Health

DelBene, Patients, Providers Raise Alarm Over Looming Republican Medicaid Cuts, Work Requirements

| Posted in Press Releases

On Friday, Congresswoman Suzan DelBene (WA-01) joined patients and providers at the Together Center to discuss the impact of the Medicaid cuts in Republicans’ Big Ugly Bill, many of which are set to take full effect early next year and will kick over 350,000 Washingtonians off their Apple Health coverage. The Big Ugly Bill slashed…

House panel clears prior authorization, price transparency bills

| Posted in In the News
Tags: Health

The House Ways and Means Committee cleared bipartisan legislation on Wednesday to reduce insurance care denials in privately run Medicare Advantage plans, and boost price transparency. The panel advanced seven health bills to the full House floor. Chief among them was the Improving Seniors Timely Access to Care Act, which introduces several reforms to prior authorization, which requires…

It Has Wide Support and Costs Nothing. Can This Prior Auth Bill Pass Congress?

| Posted in In the News
Tags: Health

"I still have hope," said Peggy Tighe, legislative counsel for the Regulatory Relief Coalition, a group of physician specialty organizations advocating for regulatory burden reduction in Medicare, when she was asked about the Improving Seniors' Timely Access to Care Act, which was approved last week by the House Energy and Commerce Health Subcommittee. The measure, which seeks more…

DelBene, Joyce Introduce Bipartisan Bill to Expand Patient Understanding of Kidney Disease Risks

| Posted in Press Releases
Tags: Health

Today, Representatives Suzan DelBene (WA-01) and John Joyce, M.D. (PA-13) introduced bipartisan legislation to help Americans understand kidney disease risks and treatment so they can get care before the condition worsens, potentially leading to kidney failure, and forcing them onto dialysis or the transplant list. Thirty-seven million Americans have chronic kidney disease (CKD), but 87%…

DelBene, Raskin, Trahan Call on Trump Administration to Stop Inserting MAGA Agenda into Federal Grantmaking

| Posted in Press Releases
Tags: Health

Today, Representatives Suzan DelBene (WA-01), Jamie Raskin (MD-08), and Lori Trahan (MA-03), along with 122 of their colleagues, demanded that the Trump administration stop injecting its MAGA agenda into the traditionally nonpartisan federal grantmaking process. In a letter to White House Office of Management and Budget (OMB) Director…

Feds reprimand private company using AI to review WA Medicare claims over delayed processing

| Posted in In the News

The Arizona-based company using artificial intelligence to review certain Medicare requests in Washington state under a controversial six-year pilot program has been found out of compliance by the federal government. The Centers for Medicare and Medicaid Services announced Monday that Virtix Health was required to submit a Corrective Action Plan because it was not responding quickly…

E&C Health Panel Advances Transparency, Prior Auth Bills 

| Posted in In the News
Tags: Health

The House Energy & Commerce health subcommittee advanced a broad package of bipartisan health care bills Thursday (June 25) aimed at increasing health care price transparency and strengthening prior authorization oversight. The package includes measures requiring hospitals, insurers and other providers to disclose more pricing information, increasing reporting requirements…

 Democrats push for more data on Medicare AI prior authorization pilot 

| Posted in In the News

Dive Brief: Democrat lawmakers are calling on the CMS to release more data on a controversial pilot program that adds artificial intelligence-backed prior authorization for some services in traditional Medicare.  In a letter sent to CMS Administrator Dr. Mehmet Oz on Monday, representatives pushed the agency to release information on how long it takes technology vendors…

Medicare AI program made them suffer in pain. Now they want answers

| Posted in In the News

For months, Medicare patients in Washington have struggled with delays and denials for medical treatments due to a new program that uses artificial intelligence to review care. Now, patients and their doctors are fed up and demanding changes. Lawmakers scrutinizing the program want to see it overhauled. “Congress and the public deserve a full understanding of the impact this program is…

DelBene, Patients, Providers Raise Alarm About Medicare AI Denial Experiment

| Posted in Press Releases
Tags: Health

Today, Congresswoman Suzan DelBene (WA-01) hosted health care providers and Medicare patients at UW Medical Center to raise growing concerns about the Trump administration’s Wasteful and Inappropriate Service Reduction (WISeR) program, which pays private companies to use AI to delay and deny care to Washington seniors. Since the program began in January, patients have been left in…