It took 3 years, but my FIRST paper was just published! Thank you to everyone, especially my coauthor Heather, for their support and mentorship every step of the way.
NOW SHARE THIS WITH EVERYONE, please :)
https://t.co/nDTp58ZN7I
@bluesfolio@lynssss3125 Hospital admissions are billed based on DRGs. Whether we spend $10 or $10,000 on medications during an inpatient admission, we only get what the DRG reimbursement is set at.
Unless you serve primarily Medicare/Medicaid patients and your hospital loses money on every single admission. We charge whatever we want, doesn’t mean we’ll actually get anything.
Our safety net hospital is fighting to keep its doors open because others take advantage.
Want another reason why healthcare costs are insane ?
Hospitals will not only charge a facility fee and other random costs BUT ALSO , if they believe the insurance company is willing to pay MORE THAN WHAT WAS ON THE PATIENT BILL, THEY WILL INCREASE THE BILL to the insurance company.
Of course the insurance company then charges the self insured employer the higher amount.
Our healthcare has become a game of who can rip off who and get away with it.
Too Big To Care - all of it.
Break em up !
@MFJones1618 I fully agree with you; that’s the primary issue I tried to highlight. If we can’t cover costs [bc of minimal/no reimbursement & other factors], then we can’t operate. Existing in a detrimental financial crisis means we’re at risk of closing our doors, no matter our mission.
Note: these are my opinions & I am NOT speaking on behalf of my organization
I didn’t disagree with you, I just don’t think it applies across the board . A safety net hospital is not out for profit; we care for all regardless of ability to pay. Zero reimbursement is also a factor
For any hospital that says they lose money on Medicare/caid patients, I would LOVE to see the bill of materials and direct overhead attributed to the procedures you lose money on
How much you pay for that hip implant, the anesthesia, disposables, the doctors/nurses etc, for the period of time they are working on that hip replacement. The same for any operations or procedures
It's crazy that I can't find that information ANYWHERE
Please show me how you lose money on Direct Costs at Medicare or Medicaid rates , then we can discuss the value of all the consultants , paintings , beautiful buildings , etc contribute to your inability to make money on the Medies
I even bought and went through hospital cost accounting text books and found no real numbers 😂
@mcuban I agree that can be at play, along with a ton of other little things [that add up to a significant amount] that could be done more effectively. Optimization in and of itself takes money, which can sometimes be part of the issue.
To clarify - by “whatever we want” I meant the appropriate amount that we are legally (and ethically) allowed to charge. But it doesn’t matter how much OR how little we bill; DRG based reimbursement only pays the set fee. Insurance wouldn’t pay us more $$ even if we charged more.
Unless you serve primarily Medicare/Medicaid patients and your hospital loses money on every single admission. We charge whatever we want, doesn’t mean we’ll actually get anything.
Our safety net hospital is fighting to keep its doors open because others take advantage.
@ChrisPorter22 Apologies, I wasn’t clear in my original tweet; by “whatever we want” I meant the appropriate amount that we are legally allowed to, but it doesn’t matter how much OR how little we bill, DRG based reimbursement only pays the set amount. We dont get to decide how much they pay us.
@nftfish3 I’m sorry you are unaware of how DRG based reimbursement works or how safety net hospitals function. Apologies as I am unable to explain it on Twitter but would be happy to share resources if you’d like to learn on your own.
@ChrisPorter22 DRG based reimbursement means we only get paid whatever the insurance company has decided we get based on the DRGs, regardless of how much we spent to care for those patients. We care for everyone regardless of ability to pay or status.
@lynssss3125 Apologies, to clarify - by “whatever we want” I meant that we bill the appropriate amount that we are legally allowed to - but no matter how much OR how little we bill, that doesn’t mean we’ll see even a fraction of it because of DRG based reimbursement.
Good morning to Melania Trump’s homeland of Slovenia and to this amazing magazine cover showing her husband with Hitler moustache made of crude oil. 🇸🇮🇪🇺
Slovenes cooked severely here.
“‘Vaccines don’t cause autism’ has never been proven.” Correct, because that’s not how science works.
If I say “sunning your perineum twice per day increases your IQ by 10 points” you would say, “prove it.” The burden of proof is on me, the person with a tanned perineum. If I responded by saying, “no, you prove to me perineal sunning DOESN’T increase your IQ by 10 points,” I am operating under the false assumption that my perineal sunning claim is fact without evidence to back it up.
The burden of proof is on the person claiming that vaccines cause autism, not the other way around.
I’m running for reelection to continue serving as Governor of Minnesota.
We’ve made historic progress in our state, but we’re not done yet. I’m staying in the fight — and I need you with me.
This is Melissa Hortman, on June 14, 2025 she & her husband John were murdered in a politically motived attack. She stood for environment rights, abortion rights & sensible gun control policies.
No lowered flags!
Can we take a moment to remember her good works.
Please RT.
Dr Edward Jenner created the first-ever vaccine when he found out people infected with cowpox were immune to smallpox. This discovery ultimately led the world to eradicate this deadly disease and save millions of lives Dr Edward Jenner created the first-ever vaccine when he found out people infected with cowpox were immune to smallpox. This discovery ultimately led the world to eradicate this deadly disease and save millions of lives Dr Edward Jenner created the first-ever vaccine when he found out people infected with cowpox were immune to smallpox. This discovery ultimately led the world to eradicate this deadly disease and save millions of lives Dr Edward Jenner created the first-ever vaccine when he found out people infected with cowpox were immune to smallpox. This discovery ultimately led the world to eradicate this deadly disease and save millions of lives Dr Edward Jenner created the first-ever vaccine when he found out people infected with cowpox were immune to smallpox. This discovery ultimately led the world to eradicate this deadly disease and save millions of lives Dr Edward Jenner created the first-ever vaccine when he found out people infected with cowpox were immune to smallpox. This discovery ultimately led the world to eradicate this deadly disease and save millions of lives ⬇