🌟Make every day your masterpiece. -John Wooden🌟 Proud emergency doc 👩🏻⚕️ Health policy wonkish 🧬 Adoptive Husker 🎈Lover of the color pink 🎀
Omaha, NE
Joined May 2009
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Truly honored to accept the Young Physician of the Year award from the @NebMedAssn. I believe with all of my heart that this is the best state in which to practice medicine & I am incredibly blessed to be an advocate for our profession & the patients of #Nebraska.
Jordan M. Warchol, MD, MPH, FACEP retweeted
Today @RogerMarshallMD introduced S. 1640 the ‘‘Medicare Patient Access and Practice Stabilization Act of 2025’’ which would increase Medicare physician reimbursement by 8.51% starting June 1. The increase reflects a prorated reversal of the 2.83% Medicare cut physician practices have endured since the beginning of 2025 as well as an inflation-based update. @MGMA strongly supports this important legislation and appreciates Sen. Marshall’s strong voice in the Senate on behalf of physician group practices.
Jordan M. Warchol, MD, MPH, FACEP retweeted
Great report, @txtianmiller
“…a fundamental truth: The two sides are not evenly matched…Insurers produce their own guidelines to determine whether to pay claims. When a doctor appeals a denial, insurers make all the initial decisions.”
#FixPriorAuth propublica.org/article/blue-…
Jordan M. Warchol, MD, MPH, FACEP retweeted
🔥 “…much of what determines which insurers are successful in #MedicareAdvantage is not whether the insurer is providing high quality care and doing so efficiently, but simply how aggressive it is in coding.”
“…$50 billion in MA #overpayments in 2024.” search.app/UZKpPAyNjQYyTzkJA
Jordan M. Warchol, MD, MPH, FACEP retweeted
@ActuallyDrJ, Immediate Past Chair of the AMA Young Physicians Section, shares three tips for crafting a standout curriculum vitae (CV). Explore strategies for showcasing your achievements with #OurAMA. spr.ly/6011FTjVf
Jordan M. Warchol, MD, MPH, FACEP retweeted
⚠️Must-read case for caution, revision.
Thoughtful, insightful reality check by @Matt_HealthIT! Advises a structured approach that pairs clearly defined problems w/specific, evidence-backed solutions.
@HHS_TechPolicy should not be folded into @CMSGov. Read why not below ⤵️
linkedin.com/posts/matt-reid…
An unfortunate series of events. A for effort, F for feasibility. I haven't always agreed with @HHS_TechPolicy but their aim has been true. Patients, physicians, and interoperability deserve better.
Jordan M. Warchol, MD, MPH, FACEP retweeted
🚨Not only does #priorauth adversely impact patient care & ⬆️ ⬆️ physician frustration & burnout, it also ⬆️⬆️ costs to the entire health care system.
👉 AMA new survey results: tinyurl.com/mt2h7ded
Likely of interest to @iccronline per report ⤵️ tinyurl.com/pb3tfuvs
Help make our math actually work!
🚨Urgent item: Ask your rep today to cosponsor H.R. 879. Include in 3/14 spending package.
📣Take action here now:
tinyurl.com/369jr5z7
•Prospectively cancel current 2.83% cut
•Provide 2.0% update
👉Help stabilize physician practices
👉Protect patients' access to care
This year, docs are taking a 2.8% pay cut from Medicare while our expenses to practice are expected to go up 3.6%.
✖️➗The math is not mathing!➗✖️
Thank you to this bipartisan group of Members of Congress for seeing the need to fix this broken part of the system.
🌠TY @RepGregMurphy @RepJimmyPanetta @RepJohnJoyce @RepRaulRuizMD @RepMMM @RepKimSchrier @RepTenney @RepBera @RepCarolMiller @CongressmanRaja
For intro #Medicare Patient Access & Practice Stabilization Act to support physicians practices, protect access to care for beneficiaries
Jordan M. Warchol, MD, MPH, FACEP retweeted
Prior Authorizations shouldn’t delay care. The NMA is championing LB77 to improve transparency and accountability, ensuring faster decisions for patients and reducing administrative burdens for physicians. #NMAAdvocacy
Insurers get a boost for the Medicare plans they administer— but still have onerous prior auth so patients don’t get the care they need. Oh and insurers continue to post record profits year over year. And physicians, who are actually taking care is patients, take another cut.
1/ 🔥CMS gifts MA with a 4.33% average payment ⬆️.
🔥CMS cuts physician practices 2.8% while the cost to keep practices open rises 3.5%.
❗️Medicare cuts jeopardize patients’ access to care. Other payers “shadow” Medicare payments. Impacts all patients.
tinyurl.com/y4k7eeeu
Prior authorization has become consistently abused as a way for insurers to delay or deny necessary care for patients, as determined by their physicians. Reigning in this harmful ploy must be a priority for protecting the health of our state.
Jordan M. Warchol, MD, MPH, FACEP retweeted
Author describes 2 caps that patients face in Medicare Advantage (MA).
But wait, there’s more.
This 🧵 includes messages from the author (🚩) on how the “caps” are not all-encompassing limits.
And related points (🤔) to ponder & prompt pause.
tinyurl.com/3vhyup4v
Read ⤵️
Jordan M. Warchol, MD, MPH, FACEP retweeted
🧵AMA strongly urges “@medicarepayment to recommend that #Congress update physician payment on an annual basis by the full increase in inflation as measured by the…MEI to ensure predictability & stability for physician payment and to maintain or improve access to care.”
Jordan M. Warchol, MD, MPH, FACEP retweeted
2nd in series “documenting how the increasing reliance on ill-trained nurse practitioners is imperiling US patients.”
“…NP instruction isn’t standardized, & the clinical hours…already a fraction of those completed by physicians—are largely unregulated.” bloomberg.com/news/features/…
Jordan M. Warchol, MD, MPH, FACEP retweeted
🌠 Bipartisan bill intro’d to avert pending Medicare cuts & provide ⬆️ (1/2 MEI) as rec by MedPAC
👏TY @GregMurphyMD @RepJimmyPanetta @RepMMM @RepBera @RepLarryBucshon @RepKimSchrier @RepJohnJoyce @RepRaulRuizMD
Prior auth may not seem like it impacts the life of @EmergencyDocs…
🚨BUT 🚨
Prior auth hurdles exacerbate ED crowding!
- limiting bed openings that impede inpatient transfers to other facilities
- patients present to the ED for studies not readily obtained as outpatients
🧵Bipartisan bicameral majorities of Congress (House: 155 D, 86 R; Senate: 27 D, 26 R, 1 I) cosponsor the Improving Seniors’ Timely Access to Care Act to reform Medicare Advantage #PriorAuthorization requirements.
Emphasizes need to pass the bill in upcoming “lame duck” session.
Jordan M. Warchol, MD, MPH, FACEP retweeted
🚨 #FixPriorAuth survey 1K physicians:
❗️24% report that PA has led to a serious adverse event for a patient in their care (e.g., hospitalization, permanent impairment, death)
❗️95% report that PA somewhat or significantly increases physician burnout
👉 tinyurl.com/4yuh7ze7
''Unfortunately," @fumikochino said, ''the people with the very worst prior authorization stories aren't here anymore to tell you about them.''
#FixPriorAuth
@ASTRO_org medscape.com/viewarticle/can…
Jordan M. Warchol, MD, MPH, FACEP retweeted
Thank you to @ICREConf for enlisting @ActuallyDrJ and I to guide this fascinating conversation - and especially thank you to the residents (and everyone!)who brought their crucial perspectives.
