Quality Care Commission Inc.

𝐌𝐞𝐝𝐢𝐜𝐚𝐫𝐞'𝐬 𝐑𝐞𝐢𝐦𝐛𝐮𝐫𝐬𝐞𝐦𝐞𝐧𝐭 𝐑𝐢𝐝𝐝𝐥𝐞: Who's Winning? (Hint: Not Your Doctor) Picture this: Two workers, same job, same skills. One gets a raise. The other is a pay cut. Welcome to Medicare's reimbursement world. Hospitals? They're getting a boost. Physicians? They're tightening their belts. Again. It's like telling the pilot to fly longer hours while giving the airline more fuel. Here's the kicker: Medicare isn't bargain-hunting. It doesn't negotiate. It dictates. "This is what we'll pay," says Medicare. You can take it or leave it. The result? • Hospitals expand • Doctors rush • Patients wonder why finding a good primary care physician feels like searching for a unicorn We're building a healthcare system that values buildings over builders, systems over specialists, procedures over prevention. It's not just about fair pay. It's about the future of care. When we squeeze physicians, we're not just pinching pockets. We're reshaping healthcare itself. We're saying: • Quantity over quality • Volume over value • Reaction over prevention Is this the healthcare we want? A system where the front-line healers are devalued while the institutions housing them are enriched? The question isn't "How do we adjust reimbursement rates?" It's "How do we redefine value in healthcare?" Your move, policymakers. The health of a nation is in your hands. #healthcare

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I usually don’t watch South Park… but this is hilarious and relevant….. The US healthcare system #medicine #healthcare #spinesurgery #orthopedicsurgery #neurosurgery

Two years ago my daughter Penny was diagnosed with Type 3 Spinal Muscular Atrophy (SMA) at 8 years old. SMA is a genetic disorder that affects the motor nerve cells in the spinal cord, leading to muscle weakness and ongoing atrophy. Type 3 SMA typically manifests in children after early childhood and can impact their ability to walk, run, and perform other physical activities.  Thanks to prompt medical intervention and the life-altering medication Evrysdi, she has been able to maintain her strength and mobility, relative to her body's natural growth and aging. While Evrysdi doesn’t cure SMA, it helps to stop ongoing atrophy, preventing further muscle weakness. We have been with Select Health as our insurance provider, and up until this year, they covered Evrysdi, which has been crucial for our daughter's health and well-being. However, this year, without any warning or justification, Select Health suddenly stopped covering this necessary drug, labeling it as non-essential. What’s worse is the lack of communication and transparency. For 3 months, we were caught in a back-and-forth with no clear answers. It wasn't until we received a letter last week—stating that our doctor's appeal had been denied—that we got our first formal information from Select Health. I’ve tried repeatedly to get someone on the phone to explain why this decision was made and how it can be justified, but to no avail. The abrupt termination of coverage for such a critical medication is unacceptable and puts my daughter's health at risk. What’s most concerning is the impact on Penny’s health if she loses access to Evrysdi. Without this medication, Penny faces an increase in rapid muscle atrophy, which will severely limit her mobility and independence, leading to greater reliance on her wheelchair and further deterioration of her muscle function. This outlook can get even darker as you can imagine but I'm not gonna go there. This drug is not just important—it’s essential for her quality of life and future well-being. I'm really not the person who complains, and especially via posts on Social Media about my problems, but I feel powerless at this point. I want to shout from the rooftops to share our story with the hope that the power of social media can bring attention to this issue. I'd take any support to repost this and share this as a way to urge Select Health to reconsider their decision and reinstate coverage for Evrysdi. Please share our story and help us hold Select Health accountable. Maybe they will step up and do the right thing. Select Health #SMAAwareness #SMAWarrior #PatientAdvocacy #HealthcareRights #SelectHealth #Evrysdi