In the history of the RRS, Oklahoma holds the largest margin of victory at 52 points.
OU also owns...
the 2nd at 50...
the 3rd at 49...
the 4th at 45...
the 5th at 42...
the 6th at 39...
the 7th at 38...
& the two 8th largest at 35.
UT's largest margin is 33
#TexasFactTuesday
Throughout my timeline. Here is the “short”, off the top of my head.
Cure all would be, to make the big carriers divest all non insurance assets.
Smaller stuff:
1. Make all cash purchases that are lower than current out of pocket, deductible
2. Require all contracts with any company or agency or org that gets taxpayer funds to be publicly posted, with prices.
3. If a HC entity gets fined by a state or federal agency more than once in 5 yrs, they can’t do business with the feds, or states, for 5 yrs
4. All non profit hospitals must publish their detailed general ledgers, prices paid to vendors, and any fees charged. Also require them to show yield (actual net revenue earned ) by plan
5. End Anti kickback waivers, require sales from brand manufacturers to distributor to be net of any rebates or fees. (Effectively cost plus)
6. End in network PAs/Denials. Your plan picked the doctors. If you don’t trust their judgement, don’t put them in your network
Then, Require a denial list provided daily to CEOs of self insured employers so they can see how their carrier is hurting or killing their members.
7. Create nationally standardized PBM, ASO/TPA, and other HC contracts employers sign, only the numbers and length can change
8. End all provider networks. End chargemaster pricing. Require direct contract cash prices to be inclusive of deductible so no patient OOP, but the cost is still less to the employer.
9. 10. Allow the fed or state government to negotiate the pricing of all accessories, like implants, screws, glues, etc , and it be made available to all providers.
10. Have the fed gov (taxpayers) guarantee the cost of any medical care that is priced at Medicare or less, for anyone not on Medicare or caid. Paid up front.
Repaid by the patient, on a means tested basis that starts at 3 pct of take home pay , but never exceeds 10 pct. With a maximum term of 20 years. After which it is written off.
Think of it as a guaranteed student or SBA loan. The key here is, because of the price caps, providers will find Ways to meet the price and push down pricing across the board. (They say they don’t make money at Medicare rates, but they make contribution margin and they know it. )
Since there is no insurance premium required , the pay back amount would be less than what you would pay in ACA premiums. The fed would have the option of buying stop loss insurance or taking the risk for high $ care.
Insurance carriers would have to innovate.
To each according to their healthcare needs, from each according to their ability to pay ✔️
@SenWarren@BillCassidy@RogerMarshallMD@AbdulElSayed@AOC@HawleyMO@BernieSanders@1klomp
Nikki is on your birth certificate, as your **middle name**
You were born and raised with it, as your *middle name*
But let’s not pretend you don’t realize that Trump’s GOP would have no place for you if you went by Nimarata Randhawa.
@IAPolls2022 People talking about education, but what happens at age 30 that produces a huge political swing, and what happens at 40 that causes the swing in the other direction?
Waymo is so good at saving lives that if it were a new drug in trial, it would hit the bar for being unblinded and made immediately available to the control group for ethical reasons.
@MorePerfectUS would prefer to keep killing pedestrians.
I don’t think people realize how much healthcare costs are driving big companies to fire and not hire.
It costs them $30k per family, per year for premiums and care. Most of that goes to the massive, vertically integrated insurance companies that send weekly bills that no one reviews in details. And it doesn’t include the company overhead to deal with it all. It’s usually the 2nd largest expense after payroll. Which is insane
It’s far easier to blame AI than it is to blame Healthcare costs.
Want to increase jobs, wages and improve affordability for every American ?
Break up the biggest insurance companies. Make divest non insurance companies. They don’t need thousands of subsidiaries. That’s how they game and abuse the system and increase costs for all of us.
Call your senator and tell them to support the BreakUp Big Medicine Bill by @HawleyMO and @SenWarren.
A Knight’s Tale (2001) shouldn’t work on paper and absolutely does on screen. Rock music, jousting as a sports movie, Heath Ledger pure charisma. Crowd-pleasing in the best way, endlessly rewatchable, and way smarter than it pretends to be.
I thought it was weird that the Head of Recruiting for the Choctaw Nation was posting the link to join ICE on their profile…so I asked him about it and then he deleted my comment and blocked me. 🤔
Is that not weird to anyone else?