Boeing and Grumman are amateurs. Can you imagine anyone trying to enforce anti-trust laws against "vertically integrated" healthcare corps? Me either.
Boeing and Grumman are amateurs. Can you imagine anyone trying to enforce anti-trust laws against "vertically integrated" healthcare corps? Me either.
You are a fucking moran. There was LSD and chicks to bang. Sorry, should have quoted multistupid.
Are you on LSD right now?
Haha, I haven’t been with UH for a few years, this just hit my inbox.
Hilarious.
*Happiness Guaranteed*!
WTF. (Probably a spoof email, but still)
Attachment 507795
ACA saw over $1B in lobbying just on the initial bill.
Pharma/Insurance/Hospitals spent $12B on lobbying in the past 25 years with 1/3 of that coming from insurance companies.
That is 9x what the defense industry spent.
Yeah, all that lobbying buys them (and gets us) perverse incentives in federal policy leading to market consolidation and ineffective spending
Y is say that like it's bad thingsQuote:
Originally Posted by MultiVerse
Looks like we’re going to need some more dead CEOs. (Kidding…ish.)
Attachment 507816
not just CEOs...Quote:
Originally Posted by J. Barron DeJong
Truly, a banquet of the rich need to be eaten by the hoi polloi on a daily basis…
dinner is served!
fact.
This is a bit much...
Attachment 507831
Or is it?
https://old.reddit.com/r/fakehistory...rs_through_the
here is the defense fund if anyone is so inclined to pitch in a buck or two.
https://www.givesendgo.com/legalfund...ooting-suspect
how much did you give?
$37.
Overkill to keep Luigi in custody, they must be worried that people are going to try to break him out. Which, like, that would be terrible, obviously.Quote:
Originally Posted by fomofo
So who thinks they’d annul if they were on the jury? Saying it now is one thing, doing it under pressure from the fellow jury members and the judge is another…
Sent from my iPhone using TGR Forums
His family is wealthy.Quote:
Originally Posted by stealurface831
I don't think his brother Super Mario will leaving him hanging.
Pun invented.
If they thought he was going to get shot they would put a vest on him, so they must think somebody is going to bust him out with all that security.
It's a dumb show of force by a clueless NYC mayor. Eric Adams is protecting us from Luigi, lol. A stupid way to disincentivize terrorism—make murderers international celebrities
Heh, his family owns golf courses and nursing homesQuote:
Originally Posted by Kenny Satch
It's a stupid fucking perp walk, all for the cameras. Eric Adams is desperate for anything to take the attention off his own ass.
Over the last week I’ve had to edit a chart three times so a patient could get insurance coverage/refitted for a lower leg prosthesis secondary to amputation. Doing a word dance for insurance.
You’d think medical necessity would be obvious. But this is part of the deny delay defend bullshit we, as ordering providers, get to waste our time on over and over again. It’s infuriating and humiliating.
And you're a doctor... this is untenable horseshit we have going.Quote:
Originally Posted by Trackhead
I saw my spine guy last Monday, he looked at my MRI, and placed an *emergent* order for surgery. His scheduling specialist got everything scheduled for a crack-of-dawn slot on Friday.
Then 17:30 on Thursday I hit the call that insurance hadn't approved yet, so they pushed to 15:00 Friday.
By 12:30 Friday they still hadn't received approval, so they canceled the surgery.
Approval came in at 15:15 Friday. :rolleyes:
I finally got the surgery done yesterday, almost a week "late."
I did tell the scheduler to let the insurance company know that if I end up with permanent nerve damage, I would be engaging an attorney. :mad:
^^^^hey, no big deal if you get erectile dysfunction or permanent foot drop, you’ll be ok.
The stories are never ending.
Saw someone joking that it was nice of Luigi to take time from his current busy schedule to escort Adams to prison.Quote:
Originally Posted by I Skied Bandini Mountain
There are entire software packages and decent paying jobs that hospitals pay for built around guiding/bothering doctors into doing exactly that more or less realtime. I did it part time ontop of my other jobs. The money paid better than patient care because it required experience and the dept could show direct $ recouped that would otherwise not have been reimbursed, and yet I was making hourly <1% of what I was grossing the hospital/physicians. That is how our system works.Quote:
Originally Posted by Trackhead
Harvard Medical group "Partners Healthcare," spent over a billion dollars to upgrade from a proprietary EHR system to Epic which has more billing code capability. Epic quickly paid for itself by generating additional revenue.
