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Marilyn Heine MD

@marilynheinemd.bsky.social
45 followers 31 following 25 posts

Physician Leader. Tenacious Advocate. Enthusiastic Mentor. Champion for physicians, patients, public health, and the patient-physician relationship.

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Marilyn Heine MD @marilynheinemd.bsky.social · 23/02/2026
Convo at #AMANAC: Dr. Mukkamala: “How do we get over the polarized barrier to help patients in our community?” @drsanjaygupta.bsky.social: “Physicians can provide a perspective that most others do not have…their unique quality. Telling stories. Speak in a way others understand.”
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Marilyn Heine MD @marilynheinemd.bsky.social · 20/02/2026
🌠#AMANAC is soon! 🔹Connect with industry experts, members of Congress and Administration, others about federal efforts to improve health care. 🔹Advocate on crucial health care issues affecting physicians and patients. Make sure your voice is heard! More info: tinyurl.com/mta4whyx
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Reposted by Marilyn Heine MD
KFF Health News @kffhealthnews.org · 12/02/2026
Moderna spent years and $1 billion studying a new mRNA flu vaccine for adults. Now, the FDA is refusing to review it. “How do we expect companies to invest in new medicines like this if the FDA is basically acting on vibes?” asks @julierovner.bsky.social. Listen for more on this week's news🎧 ⤵️
kffhealthnews.org
New Flu Vax? FDA Says No Thanks - KFF Health News
It’s been a busy week at the FDA, with a political appointee overruling agency scientists to reject an application for a new flu vaccine. Meanwhile, anti-abortion Republicans on Capitol Hill complain ...
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Marilyn Heine MD @marilynheinemd.bsky.social · 08/02/2026
“‘Everyone deserves to know where their medications are coming from,” said …Fox, who has advocated for more information. Fox & others also said they support a drug-quality rating system, which would allow hospitals & government agencies to assess generic drugs based on quality & not just price.”
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Marilyn Heine MD @marilynheinemd.bsky.social · 05/02/2026
After many tragedies, NHS announced it will ⬇️ use of PAs and bar them from treating undiagnosed patients. Researchers show that “the truncated training period of PAs relative to physicians contributes to a higher average diagnostic error rate.” #patientsafety nypost.com/2026/02/03/o...
nypost.com
No, Gov. Hochul: Physician assistants CAN’T replace doctors
Gov. Kathy Hochul is pushing to allow PAs more freedom to practice without a doctor’s supervision, worsening the danger that already exists.
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Reposted by Marilyn Heine MD
KFF Health News @kffhealthnews.org · 02/02/2026
So far, 1.2 million fewer people have signed up for Obamacare plans compared with last year as out-of-pocket costs soar. More could lose coverage as they fail to pay their premiums. Read more ⤵️
kffhealthnews.org
When Health Insurance Costs More Than the Mortgage - KFF Health News
As health care costs skyrocket and federal lawmakers pull back help on insurance premiums, more middle-income families are facing tough choices on health care.
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Marilyn Heine MD @marilynheinemd.bsky.social · 02/02/2026
About 1 in 4 patients have abandoned a prescription because the medication was too expensive, survey shows. "…the need for patients to have accurate prescription cost information at the point of prescribing has never been greater.” tinyurl.com/bdd3s8v8 #DrugPrices #Affordability #healthcare
tinyurl.com
1 in 4 patients abandon prescriptions due to cost
Getting clearer cost information before picking up a prescription would make managing medications easier for 36% of patients.
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Marilyn Heine MD @marilynheinemd.bsky.social · 02/02/2026
In the face of a #healthcare worker crisis, hospitals should increase security, safety: -integrating it w/patient experience, operational resilience -proactive security measures, e.g., real-time analytics, audio-based alerting, hybrid cloud architectures medcitynews.com/2026/01/reth...
medcitynews.com
Rethinking Security Among the Healthcare Workforce Crisis - MedCity News
As hospitals adapt to a landscape marked by staffing shortages, financial pressure and escalating safety concerns, security can no longer operate as an afterthought or a cost center. It must be a stra...
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Marilyn Heine MD @marilynheinemd.bsky.social · 30/01/2026
AMA tinyurl.com/ykcat93b to CMS tinyurl.com/s8y5nnby “…policies governing MA must promote timely access to medically necessary care, preserve physician-led clinical decision making, and hold plans accountable for networks, coverage determinations, utilization management, and payment policies.”
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Marilyn Heine MD @marilynheinemd.bsky.social · 29/01/2026
“The plans can still make money,” he said. “They mostly are very profitable, just not as profitable as shareholders expected.” #MedicareAdvantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments kffhealthnews.org/news/article...
kffhealthnews.org
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments - KFF Health News
Proposed Trump administration changes to federal Medicare Advantage payments would stop health insurers from mining patient data for extra medical diagnoses that generate more bills to taxpayers even ...
