Solomon

Trying to figure it all out. Anon account.

[Solomon @BrSanch]

I thought I was done with the Medicaid data, but then I had an idea for sorting the data differently. Found something new! Look at Montana!

This is a rich picture. Here's what stands out:

The biggest red flags by code:

S5126 (Homemaker services) in Montana: 509x the national median. That's not a typo. Montana spends $5,919 per Medicaid enrollee on homemaker services while the national median is $12. Nearly all of it ($1.77B out of $1.78B) flows through a single NPI: Consumer Direct Care Network, Case #2 in our report. Sixteen providers in the entire state, one of them billing 99.4% of the total.

H2016 (Comprehensive community support) in New Jersey: 46x the median. $8.7 billion through 207 providers, at $3,949 per enrollee vs. $86 nationally.

H2015 (Community support) in Michigan: 65x the median. $3.7 billion, 614 providers.

S5125 (Attendant care) in Texas: 30x the median. $15.9 billion through 1,678 providers. Texas and West Virginia are both nearly 30x.

T1019 (Personal care) in New York: 24x the median. $74.6 billion, 912 providers. This is the Brooklyn epicenter we identified: ABI, Premier, Heart to Heart, AssistCareHome.

The state-level view is damning:

New York, Missouri, Massachusetts, and Montana all spend 4x+ the national median per enrollee on home care. New York spends $80 billion on these codes alone. Montana, with only 300,000 Medicaid enrollees, somehow generates $2.6 billion in home care billing.

These utilization rates don't match any plausible medical reality. You can't have 46% of a state's Medicaid population receiving attendant care. The codes aren't medically impossible at these volumes, but the implied service levels require either a population that's dramatically sicker than any epidemiological data supports, or billing for services that aren't being delivered at the scale claimed.

[Solomon @BrSanch]

@FutTakes I would have paid for the loan when I got married. My spouses problems are my problems, and she feels the same way. Probably why we’ve been married for 20 years.

[Solomon @BrSanch]

@JayMirelli @FoxNews They use the same meds in executions, and it didn’t go as expected. That’s my point

[Solomon @BrSanch]

@JayMirelli @FoxNews But, in many jurisdictions patients have to take the medications themselves which means no IV. Sometimes it’s fine, sometimes it’s definitely not peaceful /painless. I’ve seen it.

[Solomon @BrSanch]

Because dying with dignity is a myth. You take tons of opioids, but that often doesn’t work, because the adrenaline kicks in, so you give tons of benzos to stop the adrenaline, then tons of beta blockers to induce a heart attack and stop the heart, and tons of antinausea meds because the pill quanitiy is so high that you just want to vomit them all up. It’s often the opposite of a dignified death. I’ve seen many people die in ICUs and hospice. “Dying with dignity” is rare. Ironically, farm animals die with more dignity than humans.

[Solomon @BrSanch]

@NYTimesPR Umm… yes you do

[Solomon @BrSanch]

@FarmGirlCarrie She for sure has some dementia

[Solomon @BrSanch]

@CBSNews I don’t listen to pedos

[Solomon @BrSanch]

@elonmusk If this guess is as good as your guess about when the roadster or Grok 4.7 would come out, I think we’ll be waiting decade for this to come true.

[Solomon @BrSanch]

@DerrickEvans4WV The sad part is that I do home visits, and some of the widower dudes have Christmas decorations up all year. Probably because their wife died around Christmas time. Life is way better with women.

[Solomon @BrSanch]

Treading water is the easy part. The constant sprints and staying above water while people are constantly trying to drag you under is the hard part. It’s been a long time since I played water polo, but I could still tread for hours. If this dude was super competitive, I’m sure he’s had harder practices than this.

[Solomon @BrSanch]

@unusual_whales I skip meals to save money all the time, but I’m not poor or unhealthy. There’s nothing wrong with skipping a meal to save money. We spend money to buy ozempic so that we eat less. Skipping meals isn’t just free, it saves money.

[Solomon @BrSanch]

@DPrello That’s probably why you haven’t been diagnosed with retardism. There’s no drug for it.

[Solomon @BrSanch]

@Steve09812 Any swimmer/water polo player (most competitive swimmers have played water polo at some point) has a level of comfort in the water that most will never understand.

[Solomon @BrSanch]

@discerningdadd Yes, if your answer is “no,” you go to a cult, not a church

[Solomon @BrSanch]

@kevinnbass You’re describing 94% of jobs

[Solomon @BrSanch]

@MarioATX_MD Also, most clinicians will put put PHI into it thinking it’s “safe” without the BAA, and openAI knows this. So they’re absorbing tons of PHI. This is going to be one of the biggest breaches of protected health information ever.

[Solomon @BrSanch]

@Leonajardinho This post is for the brain dead. Your mortgage company has no power over taxes. Also, if your mortgage is payed off, you’re not going to pay a mortgage servicer anything. You’ll pay taxes directly.

[Solomon @BrSanch]

@B26343B @KOB4 This is a shameful comment. Muslim women already have almost zero autonomy. Be a man. Attack the men.

[Solomon @BrSanch]

@iamgingertrash They are viruses.

[Solomon @BrSanch]

@ValerioCapraro I think humanity has a class action suit case on its hands.