Elissa Ann
@the-toochalooch.bsky.social
In-house health law ⚖️
Medical billing compliance
Dog mom 🐾
Medical billing compliance
Dog mom 🐾
Currently for sale on Indiana’s FSSA employee apparel website. FSSA is the agency who oversees Indiana #Medicaid. Gross doesn’t even begin to describe this.
March 5, 2025 at 1:03 PM
Currently for sale on Indiana’s FSSA employee apparel website. FSSA is the agency who oversees Indiana #Medicaid. Gross doesn’t even begin to describe this.
Its unheard of for the ABA to publish these type of statements, let alone three within a month. While a call to action is a start, it’s time to start holding those who engage in these actions accountable.
The ABA rejects efforts to undermine the courts and the legal profession. Read full message: www.americanbar.org/news/abanews...
March 4, 2025 at 2:45 AM
Its unheard of for the ABA to publish these type of statements, let alone three within a month. While a call to action is a start, it’s time to start holding those who engage in these actions accountable.
Reposted by Elissa Ann
Terrific piece by @wdownard.bsky.social for @indianacapitalchronicle.com on effects proposed federal cuts would have on Indiana
They are huge- 44% of Indiana's budget is federal dollars (the 3rd most in the US)
In Indiana we undertax and underspend
indianacapitalchronicle.com/2025/02/28/w...
They are huge- 44% of Indiana's budget is federal dollars (the 3rd most in the US)
In Indiana we undertax and underspend
indianacapitalchronicle.com/2025/02/28/w...
Where do federal funding cuts leave Indiana? • Indiana Capital Chronicle
Federal funding cuts coming from Washington could threaten Indiana's finances, especially for Medicaid and education.
indianacapitalchronicle.com
March 2, 2025 at 12:37 PM
Terrific piece by @wdownard.bsky.social for @indianacapitalchronicle.com on effects proposed federal cuts would have on Indiana
They are huge- 44% of Indiana's budget is federal dollars (the 3rd most in the US)
In Indiana we undertax and underspend
indianacapitalchronicle.com/2025/02/28/w...
They are huge- 44% of Indiana's budget is federal dollars (the 3rd most in the US)
In Indiana we undertax and underspend
indianacapitalchronicle.com/2025/02/28/w...
Reposted by Elissa Ann
RFK Jr.'s "radical transparency" means ending a 54-year-old transparency policy.
At Law Dork, I explain what happened today — and the history Trump’s HHS secretary stomped on to do it. www.lawdork.com/p/rfk-jr-rad...
At Law Dork, I explain what happened today — and the history Trump’s HHS secretary stomped on to do it. www.lawdork.com/p/rfk-jr-rad...
RFK Jr.'s "radical transparency" means ending a 54-year-old transparency policy
The Nixon-era policy gave the public the ability to comment on HHS decisions relating to “public property, loans, grants, benefits, or contracts.“ RFK Jr. ended that on Friday.
www.lawdork.com
March 1, 2025 at 4:44 AM
RFK Jr.'s "radical transparency" means ending a 54-year-old transparency policy.
At Law Dork, I explain what happened today — and the history Trump’s HHS secretary stomped on to do it. www.lawdork.com/p/rfk-jr-rad...
At Law Dork, I explain what happened today — and the history Trump’s HHS secretary stomped on to do it. www.lawdork.com/p/rfk-jr-rad...
HHS publishes at least 8000+ pages of Medicare payment rules every year. As much as reading and summarizing those is torture, this is hugely upsetting
Breaking: RFK Jr. moves to quietly eliminate public comment from HHS's decision making: www.statnews.com/2025/02/28/r...
RFK Jr. moves to eliminate public comment in HHS decisions
HHS Secretary Robert F. Kennedy Jr. moved to rescind the longtime practice of giving the public a chance to comment on the health agency’s plans.
www.statnews.com
March 1, 2025 at 5:17 PM
HHS publishes at least 8000+ pages of Medicare payment rules every year. As much as reading and summarizing those is torture, this is hugely upsetting
First Dolly Parton's Imagination Library. Now this.
Why can’t we have anything nice? 😭😭😭
Why can’t we have anything nice? 😭😭😭
State's proposed budget could cost Indiana Historical Society its building
State's proposed budget could cost Indiana Historical Society its building • Indiana Capital Chronicle
Provisions in the state’s draft budget could leave the Indiana Historical Society (IHS) in a bind, possibly without a building.
buff.ly
February 27, 2025 at 7:41 AM
First Dolly Parton's Imagination Library. Now this.
Why can’t we have anything nice? 😭😭😭
Why can’t we have anything nice? 😭😭😭
Such an awesome resource from the GOATs at ProPublica!