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Reposted by Marilyn Heine MD
KFF @kff.org · 29/01/2026
Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024. Our analysis of the latest data on trends in prior authorization determinations, denials and appeals, as well as differences across Medicare Advantage insurers: on.kff.org/4rlorYO
KFF bar chart titled "Medicare Advantage Insurers Made Nearly 53 Million Prior Authorization Determinations in 2024." The chart shows the total number of prior authorization determinations, 2019-2024.
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Reposted by Marilyn Heine MD
KFF Health News @kffhealthnews.org · 29/01/2026
The Trump administration has a plan that could curb billions of dollars each year in overpayments to Medicare Advantage plans. But will they follow through on it?
kffhealthnews.org
Medicare Advantage Insurers Face New Curbs on Overcharges in Trump Plan That Reins in Payments - KFF Health News
Proposed Trump administration changes to federal Medicare Advantage payments would stop health insurers from mining patient data for extra medical diagnoses that generate more bills to taxpayers even ...
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Marilyn Heine MD @marilynheinemd.bsky.social · 29/01/2026
CMS WISeR Model, launched 1/1/26, imposes #Al-driven #priorauth into Medicare. Big rollout challenges: -vague confusing guidelines -increased admin burdens on providers -concerns over automated denials. -fears that $ incentives for contractors may cut patient access to care tinyurl.com/2p9swyk5
tinyurl.com
Medicare prior authorizations off to a rocky start, providers say
The Wasteful and Inappropriate Service Reduction Model, or WISeR, is meant to root out wasteful spending in fee-for-service Medicare.
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Marilyn Heine MD @marilynheinemd.bsky.social · 28/01/2026
Value-Based Payment & Managed Care Will Not Solve The #Affordability Crisis | @Health_Affairs “#ValueBasedPayment models have been widely adopted…but they have not significantly reduced health care costs.” #Medicare #MedicareAdvantage #ACO #MSSP www.healthaffairs.org/content/fore...
healthaffairs.org
Value-Based Payment And Managed Care Will Not Solve The Affordability Crisis | Health Affairs Forefront
By outsourcing the cost containment function, value-based payment programs fail to confront the core drivers of spending: high prices, technology diffusion, and administrative costs.
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Marilyn Heine MD @marilynheinemd.bsky.social · 28/01/2026
Physicians increasingly embrace ambient #AI scribe tech. Seeing this as a way to focus more on patients than on admin tasks. Note challenges such as the need to verbalize exam findings, potential AI hallucinations, & need to ensure sensitive interactions kffhealthnews.org/news/article...
kffhealthnews.org
Doctors Increasingly See AI Scribes in a Positive Light. But Hiccups Persist. - KFF Health News
Patients say they find AI summaries of doctor visits user-friendly, but it’s not clear if their appointments are improving. In any case, doctors appear to be embracing the high-tech innovation.
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Reposted by Marilyn Heine MD
KFF @kff.org · 26/01/2026
All blue states (those with Democratic governors) have departed from new federal guidelines on childhood vaccines, while four states (AK, MS, NH, and VT) with Republican governors have also done so for at least some. Dive into the details: on.kff.org/4b82tDQ
Map of the United States showing which states have departed from federal guidelines for childhood vaccines as of January 20, 2026. It's titled "Most States Now Depart From Federal Guidelines for Childhood Vaccines, Including All States with Democratic Governors." States with Republican governors are marked in red, and states with Democratic governors are marked in blue. Source is KFF.
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Reposted by Marilyn Heine MD
KFF @kff.org · 26/01/2026
As the U.S. experiences its highest flu levels in 25 years, a vaccine-strain mismatch may be stoking claims about flu vaccine ineffectiveness, despite evidence that vaccines reduce severe illness and death and protect against other circulating strains. ⤵️ on.kff.org/4jYjEdp
on.kff.org
AI Health Tools Raise Safety Concerns. Plus, Flu Vaccine Myths Spread During Record Season — The Monitor | KFF
A new features from AI companies, like ChatGPT Health and Claude for Healthcare, aim to provide personalized health guidance, but may still provide wrong or dangerous health advice. And, as the U.S. e...
