Charles Bachi PT, DPT, OCS, SCS

[Charles Bachi PT, DPT, OCS, SCS @CBachiIV]

I'm participating in Bike MS: City to Shore Ride 2026 to raise money for the National Multiple Sclerosis Society. The Society is the best investment to solve the challenges of multiple sclerosis and to ultimately find a cure. donate today! https://t.co/b5ibEeY5TT via @DonorDrive

[Mark Cuban @mcuban]

In healthcare, if you can schedule it, you can negotiate a cash price that is often better than what your insurance company can negotiate.

[Mark Cuban @mcuban]

Every person who cares about why healthcare is too expensive should read this thread and share with your representatives

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Excellent read:

“Epic was never built to ingest or learn from this scale of data. It was built to satisfy billing requirements, regulatory checklists, and documentation workflows. That is the beginning and end of its architecture. It is not a learning system, much less an AI system. It is not even a modern data system. And that is the root of Epic’s downfall.”

“No other industry generates so much information while analyzing so little of it. No other sector represents nearly 20% of U.S. GDP yet still runs on fragmented workflows and manual processes. And the incentives here are unmatched: improving patient outcomes, reducing costs, eliminating inefficiency, accelerating drug development, modeling disease trajectories, and eventually automating the more repetitive layers of care. There’s even an irony: the very infrastructure needed to enable learning health systems would also finally make billing more accurate.”

[Mark Cuban @mcuban]

Talking to independent physicians, it's obvious that the big insurance carriers are doing to them, what their PBMs are doing to independent pharmacies.

They deny, underpay, slow pay, clawback, and create administrative mazes, knowing their victims don't have the time or resources to fight.

Why ? By putting financial pressures on physicians and pharmacies, it makes them more likely to sell their businesses to them , close their doors, or refer the business to their captive pharmacy or provider. All benefitting the biggest insurance companies

We need to ditch the concept of "claims" and make every delivery of medications or care as a billable event that must, by law, be paid on a timely basis , with interest charges for any delays. If the physician or pharmacy doesn't deliver , the carrier has plenty of legal options already. As does the patient.

This is not an efficient market. This is the big guy abusing the little guy. It needs to change to better the care we get in this country

[Dan Choi, MD, FAAOS @drdanchoi]

.@mcuban is right on here

Vertical integration of health insurers part of massive healthcare consolidation that ACA brought on is one of the main reasons for high healthcare costs in 🇺🇸

Physicians and patients lost. Hospitals and insurers won big. Break up the monopolies and let physicians compete fairly to bring down cost of care!

[Mark Cuban @mcuban]

Has there even been an effort by independent physicians to create their own network , using a standardized contract , so that any employer can use it nationwide?

Each physician would be able to set their own pricing. But the terms and conditions , would be universal, so any employer can opt in on a non exclusive basis.

[The Wrestling Room (Pat Mineo) @MrPatMineo]

Great @CollegeGameDay sign! 😆

[AppSensa @AppSensa]

🚨 Peloton launching Garmin Connect integration in the coming weeks.

Your indoor cycling workouts on your Garmin will automatically sync with your Peloton app

[The Wrestling Room (Pat Mineo) @MrPatMineo]

🚨BREAKING: Class of 2026 phenom Bo Bassett is back on the open market and no longer committed to the University of Iowa… Can’t wait to see where he lands! 👀

[Jordan Burroughs @alliseeisgold]

🤩

[Bo Nickal @NoBickal]

Pretty crazy the wrestling world isn’t really talking about PSU scoring 177, I repeat 177, team points. 8 guys top 3, all 10 top 6. A boring amount of domination.

[Pete’s Stache @PPetesStache]

God bless the USA

[The Wrestling Room (Pat Mineo) @MrPatMineo]

In Philadelphia, where cheesesteaks gleam,
Wrestlers hit the scales, fueled by a dream.
Ramos, who once pinned Lee to the mat,
Readies for battle, with new dreams intact.

The blood round whispers, a merciless fray,
Where wills collide and hopes decay.
Sanderson reigns, Penn State’s dynasty strong,
A legacy carved where champions belong.

Starocci battles on, his fifth crown in sight,
A warrior forged in the Philly night.
Steveson looms, a giant, a myth,
A legend whose feats the sport uplifts.

From weigh-ins tense to the final bell’s chime,
The mats tell tales of grit and prime.
In the city of brotherly love, they strive and fight,
Now who’s ready to shine under the NCAA light?

🤼‍♂️

[Wall Street Apes @WallStreetApes]

This man’s daughter was in an ambulance. After receiving a bill, they were resent a more expensive bill

He’s calling to find out why. “The first bill we got without the insurance was $600. And then the second bill was almost $1,300”

Their response, “You're not eligible for the discount since you are insured”

The billing department says, “The bill was $2,342.14. We billed your insurance. Your insurance only paid $1,078.85

Can I go back to the discount without the insurance?

No, so you're insured, so you're not eligible for the discount.”

So because he has insurance he has to pay almost $700 more, for a total of $1.300… Make it make sense

Healthcare in America needs SERIOUS REFORM

[Charles Bachi PT, DPT, OCS, SCS @CBachiIV]

.@DonaldNorcross Please cosponsor H.R. 879 and include it in the March legislative package. This bipartisan bill would eliminate the 2.8% cut to Medicare providers & ensure inflationary updates, protecting patient access to care. #PTAdvocacy

[Mark Cuban @mcuban]

Here you go @BillAckman @elonmusk @DOGE And if you want I can get you the frc report that uses our markup as a reference to show how much big pbms are ripping people off. (Including your company if you aren't using a pass through pbm )

[Mark Cuban @mcuban]

. @BillAckman @elonmusk @doge if you want more, on the healthcare side too, I got trillions worth.

The arbs in this industry are insane. For instance, here is an example of how insurance companies with Pharmacy Plans for traditional Medicare game their plans to push people to Medicare Advantage

In their traditional Medicare Pharmacy Drug Plans, they use co-insurance. Which means the patient pays a percentage, usually around 20% of the retail price that they effectively set themselves. So a $600 drug like Elliquis costs them $120 each month

They don't use co-insurance for their Medicare Advantage plans where they profit about $1747 per year per patient.

So one has $120 monthly costs. The other has maybe a $25 co-pay.

So they are pricing to push people to their most profitable plans and extract more money in Medicare PDP plans

The bad part, beyond the money out of pocket that should be far less, is that CMS approves all of these plans and did nothing to help reduce the out of pocket for those with PDPs. They are stuffing money onto the pockets of the plan owners

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

Ultrasound of the Shoulder: Asymptomatic Findings in Men
https://t.co/0SaZ2EmkYS
“Asymptomatic shoulder abnormalities were found in 96% of the subjects.The most common were subacromial-subdeltoid bursal thickening, acromioclavicular joint osteoarthritis,&supraspinatus tendinosis”

[Charles Bachi PT, DPT, OCS, SCS @CBachiIV]

Take Action for Medicare Payment Reform https://t.co/RULn9tRXaS