If you’re dealing with an #insurance denial, this helps with navigating the process and getting the documentation for your appeal.
If you’re dealing with an #insurance denial, this helps with navigating the process and getting the documentation for your appeal.
When an insurance company is deciding whether to pay for your medical treatment, it generates a file, which should contain all records associated with your case, including documents explaining why the claim was denied.
You have a right to see this file.
You have a right to see this file.
Health Insurance Claim Denied? See What Insurers Said Behind the Scenes
Learn how to request your health insurance claim file, which can include details about what your insurer is saying about you and your case.
propub.li
February 27, 2025 at 5:53 AM
Such an awesome resource from the GOATs at ProPublica!
If you’re dealing with an #insurance denial, this helps with navigating the process and getting the documentation for your appeal.
If you’re dealing with an #insurance denial, this helps with navigating the process and getting the documentation for your appeal.
Reposted by Elissa Ann
All the news is terrible today.
February 26, 2025 at 6:27 AM
All the news is terrible today.
If it was about finding fraud, they wouldn’t cut workers from the departments in charge of detecting and clawing back fraudulent payments 🤷♀️
A reminder that what they're calling "fraud, waste, & abuse" is mostly not that at all.
"most of the improper payments are made for eligible health services for people who were eligible for Medicaid; the issue is that proper documentation for the payments is missing." www.cbpp.org/blog/underst...
"most of the improper payments are made for eligible health services for people who were eligible for Medicaid; the issue is that proper documentation for the payments is missing." www.cbpp.org/blog/underst...
February 26, 2025 at 2:54 AM
If it was about finding fraud, they wouldn’t cut workers from the departments in charge of detecting and clawing back fraudulent payments 🤷♀️
Who’s gonna tell him these HHS desk audits are going to be harder to accomplish with a reduced workforce?
NEW: Trump used an executive order on Tuesday to direct three federal agencies to enforce the health care price transparency regulations he rolled out during his first term.
Trump revisits health price transparency in new exec order
The new executive order could signal more enforcement against noncompliant hospitals and insurers going forward.
www.axios.com
February 25, 2025 at 10:47 PM
Who’s gonna tell him these HHS desk audits are going to be harder to accomplish with a reduced workforce?
Reposted by Elissa Ann
Medicaid work requirements don’t save money—they just strip coverage from eligible people. In Arkansas, 18,000+ lost Medicaid, many due to paperwork issues. "They’re designed to trip people up and then blame them for falling," says David Machledt. www.usatoday.com/story/money/...
Get a job or lose Medicaid? Arkansas and Georgia show it's not that simple.
Arkansas and Georgia both imposed job requirements for Medicaid recipients. Advocates said the programs added red tape and administrative costs.
www.usatoday.com
February 24, 2025 at 9:08 PM
Medicaid work requirements don’t save money—they just strip coverage from eligible people. In Arkansas, 18,000+ lost Medicaid, many due to paperwork issues. "They’re designed to trip people up and then blame them for falling," says David Machledt. www.usatoday.com/story/money/...
Reposted by Elissa Ann
After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for rejecting claims.
(Published Feb. 2023)
(Published Feb. 2023)
UnitedHealthcare tried to deny coverage to a chronically ill patient. He fought back, exposing the insurer’s inner workings.
After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for…
propub.li
February 22, 2025 at 4:01 PM
After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for rejecting claims.
(Published Feb. 2023)
(Published Feb. 2023)
After Cigna’s $172M False Claims Act settlement related to these risk adjustment payments, figured similar headlines for the other major insurers was only a matter of time
Exclusive: The Justice Department is probing billing practices at UnitedHealth Group that triggered extra payments to its Medicare Advantage plans
Exclusive | DOJ Investigates Medicare Billing Practices at UnitedHealth
The Justice Department is probing diagnoses and practices that triggered extra payments to UnitedHealth’s Medicare Advantage plans, people familiar with the matter say.
www.wsj.com
February 21, 2025 at 11:04 PM
After Cigna’s $172M False Claims Act settlement related to these risk adjustment payments, figured similar headlines for the other major insurers was only a matter of time
Reposted by Elissa Ann
For House GOP members concerned about draconian #Medicaid cuts reminder that if budget resolution has instruction of at least $880b in cuts, that number is locked in. Budget reconciliation must include that cuts level moving forward. The number can’t be later revisited without losing bill privilege.
February 21, 2025 at 5:14 PM
For House GOP members concerned about draconian #Medicaid cuts reminder that if budget resolution has instruction of at least $880b in cuts, that number is locked in. Budget reconciliation must include that cuts level moving forward. The number can’t be later revisited without losing bill privilege.
