Anish Koka, MD
@anish_koka
Cardiologist
Raise your health policy IQ , listen to the Doctor’s Lounge!
Prior auth is the scam that keeps on paying. In this week’s Doctor’s Lounge, we talk surgical emergencies delayed by bureaucracy, Ai algorithms denying care, and why 66% of employers could kill prior auth, but don’t. We also ask the uncomfortable question: Did the previous…
4.1K likes & 169K views on this post...which fails to mention the patient was also receiving standard of care 1st line "big pharma" FOLFIRINOX chemotherapy (info buried in screenshotted email)🤦🏽♀️.
NEW ARTICLE: IVERMECTIN and FENBENDAZOLE Testimonial - 57 year old California man with Stage 2 Pancreatic Cancer has incredible response to 4 months of therapy Pancreatic Cancer is not only treatable...it's curable, but they don't want you to know that! 🤔 57 year old…
I think Ms. Loomer spends her evenings reviewing FDA deadlines over a cup of tea.
Vinay Prasad is betraying MAHA by not approving experimental drugs fast enough! Not hard to surmise oppo research has been planted by one of these pharmaceutical companies.
1/ Per this 9 year study ‘08 to ‘16, hospitals now own ~47% of physician practices. For many of us, we’ve seen this pendulum swing toward the hospitals in the past but my gut is that the pendulum is swinging back. From an advocacy perspective, I believe we should encourage…
The description of the proposed rule seems accurate. At the end of the day it’s not hard for CMS to come up with rationalizations to change payments in a direction that is fiscally better for them. The current RVU calculations do favor employed physicians over independent…
Even on a non-expert read there are so many errors in how this is written/portrayed. Analyze and debunk away @DrDiGiorgio @anish_koka nytimes.com/2025/07/21/ups…
This is, of course, false for anyone confused.
The former CMS director : “The affordable care act and subsequent laws have made coverage more affordable. 4/5 people looking for an ACA plan can find a plan for $10 or less. “
Today, I am pleased to announce that companies may now submit statements of interest for participation in the Commissioner's National Priority Voucher pilot program, which offers drug developers enhanced communication throughout the development process and dramatically shortens…
A new study finds that when hospitals acquire physician practices, those doctors raise their prices by 15% within 2 years compared to independent peers. Healthcare M&A should be about integration and efficiencies. Too often, it's just about leveraging higher reimbursements rates.
Medicare can claw back revenue up to five years after it's booked It can extrapolate from audit samples to establish the amount. 5% error rate can = clawback of 5% of total revenue. Failure to remit 61 days after demand letter=felony, even if amount later found to be wrong.
The insurers can also "claw back" payments that they have made YEARS after they make them.
The former CMS director : “The affordable care act and subsequent laws have made coverage more affordable. 4/5 people looking for an ACA plan can find a plan for $10 or less. “

I’m listening to Doctor Mike interview the former head of CMS, and she really struggles with explaining Medicare.
31 years today was one of the best days of my life. Every day here is one day closer to be back with you Conner.
The recent BBB accomplished something good... It finally clarified that people can use HSA $$ to pay for DPC
Physicians sealed their fate when they agreed to bill govt and insurance for services Time to go back to the old way. Bill the customer for the service Direct Care is better, more affordable, more accessible care
Funny story, FFCRA mandated payment for covid testing. Let me tell you how that turned out….
⚠️ GRAPHIC CONTENT "He is a Druze, Druze" "Druze?!" "Yes, he is Druze!!" "His identity is Druze" "Are you a Druze or not?!" The victim: "Yes, I’m a Druze" "Allahu Akbar! Allahu Akbar!"
Nuclear reactors are spending millions to protect you from radiation levels lower than eating a banana. This isn't safety theater—it's the 70-year regulatory nightmare that killed American nuclear power. But recent executive orders could change everything. 🧵
You know who the other leftist is that no one’s talking about —> RFK ! Inquiring minds want to know if he’s next to be loomered ? Also I hear Rubio said mean things about Trump in 2016.
🚨 ALERT 🚨 VINAY PRASAD, THE LEFTIST SABOTEUR UNDERMINING TRUMP’S @US_FDA, MUST BE FIRED NOW! We have a crisis at the FDA! A wolf in sheep’s clothing is sabotaging President Trump’s bold “Make America Healthy Again” (MAHA) agenda! Dr. Vinay Prasad @VPrasadMDMPH, a…
Thrilled to welcome Dr. George Tidmarsh as the new director of the Center for Drug Evaluation and Research. And grateful for the tremendous service of Dr. Corrigan-Curay, who has graciously agreed to extend her retirement date to ensure a smooth transition.