Colleen

[Charlie Bilello @charliebilello]

Price Increases over last 7 years...
New Cars: +23%
Used Cars: +30%
Groceries: +33%
Shelter: +35%
Family Health Insurance: +38%
Restaurants: +39%
Transportation: +42%
Electricity: +44%
Auto Insurance: +49%
Home Prices: +60%
Gas Utilities: +62%
Gasoline: +64%
Dozen Eggs: +64%
Ground Beef: +76%
Fuel Oil: +84%
Coffee: +124%

[FOX 9 @FOX9]

A longtime Wayzata teacher who coached the school's golf team to four state championships was killed at his family's western Wisconsin cabin, where authorities say his son admitted to the killing and allegedly planned to bury his father's body. https://t.co/mWF7c86NFQ

[NDSU Golf @NDSUgolf]

PREVIEW: NDSU women's golf heads down to the Show Me State to compete in the MSU/Payne Stewart Invitational, hosted by Missouri State on October 12-13 https://t.co/ipF7vcbAyL

[Colleen @cmpls22]

@MeatSauce1 @Chris_Hawkey 🥺

[The Twins Almanac @TwinsAlmanac]

The CBS intro to Game 1 of the American League Championship Series 35 years ago tonight.

[Colleen @cmpls22]

@MeatSauce1 would @Chris_Hawkey ?

[TMZ @TMZ]

🚗 67-year-old Indiana woman arrested for doing donuts on courthouse lawn.

🎥: Jennings County Sheriff's Office

[People @people]

Beverly Hills, 90210 Premiered 36 Years Ago Today and Later Became a Hit. See Throwback Photos of the Cast in Their Early Days of Fame https://t.co/RxECUnjMU4

[Colleen @cmpls22]

@Gaardsy Nice day to be outside!

[Colleen @cmpls22]

@MeatSauce1 who’s on Tommy duty today? @TommyO53

[Chad Hartman @ChadHartmanShow]

"Absolutely disgusting."

That from Colonel David Hunt as he joined us today with no filter reacting to Pete Hegseth's speech to military members yesterday with specific rebuttals to many of the points made and actions taken by Hegseth.

https://t.co/R9pLOryC6Z

[Karen Kenyatta Russell🍀 @Karen_Russell]

Nice

[Colleen @cmpls22]

@RobOlsonFOX9 Cancer 💯 sucks. So much.

[WTVC NewsChannel 9 @newschannelnine]

BREAKING: RIP: Chattanooga native and actor Dennis Haskins, best known as Principal Richard Belding on “Saved by the Bell,” has died at age 75, according to his friend and caretaker.

A cause of death has not been confirmed: https://t.co/9m1XButyOI

[Rolling Stone @RollingStone]

How Trump Became Mob Boss of the United States

The most corrupt president in American history has been preparing his entire life to co-opt the government for personal gain

https://t.co/bJp5MHHers

[Mark Cuban @mcuban]

Share this with your governor. Share this with every politician you know. It will cut the healthcare costs in your state.

We started Cost Plus Drugs because the prescription drug market is too complicated, too opaque and too expensive.
Our model is simple: we show what we pay for a drug, add a transparent markup and pharmacy fee, and show the customer the price.
No games. No hidden spread.
And a large percentage of our customers already have insurance.
They come to us because our cash price is often lower than what their insurance plan asks them to pay.
That tells you something is wrong.
Here are five things Texas can do about it.
1. Let patients shop for cheaper drugs
If someone's insurance says a prescription costs $500, but they can buy the exact same drug for $100 cash, let them buy it for $100.
Then credit that $100 toward their deductible and out-of-pocket maximum wherever Texas has authority to do so.
Patients should be rewarded for saving themselves and their health plan money.
They shouldn't be punished for it.
That's how you create something healthcare desperately needs:
Price competition.
2. Standardize PBM and TPA contracts
Texas should require the state, cities, counties and school districts to use standardized model contracts and mandatory terms for PBMs and TPAs.
I've reviewed these contracts.
They routinely run hundreds of pages.
I've seen contracting packages longer than a thousand pages.
There is no human being—or group of human beings—on this planet who can stay awake and understand every provision in contracts that complicated.
I don't care how much coffee they drink.
I call it contractual terrorism.
The vendor only has to sneak a couple of tricks through hundreds of pages.
The employer has to find every one.
It can't.
I've developed a model PBM contract designed to eliminate the major tricks and hidden economics we've identified.
Texas can have it for free.
Use mine. Improve it. Open source it.
I don't care.
Just stop making every government entity negotiate these contracts from scratch.
3. Make the economics public
If taxpayers are paying the bill, taxpayers should know the price.
Pricing. Fees. Rebates. Guarantees. Pharmacy reimbursement. Affiliate compensation. Audit rights.
Make them public.
I'm not talking about patient information or legitimate security information.
I'm talking about the money.
You cannot have an efficient market without price discovery.
Without price discovery, you get information asymmetry.
And when one side knows dramatically more than the other, guess who wins?
Not taxpayers.
Not employers.
Not patients.
Open the contracts up and let competitors see what they have to beat.
That giant sucking sound you hear will be money moving away from healthcare conglomerates that are too big to care and back toward taxpayers, employers and patients.
In the immortal words of Charles Barkley:
I guarantee it.
4. Kill the gag clauses
PBM contracts are like Fight Club.
The number one rule of Fight Club is that you can't talk about Fight Club.
The number one rule of many PBM contracts seems to be that you can't talk about your PBM contract.
That's insane.
Let employers compare pricing, rebates, fees, guarantees and reimbursement terms.
Markets work better when buyers know what other buyers are paying.
5. Make enforcement hurt
If a healthcare company commits a serious violation, give them one mulligan.
But after a second material federal or Texas enforcement action within a defined period, make them ineligible for new Texas government contracts for a period of time.
Two strikes.
You're out.
Today, some of these companies can make billions, get caught, pay a fine and write it off more easily than I wrote off an NBA fine.
That's not deterrence.
That's a cost of doing business.
And Texas should spend more on enforcement.
If Texas spends $10 million auditing contracts and analyzing claims and prevents $100 million in unnecessary spending, that's not overhead.
That's a 10x return on investment

[Colleen @cmpls22]

@jatkins3 Love this!

[Gino Hard @GinoHard_]

This Wild fan buried a shot from CENTER ICE to win season tickets 🤯

Based on his celly, the right guy definitely won 😂 (via @mnwild)

[Minnesota Wild @mnwild]

our newest season ticket member

you could be next » https://t.co/YdVGVsKsxh

[Colleen @cmpls22]

Colin!!!!!

[Michael Russo @RussoHockey]

This dude just buried it from center ice and won Wild season tickets. What a celly

[Colleen @cmpls22]

@Kel_Sauce GTL!

[Mountain West @MountainWest]

𝗢𝗳𝗳𝗲𝗻𝘀𝗶𝘃𝗲 𝗣𝗹𝗮𝘆𝗲𝗿 𝗼𝗳 𝘁𝗵𝗲 𝗪𝗲𝗲𝗸 ➡️ 𝗡𝗮𝘁𝗵𝗮𝗻 𝗛𝗮𝘆𝗲𝘀

In his first career start, @NDSUFootball QB Nathan Hayes completed 14 passes for 160 yards and two touchdowns, including a 44-yard TD just before the half, to lead the Bison to a 33-7 win over Jax State in NDSU’s FBS debut.

🔗 https://t.co/voOKLumHD6

#MWFB | #BuiltBold | @OldTrapper