MEDICARE ADVANTAGE MINUTE: CMS (THE FEDERAL GOVERNMENT) TIGHTENS MEDICARE ADVANTAGE PRIOR AUTHORIZATION RULES!

Before that we discuss the qualities of certain members of England's Royal Family.

January 1st saw a pilot program begin, creating prior authorization requirements for a few procedures performed under Original Medicare in six states. The program will be testing whether enhanced technologies like AI and machine learning can streamline prior authorizations and medical reviews.

New, soon-to-be-client Sheryl, is taking a very cerebral approach to the concept of Medicare supplement rate stability. She discovered a site called: SERFF.com and is trying to identify those Medicare supplement plans with less rate stability, which most would prefer to avoid.

Inadvertently, she uncovered a pattern that confirms my repeated assertion about Plan G vs. High Deductible Plan G: Plan G increases will be larger and more frequent while the rate increases under HDG will tend to be smaller and less frequent.

Finally, I received six messages inviting me to be a guest on a brand new podcast. I was offered the opportunity to program the time for an initial chat but could not figure out how to use the scheduling app.

Stay tuned!

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon)

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: THE MEDICARE ADVANTAGE QUESTION THAT HOSPITALS WANT ANSWERED!

Seven things to know about the new AI source of information: CHATGPT HEALTH.

Valued client Robert shared an article: Medicare Advantage Shake-up: Who is out?

I was so happy to see the first review on Amazon of my newest book...until I actually read it. Turns out the reviewer knows a thing or two about Medicare plans and seems to have a problem with my warnings about the possible consequences of Medicare Advantage plans.

I, on the other hand, have a problem with the reviewer being a retard!

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon)

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: "WHAT IF WE COULD ELIMINATE PRIOR AUTHORIZATIONS?" Can we eliminate this scourge of Managed Care through increased use of computers? One exec thinks so!

Someone discovered that about 40 million Americans use ChatGPT every day to ask questions about health concerns.

Erica from Harmony Home Medical in San Diego might have been a wonderful guest but I was afraid the subject might be a little too depressing for my happy-go-lucky audience!

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon)

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: GOVERNMENT PLANS AGGRESSIVE MEDICARE ADVANTAGE AUDITS!

NYC employee health insurance fund is mysteriously insolvent! You don't think there has been any fraudulent activity there, do you?

One of my favorite client/listeners shared a list of 15 health systems that are dropping some or all Medicare Advantage plans.

Tax breaks coming to Medicare premiums? Rand Paul has proposed that the USA establish HSA for all!

Finally, I located a cartoon nurse spewing a big fat lie. She spews: Until 1973, all health insurance companies were non-profit. Evil Republicans changed the law!*

* The word "evil" is just my little joke. Whoever wrote that lying caption needs to take a chill-pill!

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon)

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: UHC UNDER CRIMINAL INVESTIGATION FOR ALLEGED MEDICARE ADVANTAGE FRAUD - WSJ

Randy's Choice led to Medicare Part D Drug Plans: a completely unsatisfying article with a big flaw.

We wrap the episode with a pithy George Harrison story.

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon)

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: CHART REVIEWA INCREASE PAYMENTS TO MA INSURERS FOR 1 in 6 ENROLLEES

12 FAQs ABOUT MEDICARE: YOUR MEDICARE QUESTIONS ANSWERED....BY ME!

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: ENROLLMENT GUIDE!" (coming soon)

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: THE FUTURE FOR(?) MEDICARE ADVANTAGE! Includes a hint that funding for SHIP may be on the bubble in 2026!

Eleven costly Medicare Mistakes you should avoid!

These include The Drug plan selection problems, HSA precautions and MA vs Medicare Supplement differences.

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: BARE BONES!"

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.

MEDICARE ADVANTAGE MINUTE: MEDICARE ADVANTAGE OR ORIGINAL MEDICARE: WHICH SHOULD YOU TRUST YOUR HEALTH TO?

News items: Older Americans quit weight-loss drugs in droves!

Weight-loss pill approved by FDA! This episode ended with our final Christmas Quiz of the season.

Contact me at: DBJ@MLMMailbag.com

(Most severe critic: A+) Visit us on: BabyBoomer.ORG

Inspired by:

"MEDICARE FOR THE LAZY MAN 2026; SIMPLEST & EASIEST GUIDE EVER!"

"MEDICARE DRUG PLANS: A SIMPLE D-I-Y GUIDE"

"MEDICARE FOR THE LAZY MAN: BARE BONES!"

For sale on Amazon.com. After enjoying the books, please consider returning to leave a short customer review to help future readers.

Official website: https://www.MedicareForTheLazyMan.com.