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The principles of CMSGov’s ACCESS Model addresses conditions that affect over 2/3 Medicare patients 👇 Secretary Kennedy: “More than 150 healthcare organizations were accepted to participate in the model’s launch, bringing new technology-supported care options to people with Medicare.”

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HHS Rapid Response

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17,048 просмотров • 21 дней назад •via X (Twitter)

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Фото профиля Deep State David
Deep State David21 дней назад

@SecKennedy @CMSGov

Фото профиля Deep State David
Deep State David21 дней назад

@SecKennedy @CMSGov #ResignRFKJr

Фото профиля Robin Padov
Robin Padov21 дней назад

@SecKennedy @CMSGov @realDonaldTrump @POTUS

Фото профиля Deep State David
Deep State David21 дней назад

@SecKennedy @CMSGov #ResignRFKJr

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.CMSGov’s ACCESS Model means: ✅ Flexibility to deliver modern, tech-supported care ✅ Ties payment to measurable improvements in patient health ✅ Gives people with Original Medicare more options for improving health ✅ Expands access to tailored individual care
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.CMSGov’s ACCESS Model means: ✅ Flexibility to deliver modern, tech-supported care ✅ Ties payment to measurable improvements in patient health ✅ Gives people with Original Medicare more options for improving health ✅ Expands access to tailored individual care

HHS Rapid Response

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The ACCESS Model offers people with Original Medicare new choices to help them improve their health and manage chronic disease with modern technology-supported care. Learn more:
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The ACCESS Model offers people with Original Medicare new choices to help them improve their health and manage chronic disease with modern technology-supported care. Learn more:

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.Secretary Kennedy on why CMSGov’s ACCESS Model is a game changer for Medicare patients: “Historically, we’ve paid doctors to care for people when they are sick without giving them any of the tools and incentives to keep people healthy. We have rewarded the volume of services delivered rather than improvements in health…That is exactly what we are changing with this movement today.”
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.Secretary Kennedy on why CMSGov’s ACCESS Model is a game changer for Medicare patients: “Historically, we’ve paid doctors to care for people when they are sick without giving them any of the tools and incentives to keep people healthy. We have rewarded the volume of services delivered rather than improvements in health…That is exactly what we are changing with this movement today.”

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.Secretary Kennedy: “The [ACCESS] model now includes depression and substance use disorder among the chronic conditions it addresses and expands access to technology-supported approaches that can complement a patient’s existing care. That work reflects a broader goal of ACCESS that this administration is giving Americans.”
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.Secretary Kennedy: “The [ACCESS] model now includes depression and substance use disorder among the chronic conditions it addresses and expands access to technology-supported approaches that can complement a patient’s existing care. That work reflects a broader goal of ACCESS that this administration is giving Americans.”

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14,924 просмотров • 21 дней назад

Thanks to the leadership of President Donald J. Trump and Secretary Kennedy, CMSGov and HHS are killing the clipboard and ushering in a new era of healthcare. In just one year, what began as 60 organizations has grown to more than 800 partners, helping put health data where it belongs — in the hands of patients. Welcome to the Golden Age of healthcare technology.
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Thanks to the leadership of President Donald J. Trump and Secretary Kennedy, CMSGov and HHS are killing the clipboard and ushering in a new era of healthcare. In just one year, what began as 60 organizations has grown to more than 800 partners, helping put health data where it belongs — in the hands of patients. Welcome to the Golden Age of healthcare technology.

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A top-rated hospital nearby doesn’t guarantee you’ll receive care there. New research found that Black Medicare patients were more likely to be admitted to lower-rated hospitals, even when higher-rated hospitals were close by. Access is about more than geography.
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A top-rated hospital nearby doesn’t guarantee you’ll receive care there. New research found that Black Medicare patients were more likely to be admitted to lower-rated hospitals, even when higher-rated hospitals were close by. Access is about more than geography.

