Galashia

Galashia offers professional social media management and writing services for individuals, print media,businesses, companies, corporations and the Web.

[Galashia @galashialtd]

Innovative solutions can disrupt the healthcare status quo

[Mark Cuban @mcuban]

The exact opposite. Healthcare incumbents want you to do “the slow, intricate, trench work of understanding, reforming, and connecting a complex system”. It means you are trying to optimize their systems. The ones they control. If you make improvements they will buy you. Win Win for everyone but providers and patients.

The real solution is to work OUTSIDE the system.

The healthcare business is one of the simplest on the planet. People ask for care, providers provide the best care they can. They prescribe meds. Pharmacies fill those prescriptions. Easy

What has happened is that the industry has consolidated and learned how to extract rents everywhere and anywhere they can. Primarily by contractually making sure there is zero transparency.

If you can’t see the numbers that everyone else pays, and what they are paying for , they can lie to you and say you are getting a great deal.

When tech companies come in to “optimize”, they optimize the rent taking. Not helping patients

Plus there is regulatory capture

The fix for healthcare isn’t complicated.

Work outside the companies that add the complications

What you will find is those biggest companies, in particular PBMs and their captive insurance companies, and the complexities they add, are not needed.

There are smaller , simpler companies (like @costplusdrugs ) that can do the same job or more

Big self insured companies can set up direct contracts with providers. Instead of using the biggest insurers, they can use independent claim adjudication. (Is it really insurance if they do everything possible not to pay claims ?)

They can contract directly with pharmaceutical companies for super high priced specialty therapeutics

Providers know that all the contract complexities, pricing and network games played with big insurers is ruining the quality and cost of care, but they are terrified they have no choice.

They should be receiving advances from self insured companies as a means of mitigating the providers’ revenue risks rather than that money going to insurers.

In exchange, for providing providers cash advances , they should receive flat Medicare reference pricing , which can also lead to less paper work and administrivia for doctors, fewer claim denials and less need for pre approvals

But none of this happens because no one trusts anyone in the healthcare supply chain.

If self insured companies moved their business away from the biggest players to smaller, transparent players, the industry would simplify quickly. To the betterment of everyone.

[Galashia @galashialtd]

@sofizamolo @GrimaceOdysseus Is making a public wallet address here safe?

[Galashia @galashialtd]

@KarollinaOk @syscoin Are there any upcoming developments we should keep an eye on?

[Galashia @galashialtd]

@riccardogems @GrimaceOdysseus Wishing everyone good luck

[The Economist @TheEconomist]

How big is the role of luck in career success? Warren Buffett has talked of winning the “ovarian lottery” by being born in America when he was, and being wired in a way that pays off in a market economy https://t.co/po54jCD5wH 👇

[Galashia @galashialtd]

@ClarissaYorke @syscoin How long have you been tracking @syscoins progress?

[Galashia @galashialtd]

@WSJ Hoping for lasting peace in the region.

[Galashia @galashialtd]

@Miacrypto_ @syscoin Burning brighter each day, thats @syscoin for you 🌟🔥

[Galashia @galashialtd]

@gianlucabtc @silencioNetwork Excited to participate, thanks

[Galashia @galashialtd]

@ClarissaYorke @GrimaceOdysseus Does @Grimaceodysseus require a specific number of followers to enter?

[Documenting ₿itcoin 📄 @DocumentingBTC]

“80% of the wealth in America does not have access to #bitcoin and this is why an ETF will increase demand”, says @RasterlyRock.

[Galashia @galashialtd]

@ClarissaYorke Whats the tokenomics behind it?

[Galashia @galashialtd]

@jazminpinedo If youre into memecoins, you might want to research $ELON. Its named after Elon Musk himself 🚀🔥

[Galashia @galashialtd]

@riccardogems @DeepCaveAI Glad to see @DeepCaveAI avoiding the pump and dump Stability is key

[Galashia @galashialtd]

@tulioorocha_ How do you feel about the voting situation?

[Galashia @galashialtd]

@Mechilambre Wow, thats amazing news Influencers now have even more opportunities to monetize their influence.

[Galashia @galashialtd]

@belufrancese @odyss3y_xyz What is it about @odyss3y_xyzs program that makes it so top notch?

[Galashia @galashialtd]

@sofizamolo Sounds promising Thanks for sharing @sofizamolo 🤑🔮

[Galashia @galashialtd]

@MajimeTanaka @RevsBtc The future of crypto is looking bright with platforms like @RevsBtc leading the way! Cant wait to see what they have in store for us.

[Galashia @galashialtd]

@PGOLD_Official Cant wait to see the new website