trump Renews Attacks on Obamacare in New Push Over Government Shutdown
www.nytimes.com
November 19, 2025 at 1:29 PM
People often think I’m being overreactive. Dramatic. Alarmist.
I get the importance of SNAP. But I don’t think some of you understand how bad the healthcare crisis is.
Funneling even more profit to major payers should be a crime against humanity.
“For profit healthcare” should NEVER exist.
I get the importance of SNAP. But I don’t think some of you understand how bad the healthcare crisis is.
Funneling even more profit to major payers should be a crime against humanity.
“For profit healthcare” should NEVER exist.