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Medicare has been paying about 16% more for laboratory services than private insurers. That needs to change. CMS plans to better align 2027 laboratory payment rates with private-sector rates — which would be estimated to save taxpayers over $1 BILLION annually once the reductions are fully phased in, lowering Medicare patients’ premium costs. Protecting Medicare means rooting out waste wherever we find it. Learn more:
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Medicare has been paying about 16% more for laboratory services than private insurers. That needs to change. CMS plans to better align 2027 laboratory payment rates with private-sector rates — which would be estimated to save taxpayers over $1 BILLION annually once the reductions are fully phased in, lowering Medicare patients’ premium costs. Protecting Medicare means rooting out waste wherever we find it. Learn more:

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NEW: RFK Jr. says Medicare spending on wound care patches exploded from $200 million in 2019 to $14 billion last year: "It's all stolen." Bad actors billed Medicare billions by slapping the most expensive skin grafts on elderly and dying patients who didn't need them. "The doctors who prescribed them would get 6% of the sales cost. And so, they were incentivized to prescribe more expensive products. In Europe, they spend 35 cents a cubic inch. We were spending $135, and that went up to $2,000 a cubic inch." "So 2019, we were paying $200 million. Last year we spent 14 billion. All stolen. It's all stolen. And we were on track to spend 23 billion this year." "We put an end to it, and we now have driven that cost down to somewhere around a billion dollars." In one Arizona case, the owners of two wound care companies pleaded guilty to more than $1.2 billion in fraudulent claims. Medicare paid over $1 million per patient for grafts slapped on elderly patients who didn't need them, many of them dying in hospice. In June, DOJ charged 11 more defendants over more than $2 billion in allograft claims, including a company accused of issuing sham invoices to inflate what Medicare paid. It feels like every week I learn a new way people were ripping off taxpayers for billions.
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NEW: RFK Jr. says Medicare spending on wound care patches exploded from $200 million in 2019 to $14 billion last year: "It's all stolen." Bad actors billed Medicare billions by slapping the most expensive skin grafts on elderly and dying patients who didn't need them. "The doctors who prescribed them would get 6% of the sales cost. And so, they were incentivized to prescribe more expensive products. In Europe, they spend 35 cents a cubic inch. We were spending $135, and that went up to $2,000 a cubic inch." "So 2019, we were paying $200 million. Last year we spent 14 billion. All stolen. It's all stolen. And we were on track to spend 23 billion this year." "We put an end to it, and we now have driven that cost down to somewhere around a billion dollars." In one Arizona case, the owners of two wound care companies pleaded guilty to more than $1.2 billion in fraudulent claims. Medicare paid over $1 million per patient for grafts slapped on elderly patients who didn't need them, many of them dying in hospice. In June, DOJ charged 11 more defendants over more than $2 billion in allograft claims, including a company accused of issuing sham invoices to inflate what Medicare paid. It feels like every week I learn a new way people were ripping off taxpayers for billions.

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Protecting Medicare means protecting the people who count on it. CMS is proposing stronger safeguards for Medicare home health services—cracking down on fraud, waste, and abuse, protecting taxpayer dollars, and keeping bad actors out of the program. We're also expanding access to community-based palliative care, bringing more high-quality care to beneficiaries where they feel most comfortable—at home. Learn more:

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.Secretary Kennedy on the chronic disease crisis: “We spend more on healthcare than any other nation in the world, and yet we’re the sickest.” “Nearly 90% of healthcare spending goes to treat chronic disease.” “More than 40% of every federal dollar goes to treat diet-related conditions.” “More than 70% of adults are overweight or obese.” “1/3 of U.S. teens have diabetes or prediabetes.”

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Acting U.S. Attorney General Todd Blanche announced Monday that the Justice Department charged 455 defendants across 45 states and territories in a nationwide healthcare fraud crackdown. Prosecutors say the defendants were involved in schemes involving more than $6.5 billion in false claims submitted to Medicare, Medicaid and other healthcare programs.

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CMS is inviting organizations to apply for the MAHA ELEVATE Model! The CMS Innovation Center' MAHA ELEVATE model is the first Innovation Center model to focus on holistic, patient-centered functional or lifestyle medicine approaches that include nutritional, physical activity interventions, psychological and/or self-care strategies to address the whole person rather than individual disease. It’s what the MAHA Movement is all about! We’ll award ~$100 million total to fund up to 30 proposals with evidence-based functional and lifestyle medicine interventions so more people with Original Medicare can join these programs. Learn more:

