Disa Sacks

[Disa Sacks @SacksDisa]

@ProfDBernstein isn’t this entire thing Unconstitutional ?

[David Bernstein @ProfDBernstein]

The Justice Department needs to proactively monitor what community organizations will be getting this first shot, and whether they are connected to Mamdani's and the DSA's political machine.

[Adi @Adi13]

Every American needs to read the Muslim Brotherhood’s entire 100-year plan.

We are already 50 years in, and their success so far should be a serious wake-up call.

Ignoring the warning signs today could have irreversible.
consequences tomorrow.

Credit @blackcarddeclined Instagram

[Dave Rubin @RubinReport]

Isn’t your 200M net worth enough, @RoKhanna? You have to cheat the system too?

Was this sale to help pay for your new 10 million dollar house in Virginia as you prepare for your very, and I mean very, short presidential run?

[Disa Sacks @SacksDisa]

@CUNY_Prof @ByHisGrace Quayle was NOT bright

Never Vance

[Mila Joy @Milajoy]

🗳️ 51 VOTES IS ALL IT TAKES:

Sen. Dave McCormick says there's a chance the SAVE America Act could pass through Reconciliation 3.0, which needs only 51 votes in the Senate.

No filibuster in the way!

Senate Republicans, use every minute of the majority you have left.

Get it done! 🇺🇸

[Irit Mizrahi Tratt @Irit_Tratt]

Mamdani looked to strip pro-Israel non-profits of their tax-exempt status while serving in the state assembly. With the midterms over and his dutiful sidekick sitting in Albany, he will use these aspiring terrorists to revive his efforts to target Jewish groups. Mamdani is delighted to see scenes like this- and Hochul is more than willing to sit back and give him the latitude to sow this jihadi lawlessness in the city.

[Michal Behagen @mcl_bgn]

כך זה יראה. השרמוטות של הערבים שונאי ישראל ישבו בראשות ועדות הכנסת החשובות, לא כמנהלים אלא כשטיחוני ניגוב רגליים של תומכי החמאס, הערבים שונאי ישראל יתנהגו כמו אדוני המקום, הימין ילחם עבור העם המטומטם שנתן ארבעים מנדטים למי שבחרו להיות העבדים והשפחות של הטיביז כדי להפיל את נתניהו

[ארז תדמור@ereztadmor @tadmorerez48]

כשיו״ר ועדה בכנסת נותן ליועצו של ערפאת להתבריין עליו, זו רק שאלה של זמן עד שדם יהודי יישפך.

[Disa Sacks @SacksDisa]

@ddfmarketing1 IDF taking care of business

Now the Zionist politician must do the same

It’s the exact same enemy

[DDF NEWS @ddfmarketing1]

A Hamas vehicle was targeted in an airstrike a short time ago in the Muslim settlement of Gaza, in occupied Gush Katif.
According to initial reports, four Hamas terrorists were eliminated in the strike.
Footage from the scene of the vehicle strike.

[Prof. Jeffrey Lax @CUNY_Prof]

Excited to announce: I've been invited to become a Newsmax Insider, with a column on its opinion page.

Grateful to @NEWSMAX and CEO @ChrisRuddyNMX.

My new column: Philly's Jewish-owned restaurants were told they "Must Go!" Pennsylvania must outlaw that.

https://t.co/Lf2ZFWWVsc

[Mr. B @Mr_B9203]

Eizenkot was the one who reduced the IDFs capacity into the “leaner” version that did not scramble as well as we would have liked on 7.10. He was also the one who put reservist capacity on an Ozempic diet prior to 7.10.

Similar to the flags raised prior to 7.10 that people blame Bibi for, another lesser known flag was raised by Major General Shai Klepper (formerly commander of the Golani Brigade) stating that he was not comfortable with the results the lean model had produced in the event of an attack. He was correct.

Today Eizenkot is making statements in a similar vein to the “lean IDF” thought model that failed so thoroughly when he introduced it last time.

If you wanna blame decisions made by people prior to 7.10 who contributed to that black day, apply the standard equally or not at all.

[Disa Sacks @SacksDisa]

@DrBruggeman It also affects rheumatology , pain management ( chronic disease and chronic pain patients )

[Adam Bruggeman, MD @DrBruggeman]

The modifier 25 cut

When a physician bills a separately identifiable office or outpatient E/M visit with modifier 25 on the same day as a 0-day global procedure, Medicare now pays the higher-valued service at 100% and the other at 80%. It applies to the same physician or a physician of the same specialty in the same group. The 10- and 90-day globals are out. The proposed 50% is now down to a final 20% effective January 1, 2027.