The issue is providers and practitioners within our healthcare system exercise a significant amount of discretion when it comes to the total amount of money that they are paid. Every healthcare expenditure is someone else's income. Even wasteful expenditure is someone else's income. So there's this whole private health insurance system with people processing claims on one side, then you also have, on the provider side, people managing all these different streams of payment.
The situation described above is not all on insurance companies. If insurers could align their policies and their reimbursements with providers and practitioners then the system could operate a lot more efficiently. Instead we have private insurers negotiating constantly with providers who in fact have more market power.
I'd disagree with that concept that the providers have more power. Provider reimbursements have been consistently falling year over year. In some sectors, like mental health, they are are so low that some of the shortage is due to insurance companies being unwilling to pay a livable wage. Eg United offering a single provider practice PhD psychologist with 30 years of experience $50 for a 1 hour appointment which is supposed to cover all of the overhead and then pay him for his time means that guy is not going to be on your plan.
I'll also tell you that the insurance companies play fuck fuck games constantly changing what "magic words" people like Trackhead have to put in their charts to get paid for obviously necessary shit. The words that would have gotten reimbursed last year are new this year and so you have to go out and get people to chart differently.
It's a repeated cat and mouse game between provider and insurer. A useful comparison on who has more power is with Medicare, which is that, on average, private insurers reimburse at rates far higher than Medicare.
Here's a simple example:Quote:
Originally Posted by summit
"Pt moved to ICU after MAP dropped to 50 post op and Hgb to 7.1 corresponded to need for 2 units of PRBC, pt stabilized after brief pressors."
In laymans: "the blood pressure dropped too low after surgery and the lab test showed the patients red blood cells were low, so we gave the patient a blood transfusion and moved them to a higher level of care including drugs to raise their blood pressure."
That equates to $0 and the ICU level care and transfusion will not be reimbursed because the doc didn't say the magic words: "hemmorhagic shock d/t post op blood loss anemia"
Fuck fuck games. Medicare plays that game too.
And on the provider side people get bills for an “IV push” which can result in an $800 charge each time a nurse provides an intravenous medication. Those games often come at the expense of patients
Insurance companies control everything….end of fucking story.
We, as patients and providers have no other illusions.
Zero debate.
Nonsense. Hospitals have enormous power
You don’t work in healthcare do you?Quote:
Originally Posted by MultiVerse
If hospitals had enormous power, they wouldn’t be losing money, handover fist and constantly renegotiating contracts with third-party payers.
What about outpatient clinics, private clinics, outpatient surgical centers, in the endless other small businesses, engaged in healthcare without the negotiating power of perhaps a large hospital chain.
It's a two tier system. 40-percent of hospitals lose money while the rest are pulling away from the pack. Hospitals that deliver care more efficiently also pay higher wages to doctors and nurses making it even harder for poorer performing hospitals to compete.
Around 60-percent of hospitals are also tax-exempt nonprofit entities. But very little of the tax benefits derived from nonprofit status goes towards charity care. Instead they tend to charge patients high facilities fees to cover administrative and operational expenses. So instead of expanding provider capacity, these well-intentioned top heavy bloated hospitals become qualified as “poorer” facilities which provides additional government subsidies
BWHAHAAHAHAHAHAHHAHAHAHHAHAHHAHAAAAAAAAAAAAAHAHAHH AHHHAHAHHAHHAHHQuote:
Originally Posted by MultiVerse
Maybe to contract specialists, but not employed healthcare workers whether MD, NP, PA, RN, etc etc et.
HCA, the largest hospital corp in existence, has some of the lowest pay out there and they are for-profit and boy do they profit!
Oh gotta love me some HCA trash talk! Universally despised.
Systems like Cleveland Clinic, Ascension and CommonSpirit Health have increased salaries and benefits in recent years due to growing revenues from providing more efficient care. The median hospital operating margin is now over 5-percent, so mathematically speaking, if the worst performers are losing money then the best performers are doing much better
One of the big mistakes of Obamacare was making it harder for physicians to own and run hospitals. The thinking was it's like having the fox guard the hen house. Whereas physician-led Cleveland Clinic is one of the best run profitable healthcare systems in the country
Right, referring back to the previous page, they have enormous market power because of perverse incentives in federal policy leading to market consolidation and ineffective spending.Quote:
Originally Posted by summit
That's a nice fairy tale.Quote:
Originally Posted by MultiVerse