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Arizona Couple Sentenced in $1.2B Medicare Fraud Scheme | Jim Mishler, Newsmax The owners of several Arizona wound graft companies have been sentenced in federal court for orchestrating a massive Medicare fraud scheme that generated more than $1.2 billion in false claims. Alexandra Gehrke was sentenced to 15 1/2 years in prison, and her husband, Jeffrey King, was sentenced to 14 years in prison after pleading guilty to conspiracy to commit healthcare fraud and wire fraud, according to the Justice Department. The Phoenix couple ran a large-scale operation from late 2022 through mid-2024 that targeted elderly and terminally ill patients, many of them in hospice care, with medically unnecessary wound grafts ordered through illegal kickbacks. Prosecutors said Gehrke owned and controlled multiple wound care companies that relied on medically untrained sales representatives to identify Medicare beneficiaries with wounds, regardless of severity or medical need. Once patients were identified, the companies ordered expensive bioengineered skin grafts made from human placental tissue, often requiring only the largest sizes available, even when the treatment was not appropriate or reasonable. Nurse practitioners contracted to apply the grafts were instructed to follow the sales orders rather than their own medical judgment, resulting in large grafts placed on small wounds, multiple grafts applied to single wounds, grafts applied to nonexistent wounds, and treatments given to terminally ill patients receiving palliative care. Some patients died the same day or within days of receiving the grafts, according to court filings. Over 18 months, prosecutors said the scheme generated more than $960 million in false claims to Medicare and other federal healthcare programs, with insurers paying more than $614 million before the fraud was detected. ABC15 in Phoenix highlighted the lavish lifestyle investigators say Gehrke and King built using proceeds from the scheme, including luxury vehicles, gold and silver bars, millions held across dozens of bank accounts and a home valued at nearly $6 million. Gehrke and King were arrested at Phoenix Sky Harbor Airport in June 2024 as they attempted to board a flight to London, after investigators concluded they were preparing to flee the country. Investigators found books in their home and packed luggage that focused on disappearing, erasing digital footprints and navigating the criminal justice system, which prosecutors cited as evidence that the couple anticipated criminal charges. The case was charged during the Biden administration as part of a nationwide healthcare fraud enforcement effort and was carried through to sentencing during the Trump administration. The DOJ said the ongoing investigation tied to the case involves hundreds of defendants nationwide, with total alleged false claims across related prosecutions approaching $30 billion.
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Arizona Couple Sentenced in $1.2B Medicare Fraud Scheme | Jim Mishler, Newsmax The owners of several Arizona wound graft companies have been sentenced in federal court for orchestrating a massive Medicare fraud scheme that generated more than $1.2 billion in false claims. Alexandra Gehrke was sentenced to 15 1/2 years in prison, and her husband, Jeffrey King, was sentenced to 14 years in prison after pleading guilty to conspiracy to commit healthcare fraud and wire fraud, according to the Justice Department. The Phoenix couple ran a large-scale operation from late 2022 through mid-2024 that targeted elderly and terminally ill patients, many of them in hospice care, with medically unnecessary wound grafts ordered through illegal kickbacks. Prosecutors said Gehrke owned and controlled multiple wound care companies that relied on medically untrained sales representatives to identify Medicare beneficiaries with wounds, regardless of severity or medical need. Once patients were identified, the companies ordered expensive bioengineered skin grafts made from human placental tissue, often requiring only the largest sizes available, even when the treatment was not appropriate or reasonable. Nurse practitioners contracted to apply the grafts were instructed to follow the sales orders rather than their own medical judgment, resulting in large grafts placed on small wounds, multiple grafts applied to single wounds, grafts applied to nonexistent wounds, and treatments given to terminally ill patients receiving palliative care. Some patients died the same day or within days of receiving the grafts, according to court filings. Over 18 months, prosecutors said the scheme generated more than $960 million in false claims to Medicare and other federal healthcare programs, with insurers paying more than $614 million before the fraud was detected. ABC15 in Phoenix highlighted the lavish lifestyle investigators say Gehrke and King built using proceeds from the scheme, including luxury vehicles, gold and silver bars, millions held across dozens of bank accounts and a home valued at nearly $6 million. Gehrke and King were arrested at Phoenix Sky Harbor Airport in June 2024 as they attempted to board a flight to London, after investigators concluded they were preparing to flee the country. Investigators found books in their home and packed luggage that focused on disappearing, erasing digital footprints and navigating the criminal justice system, which prosecutors cited as evidence that the couple anticipated criminal charges. The case was charged during the Biden administration as part of a nationwide healthcare fraud enforcement effort and was carried through to sentencing during the Trump administration. The DOJ said the ongoing investigation tied to the case involves hundreds of defendants nationwide, with total alleged false claims across related prosecutions approaching $30 billion.

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