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Marilyn Heine MD @marilynheinemd.bsky.social · 26/01/2026
#Vaccines appear to be helping older people more than we knew Bonus benefit? Correlation or causation? Many shots seem to have "off-target" benefits, such as lowering the risk of #dementia, studies have found. @nytimes: tinyurl.com/46k36few
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Reposted by Marilyn Heine MD
KFF @kff.org · 25/01/2026
Highlights from The Monitor this week: 🤖 ChatGPT Health and Claude for Healthcare further concerns about AI providing wrong or dangerous health advice. 🤢A brutal flu season provides context for misleading narratives about flu vaccines. Read and subscribe: on.kff.org/4jYjEdp
on.kff.org
AI Health Tools Raise Safety Concerns. Plus, Flu Vaccine Myths Spread During Record Season — The Monitor | KFF
A new features from AI companies, like ChatGPT Health and Claude for Healthcare, aim to provide personalized health guidance, but may still provide wrong or dangerous health advice. And, as the U.S. e...
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Marilyn Heine MD @marilynheinemd.bsky.social · 19/04/2025
👀👀 ➡️“Even though Odom specifically informed UHIC that the claims were late due to the Change defendants’…shutdown caused by its corporate partner, UnitedHealthcare Insurance still denied the claims as untimely.” Facing financial jeopardy practices seek preliminary injunction. tinyurl.com/3mdkcdn8
tinyurl.com
Facing financial jeopardy, clinics sue to stop UnitedHealth from collecting on emergency loans
Dillman Clinic & Lab was finally at a point where the one-doctor practice in Lakeville, Minn., could start thinking about hiring another physician.
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Marilyn Heine MD @marilynheinemd.bsky.social · 19/04/2025
Supreme Court to hear a challenge of ACA rule requiring coverage of preventive #healthcare, #cancer screenings. The ruling could affect millions of Americans. Kennedy v. Braidwood has potential to change #prevention strategy no matter which side wins. search.app/f3ia42wkguAc...
search.app
Supreme Court to hear challenge to ACA rule requiring free preventive care, cancer screenings
The Supreme Court will hear a challenge of preventive health care coverage mandated by the Affordable Care Act. The ruling could affect millions of Americans.
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Marilyn Heine MD @marilynheinemd.bsky.social · 02/04/2025
Wonderful time visiting Missouri Southern State University. Amazing team! Honored to represent @amermedicalassn.bsky.social as the #WillcoxonSummit keynote, "#PrecisionHealthcare With an #AI Twist.” Delighted to meet and share "What I Wish I Knew" with students from KCU - Joplin and MKEAP.
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Marilyn Heine MD @marilynheinemd.bsky.social · 10/03/2025
Super excited to be faculty for the MSSNY @mssny.bsky.social Women Physicians #Leadership Academy March 15 virtual program: The Importance of #Networking. Honored to present on #socialmedia, “Building Your Network One Post At a Time.” To join us, please register here: tinyurl.com/yzsjvtxr
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Marilyn Heine MD @marilynheinemd.bsky.social · 27/02/2025
At this week’s CAQH #CORE Board meeting, we discussed highlights from the Index. $20B savings opportunity to ⬇️ waste, ⬇️ costs, ⬆️ patient access if industry transitions from manual to electronic workflows 👀Check out potential for savings: ⤵️ tinyurl.com/bdfxdzwj #AdministrativeSimplification
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Reposted by Marilyn Heine MD
The Lancet @thelancet.com · 27/02/2025
Nearly 74 million people in need of palliative care globally, study in The Lancet Global Health suggests. Explore the data: tinyurl.com/yaew33bh #MedSky
tinyurl.com
The evolution of serious health-related suffering from 1990 to 2021: an update to The Lancet Commission on global access to palliative care and pain relief
SHS and the associated need for palliative care is a major and persistent but not insurmountable challenge for health systems worldwide. Our findings highlight the urgency to both reduce the avoidable...
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Marilyn Heine MD @marilynheinemd.bsky.social · 25/02/2025
🔥 From @amermedicalassn.bsky.social: “Many physicians fear the #healthinsurance industry’s use of unregulated #artificialintelligence #AI automation and predictive technologies will increasingly override good medical judgment and systematically deny #patients coverage for necessary #medicalcare. “🧵
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Reposted by Marilyn Heine MD
🦋Dr. Natalia🕊🌻🪬 @solnatamd.medsky.social · 25/02/2025
There are obvious outcomes of prior authorization, such as patients being delayed or denied necessary treatments & physicians needing to waste their time filling out tons of papers to justify their medical opinion. But there are less obvious outcomes, such as prior authorization is costly. 👇🏻
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Marilyn Heine MD @marilynheinemd.bsky.social · 25/02/2025
🚨Not only does #priorauth adversely impact patient care & ⬆️ ⬆️ physician frustration & burnout, it also ⬆️⬆️ costs to the entire health care system. 👉 @amermedicalassn.bsky.social new survey results: tinyurl.com/mt2h7ded Likely of interest to @iccr.bsky.social per report ⤵️ tinyurl.com/pb3tfuvs
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