The final policy is 40% of the proposal. More than 44,000 comments came in on this rule. The AMA devoted a 171-page letter to it and named modifier 25 as a chief concern. MGMA, AAOS, dermatology and essentially every procedural society said the same thing and CMS moved.

There are still significant issues despite the partial win.

First, the premise did not change. CMS's theory is that a visit and a procedure on the same day share overhead and the fee schedule double-pays for it. The agency floated this in the 2019 rule, dropped it after the same objections, and has now put a version onto the books that is unlikely to ever be reversed. The problem is the valuation process already accounts for overlap. In the 2026 final rule, CMS described its own practice of removing two minutes of pre-service and two minutes of post-service time, and 0.09 work RVUs, from procedures typically billed with a same-day E/M when it believes the overlap was not already captured. A 20% haircut on top of that is not eliminating duplicate payment.

CMS's own impact analysis puts the largest decreases on dermatology, otolaryngology, and podiatry, with orthopaedic surgery and hand surgery also listed as significant decreases, and attributes that mostly to this policy and the practice expense changes. Those are mostly office-based specialties that handle a problem the day the patient shows up with it. The practical effect of the policy is a financial incentive to tell the patient to come back next week for the biopsy, the injection, the nail procedure. This leads to more visits, more copays, more time off work, and worse access. MGMA clearly stated that the cut interferes with practices' ability to offer same-day care.

Unfortunately, 20% is likely the first installment on a cut that is sure to come around again soon. The agency proposed 50% across every global period. It got 20% on 0-day globals onto the books, which builds the claims logic, the edits, and the precedent. Nothing in this rule stops CMS from proposing another 30% next July, or adding 10- and 90-day globals back, and each step will be framed as a modest adjustment to an existing policy rather than a new cut. The proposed rule also asked whether the new B1 and B2 complexity modifiers should be billable at all with modifier 25. When an agency asks for 50 and accepts 20, it is usually planning to ask again. We have watched this play out with the global surgery data collection and the efficiency adjustment.

In October I documented a coordinated campaign of nine social media influencers and an anonymous ad group calling itself Patients for Safe and Affordable Healthcare promoting the 50% cut as a patient protection measure. I still do not know who funded it. When an obscure fee schedule provision gets a paid influencer campaign, someone expects to benefit. Every commercial contract priced as a percentage of Medicare gets this cut for free

Yesterday's budget neutrality discussion has impacts here too. Softening this policy was part of what pushed the conversion factor from -1.68% to -2.31%. The office-based specialties took a 20% same-day cut and a deeper conversion factor cut. Nobody came out ahead.

The right answer was never a smaller version of a flawed policy. It was withdrawal, paired with real data on what happens inside the visit. Friday will lay out how Congress can help

[עמיחי שיקלי - Amichai Chikli @AmichaiChikli]

כל מילה!

[Disa Sacks @SacksDisa]

Important interview ( great english subtitles) to learn first hand about the “ Hilltop Youth” from @ElishaYered
Keep an open mind

I see a Hero Defending and protecting the Jewish Homeland

[אלישע ירד @ElishaYered]

שמחתי לשבת לראיון מקיף עם סם שוברט, חתנו של שגריר ארצות הברית לשעבר בישראל דיוויד פרידמן ומנהל ערוץ 18 בישראל.

הטרור הערבי במציאות אל מול קמפיין "אלימות המתנחלים", הפעילות לביטול הסכמי אוסלו בשטח והחיים האישיים כילד בגבעה שממוקמת 350 מטרים מכפר ללא גדר באמצע.

הראיון בעברית עם כתוביות באנגלית.
מוזמנים לצפות או להאזין.

[אלישע ירד @ElishaYered]

בזכות ההיענות המדהימה שלכם הצלחנו לארגן בזמן קצר הזמנה של ביגוד חורף לרועים 🔥🧣🧤

יצאתי היום לגבעות המרוחקות ביותר לחלק את הסטים הראשונים שכבר הגיעו. מחר נצא בעז"ה במנהלת גבעות החזית לעוד חלוקה, אבל עדיין ישנם עשרות רועים נוספים שביקשו ציוד וטרם הצלחנו לספק להם.

כל 850 שקלים נוספים שייאספו - יבטיחו חורף חם ובטוח לעוד רועה גיבור שעומד בחזית.

צפו בסרטון, שתפו ותנו לנו את הכח לא להשאיר אף רועה מאחור>>
https://t.co/lnuN58UQYd

[Scott Becker @BKRBusinessMin]

This is great stuff. It’s like the teachers unions folks who send their kids to private schools.

[Eitan Fischberger @EFischberger]

I've been warning people about Drop Site News applying for 501(c)(3) status since January 2025.

I sent this piece to everyone I could.
Almost nobody seemed to care.

Very disappointed in the administration and the House Ways & Means Committee for not trying to prevent this