Bill Maier

[Bill Maier @FMLhorseplayer]

Must be following horseplayers on Twitter. https://t.co/WqkO2Lo0OG

[Dr. Hunter S. Thompson @GonzoVice]

What passed for society was a loud, giddy whirl of thieves and pretentious hustlers, a dull sideshow full of quacks and clowns.

[Sarah Kendzior @sarahkendzior]

"In 2016, Trump's goal was to control the media. In 2026, it is to destroy the media. He recognizes it as a depreciated asset. Trump is a corporate raider doing what corporate raiders do. He seeks to destroy the media much as he seeks to destroy the US itself."
https://t.co/rmVY1HCojV

[Bill Maier @FMLhorseplayer]

@coccabal Off one of the very best albums of the ‘90s!
Keep on COC!!
(Come back to Louisville, KY)

[Bill Maier @FMLhorseplayer]

@kingbuffaloband Can’t wait for full album, ‘The Slick and the Dead’ is one of the best I’ve heard in a while! Please come back to Louisville

[Bill Maier @FMLhorseplayer]

@frankiefronts @SwifttKirk Long standing issue in evaluating workouts. Here’s a couple email screenshots from the late Steve Davidowitz which he was so gracious to respond to my similar inquiry (too) many yrs ago.
Best of luck sussing it out,
Cheers!

[Sarah Kendzior @sarahkendzior]

We're near the ten-year anniversary of this interview, which was viewed as wildly controversial at the time. It led to hit pieces on me from liberal outlets like The New Republic as well as death threats. Now it's seen as conventional wisdom -- but it always was!

[Bill Maier @FMLhorseplayer]

Could chisel this first sentence on my tombstone!

[VIP Wagers @VIPWagers]

Horse racing handicapping is a full-time job masquerading as a hobby. You can spend 4 hours analyzing speed figures, track bias, and pedigree, only to get beat by a 20-1 longshot that just "felt like running" today. The grind is real. 📉🏇 #HorseRacing #Betting

[Bill Maier @FMLhorseplayer]

@BR_OpenIce 🫡

[Bill Maier @FMLhorseplayer]

@bigjayharp @SethAbramson Uhh, no.

[Bill Maier @FMLhorseplayer]

How the f can’t @GoldenKnights hold a 4-goal lead?? Pathetic

[Bill Maier @FMLhorseplayer]

@SaratogaGoose @FanDuel_Racing @RubenFanDuelTV @BreedersCup Same. The crowd noise from stretch run was electric. Still gives me goosebumps

[Sarah Kendzior @sarahkendzior]

New article! Answers to the reader Q & A are up. On nuclear war, civil war, memory, road trip food, birds, the mafia, and TV! Something for everyone!
https://t.co/F06u0Zb32x

[Bill Maier @FMLhorseplayer]

I have no idea why smart people are still betting on horses. There must be a better way to entertain yourself.

[Bill Maier @FMLhorseplayer]

BS call on Zadorov
#Bruins

[Bill Maier @FMLhorseplayer]

What the #*!* am I hearing in this interview b/t Subban and Marner? #StanleyCupPlayoffs

[Mark Cuban @mcuban]

The greatest problem in healthcare ? Hospitals, even market dominant hospitals, won’t walk away from the big ins companies that underpay, late pay, clawback, deny claims, waste their time in denial appeals, and require them to pay up to 8 pct of revenue to RCM consultants so they think they are getting what they are owed.

Here is the crazy part. The ins companies ARE NOT THE ONES ACTUALLY PAYING THEM on commercial plans. Employers are.

60 pct of employees get their insurance from their self insured employers. The ins carrier is just a middleman that pretends to add value.

All the clinical “value” they add, the hospital could do better, for both medical and pharmacy.

Most hospitals have no idea whether they make or lose money with their big ins contracts. They are just afraid to lose patient flow.

But. They actually know which companies their patients are coming from. They actually know or can find out, how much more the employers are paying the ins company, than what the ins company pays them (the spread, just like in pharmacy )

And to make it worse, those ins companies negotiate their rates as a discount from the “charge master “, which is like WAC in pharmacy. Just a made up list price.

Because the hospitals are afraid or too uninformed to walk away from these deals, the hospitals use the inflated charge master prices as the basis to charge uninsured , or out of network , or insured but not covered for their care, at charge master rates. Which of course the patients can’t afford. And it crushes their finances or they go without care

I’ll summarize. Employers , and their members , are paying far more than they should to companies they don’t like working with , that effectively rip off both the employer and hospital , and they could eliminate the middlemen if they went directly to to the employer.

It’s so simple. Sell your services to the employers that use your services at a price that is less than what nine companies charge for your services and you will make MORE money and employers will save a ton

And if they did this, they could dump the chargemaster and reduce the price they bill patients when they are at their most vulnerable

But they don’t want to change. And don’t get me started on how much hospitals over pay for drugs and devices because of the GPO deals they do. It’s just stupid.

Which in turn leads to the hospital being a bad actor with 340b , facilities fees and afraid of their doctors who demand they pay more for things like glue and implants so they can get vacations.

If you are a politician and reading this. Now you know why this is so fucked up and it’s not about capping rates. The insurance companies are smarter than you. They will just move the money to other places. It’s not about giving money to patients. You can’t shop for care from hospitals that are too gutless to walk away from the ins companies that distort all of healthcare economics

Go to your local hospitals , particularly those at risk of closing and ask for their profitability by carrier. Fully burdened. Ask how much they spend on RCM and consultants. In many cases they could survive if they ran like a real business and hired execs that could do the work rather than just manage consultants. They could work out contracts in their communities rather than with ins companies and benefit everyone.

The middlemen are not needed. Get rid of them

[Bill Maier @FMLhorseplayer]

@RaworDie @santaanitapark @barshoelife @mstanton1975 @goofonroof @FanDuel_Racing Desormeaux on VodkaVodka

[Bill Maier @FMLhorseplayer]

@IsItSwift Just wait til his cousin starts pissing on the hay—will really run lights out

[UAW @UAW]

We have to bring back pensions, bring back retirement health care, and work to live, not live to work.

[Dr. Hunter S. Thompson @GonzoVice]

A man who has blown all his options can’t afford the luxury of changing his ways. He has to capitalize on whatever he has left, and he can’t afford to admit — no matter how often he’s reminded of it — that every day of his life takes him farther and farther down a blind alley.

[LMPD @LMPD]

If you crash tonight doing donuts in a parking lot, that’s between you and Jesus. We’re tired.