Things that have gone down since ACA was passed:
1) physician ownership in hospitals
2) physician pay compared to inflation
3) access to care
Things that have gone up since ACA was passed:
1) insurance company profits
2) consolidation/vertical integration
3) insurance premiums
4) US healthcare spend
5) hospital profits (particularly nonprofit)
All of this being said, the ACA didn’t do everything wrong. The real problem is our inability to admit that the ACA needs reform. Let’s fix the issues with common sense solutions.
Another middleman rent seeker in healthcare story. Here a lobbyist started a company who sucks millions of dollars yearly (illegally) so groups & hospitals can get paid money owed to them electronically by insurers. insidiousness of lobbying @CMSGov
https://t.co/lLtmAIeMXl
Their goal, in conjunction with the AHA, is to lower physician reimbursement to the point where living off professional fees is impossible, forcing physicians into hospital employment.
Compare how payments to Medicare HMOs have fared in the same period. Or salaries of MLB or NBA rookies?
Society as reflected in the actions of corrupt members of Congress of both parties holds doctors in low regard -- until they need them to save their lives. Time to unionize.
Best business strategy ever.
1. Sell Healthcare benefits coverage.
2. Make the government pass a law that mandate the purchase of health benefits coverage.
3. Then jack the price up super high. US is 2.5x other industrialised nations.
4. Subsidise the purchase of healthcare benefits coverage and then make it so 90% of participants cannot meet their deductibles.
5. Get Governors on board to pass laws that make it impossible for physicians to build new facilities and create additional supply.
6. Create strategic partnerships between insurance carriers and hospital systems.
7. Cap budgets on training new physicians.
8. Transition research funding from independents to commercial entities.
9. Wreck the food supply to make people sicker.
Results: 2.5 trillion of unnecessary spend.
Not #healthcare
This is the medical-industrial complex.
In 2010 it was 70% of physicians were in private practice and 30% were employed.
Also in 2010 the federal government made it illegal for physicians to own hospitals.
Today it’s 70% employed and 30% private practice.
Know you know why the government and carriers worked together to remove physician ownership.
Not #healthcare
#LoveIsBlind
Rep. B. Wenstrup (R-OH) (podiatrist) questioning of @SecBecerra on HIS failed implementation of the #NoSurprisesAct (at ~1 hour, 11 mins. +/-) is must viewing--about 3-5 mins total-"It is interesting that you as a lawyer (referring to the Sec. [former AG of CA[) violated the law"
Doctors at a major US insurance company deny tens of thousands of claims a month without even looking at patients’ files.
“We literally click & submit,” a former Cigna doctor told @ProPublica & @Capitol_Forum. “It takes all of 10 seconds to do 50 at a time.”
The inside story 🧵
I’m on the hill working to remove the moratorium on POH’s and there are doctors arguing and stating “physician ownership is wrong” and “physicians are not capable of overseeing multi-billion dollar hospitals”.
It’s absolutely insane.
Not #healthcare#CremoneseRoma