Feds have been kicking the can on this for years. Temporary Medicare telehealth flexibilities sunset on 3/31. Hoping we see at least a 2-year extension, but am betting we won’t get an answer until the 11th hour.
Lawmakers say they are confident Congress will extend expanded telehealth authorities past a looming deadline next month — but they have no idea how and could not rule out a lapse.
Congress 'stumbling through the dark' on telehealth extension
www.modernhealthcare.com
February 21, 2025 at 4:21 AM
Feds have been kicking the can on this for years. Temporary Medicare telehealth flexibilities sunset on 3/31. Hoping we see at least a 2-year extension, but am betting we won’t get an answer until the 11th hour.
Still seems wild how Medicaid are entitlements but tax cuts for billionaires aren’t. We need to flip that narrative.
Senate Republicans divided on Medicaid cuts in budget plan rollcall.com/2025/02/20/s...
Senate Republicans divided on Medicaid cuts in budget plan - Roll Call
Trump's endorsement of House budget proposal has magnified a divide among Republicans on overhauling Medicaid.
rollcall.com
February 20, 2025 at 10:15 PM
Still seems wild how Medicaid are entitlements but tax cuts for billionaires aren’t. We need to flip that narrative.
More than 700 rural hospitals are at risk of closure due to financial difficulties, 300 of which are at immediate risk.
Medicaid cuts would only contribute to the financial issues rural hospitals are facing.
chqpr.org/downloads/Ru...
Medicaid cuts would only contribute to the financial issues rural hospitals are facing.
chqpr.org/downloads/Ru...
Rural communities like mine will not have a Hospital if Medicaid cuts are enacted
Property values will plummet and everyone will be forced to drive 50 miles over mountain passes in either direction to get to a Hospital
There would be no more Life Flights either
#SaveMedicaid
Property values will plummet and everyone will be forced to drive 50 miles over mountain passes in either direction to get to a Hospital
There would be no more Life Flights either
#SaveMedicaid
February 20, 2025 at 11:38 AM
More than 700 rural hospitals are at risk of closure due to financial difficulties, 300 of which are at immediate risk.
Medicaid cuts would only contribute to the financial issues rural hospitals are facing.
chqpr.org/downloads/Ru...
Medicaid cuts would only contribute to the financial issues rural hospitals are facing.
chqpr.org/downloads/Ru...
Reposted by Elissa Ann
It's not that it would be "difficult" for Energy and Commerce to hit their $880 billion target without steep cuts Medicaid.
It's a mathematical impossibility, given the committee's jurisdiction and constraints of reconciliation.
It's a mathematical impossibility, given the committee's jurisdiction and constraints of reconciliation.
It’s hard to describe simply the Medicaid cuts in the House budget plan, but the short answer is they're big.
The Energy and Commerce Committee has to produce at least $880 billion in cuts in its jurisdiction. Medicaid isn’t the only program, but it’s by far the biggest.
The Energy and Commerce Committee has to produce at least $880 billion in cuts in its jurisdiction. Medicaid isn’t the only program, but it’s by far the biggest.
February 19, 2025 at 8:50 PM
It's not that it would be "difficult" for Energy and Commerce to hit their $880 billion target without steep cuts Medicaid.
It's a mathematical impossibility, given the committee's jurisdiction and constraints of reconciliation.
It's a mathematical impossibility, given the committee's jurisdiction and constraints of reconciliation.
Reposted by Elissa Ann
Have the @DOGE folks made it to the part of the system yet that shows private Medicare Advantage plans get paid by the government 22% more than costs would be in traditional Medicare?
February 17, 2025 at 9:32 PM
Have the @DOGE folks made it to the part of the system yet that shows private Medicare Advantage plans get paid by the government 22% more than costs would be in traditional Medicare?
With huge cuts on the table, many worry about care affordability. Don’t be shy about asking about charity care policies. Hospitals are required to have them, and larger systems are voluntarily expanding them to include physician care. Many also offer payment plans or discounts.
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans. kffhealthnews.org/news/article...
Republicans Are Eyeing Cuts to Medicaid. What’s Medicaid, Again? - KFF Health News
Republicans in Congress have suggested big cuts to Medicaid, the state-federal health insurance program for people with low incomes or disabilities. The complex, multifaceted program touches millions of Americans and has become deeply woven into state budgets and the U.S. health care system.
kffhealthnews.org
February 20, 2025 at 3:55 AM
With huge cuts on the table, many worry about care affordability. Don’t be shy about asking about charity care policies. Hospitals are required to have them, and larger systems are voluntarily expanding them to include physician care. Many also offer payment plans or discounts.