Chief J

“I don’t have to outrun the bear, I just have to outrun you”. Whiskey drinking, smartass, realist. #bitcoin

[Chief J @ChiefJ54]

@jairoabarrantes @GadSaad Yep and they figured out how to deal with those communists pretty quick

[Chief J @ChiefJ54]

@Eddielinks_ I’m in my fifties, out of shape and haven’t touched a basketball in a year. If I worked in it for a month a guarantee you she couldn’t beat ME in a game to 11

[Chief J @ChiefJ54]

@CynicalPublius Time to invest in helicopters

[Chief J @ChiefJ54]

@animalliveson @MayoMonkeyUSMC @GovtsTheProblem Yeah the guy with the crazy eyes calling himself an adult - sure

[Chief J @ChiefJ54]

@HorrorGorl Hahahahhahha wait til you look back at Socialism and Feudalism. You people are a joke

[Erin Brantley @logiclives]

14.2% state income tax… just imagine.

The Colorado state government has used fees as a way to circumvent TABOR and just continue to increase their spending. Don’t be bamboozled by the Democrats again this Fall.

Vote NO on NN and force the state legislature to get their spending in order.

They don’t need more revenue, they need more competent legislators.

[Ross Kaminsky @Rossputin]

She's right. The very rich should pay a lower tax rate because obviously they are much better at creating value and opportunity and jobs then other people are and should be encouraged to continue to do so.

Separate from my unusual proposal, the claim that lower middle income people pay the same rate as very rich people is nonsense. The data are very clear that the top 1% and the top 0.1% pay the highest effective income tax rates.

I am not going to listen to her idiocy so I suspect she is actually talking about the proposal to destroy Colorado by eliminating our flat income tax. It's hard to think of a worse possible policy for this state.

People with no understanding of economics and whose politics are motivated by envy should never be elected to office. The people who elected this woman should be ashamed of themselves and should correct their mistake at the soonest possible electoral opportunity.

[Mark Cuban @mcuban]

The city of Denver makes it’s PBM contract available online. So I grabbed it and had Claude look at it and answer a simple question “Where are they getting ripped off”

Here is it’s response:

Denver is getting hit in six places, and the contract says so out loud. This is a self-funded City & County of Denver plan (4,051 employees / 8,554 participants, 1/1/2023–12/31/2025, $80M max) where the only stated pharmacy fee is… nothing. The medical admin fee is $45.13 PEPM. There is no PBM admin fee. That’s your first tell — the pharmacy program is priced entirely in the dark.
1. Spread pricing, written into the contract three separate times. Section A7 (Claims Processing): on mail, specialty and retail, United retains the difference between what it reimburses the network pharmacy and what Denver pays. It’s repeated in the General Conditions of the Pharmacy Financials exhibit and again in the Specialty Pharmacy Discount Guarantee conditions. So the AWP-discount guarantees describe what Denver pays — not what the pharmacy receives. The delta is Optum’s revenue, uncapped and unreported. For a public entity, that’s the whole ballgame. FTC found the Big 3 generated an estimated $1.4 billion of spread income on specialty generics alone.

2. Rebates: 100% retained, replaced with a fixed per-script number. Section A8: United keeps 100% of pharmacy rebates and pays Denver a fixed brand-script guarantee instead — $740.43 retail / $1,020.22 mail in 2023, rising to $885.02 / $1,105.10 by 2025. The contract then says explicitly that any rebates above the fixed amount are United’s to keep. Manufacturer rebate administration fees are folded into the guarantee, meaning they’re netted against what Denver was already owed rather than paid over. Denver has no idea what the actual rebate yield is, and no contractual right to find out.

3. The Rebate Credit clause is the biosimilar killer. If Denver moves to a biosimilar, an authorized alternative, or a lower-WAC brand, United gets credited toward its rebate guarantee for the manufacturer revenue it would have earned had Denver stayed on the high-rebate originator. Translation: United is financially indifferent to Denver buying the cheaper drug. Denver’s savings on ingredient cost get clawed back through the rebate math.

4. Your five clauses — all present, all in United’s favor. Specialty Drugs are defined as “Prescription Drugs available at United’s Specialty Pharmacy.” That’s a circular definition: whatever Optum stocks is specialty. Then: “United reserves the right to change the designation of a drug from specialty to non-specialty based on market conditions.” Then: specialty dispensed inside United’s specialty network is excluded from the retail and mail guarantees. Specialty dispensed outside it gets swept into the retail guarantee. Specialty rebates are “included in retail.” The specialty guarantee itself is 20.7% off AWP composite — and any specialty drug not on United’s list is guaranteed at only 14.0%. United controls the list. Every new high-cost launch defaults to the 14% bucket. And spread is retained on top of the discount either way.

5. Medical-benefit specialty has no guarantee at all. “Specialty drugs typically covered under the medical benefit (physician’s office, ambulatory, home infusion), and/or transitioned to the pharmacy benefit, are excluded from all guarantees.” That’s the buy-and-bill oncology and infusion book — the most expensive spend in the plan — with zero pricing accountability. On medical drug rebates Denver gets 80%, United keeps 20% plus float interest, and an unnamed subcontractor takes an undisclosed cut on top.

6. The lock-in clauses, which are the reason you can’t fix any of the above. Denver may not negotiate with any manufacturer for rebates or direct purchase — doing so forfeits earned-but-unpaid rebates. All pricing guarantees require United as exclusive mail provider. Terminating pharmacy services early means United keeps every pending and future rebate.

[Rand Paul @RandPaul]

The big picture on the economy: everyone wants to call it an "affordability crisis," when really, it’s inflation.

If your wages haven't kept pace, your purchasing power has been quietly eaten away. And the reason is simple: Washington keeps printing money to cover a $2 trillion deficit it refuses to close. We're devaluing the dollar every single day to pay for spending we never dared to cut. @Varneyco

[Chief J @ChiefJ54]

@Adams_GOP Isn’t he a furrie?

[Chief J @ChiefJ54]

@RepRoKhanna Oh fuck offfffffff

[Chief J @ChiefJ54]

@JamieBonkiewicz @JamieBonkiewicz relax, your drink is 100% safe from every guy on the planet.

[Chief J @ChiefJ54]

@modernhistory Damn the torpedos

[Chief J @ChiefJ54]

@BrandonStraka

[Chief J @ChiefJ54]

@HawkEmDownChris The Cosby Show just to watch if Cliff mixes drinks

[Chief J @ChiefJ54]

@Jen7347 @sillyrabbitfafo @megynkelly Everyone quiet, Jens triple chin wants to say something edgy!!!!

[Chief J @ChiefJ54]

@BillPlaschke Sorry Bill, the “real” liberal journalists will never consider you one of them. But keep
Simpin bro

[Chief J @ChiefJ54]

@kylegoon @dangainor Him - your company is losing money, so they cut jobs - You. - Nazi!!!!!

[Chief J @ChiefJ54]

@JamieBonkiewicz You’re such a ghoul who’s never done crap but bitch and moan.