Top Tweets for #AaPS

Have we elected these people to do all this drama? Elected CM to do havan like a megalomaniac on Modi’s birthday? Which other country has such scenes? Satya Niketan is fresh in people’s minds. Has Rekha ji done a shanti havan for those students’ families? They are complete failures when it comes to building a developed India of our dreams.

This quote is from an article I read today. (Link in the comments.) "Brokers who adapt now will win the next five years..." Read the article carefully. Notice what's missing? Nothing about controlling the cost of the healthcare employers are already buying. Nothing about auditing claims. Nothing about hospital pricing. Nothing about negotiated rates. Nothing about independent imaging. Nothing about reference-based pricing. Nothing about asking why an MRI can cost $600 at one facility and $6,000 at another. Instead... The solution is more products. Less coverage. More complexity. More things to sell. Employers don't have an insurance product problem. They have a healthcare cost problem. Until someone starts addressing the prices you're paying today, adding more products is just rearranging the furniture. Open your eyes.

Five trillion dollars. No ticker symbol. No forward curve. No benchmark price. You cannot hedge it. You cannot short it. You cannot even know what you are paying until after you have already paid. That is the U.S. healthcare economy. The largest unpriced market on Earth. Every other trillion-dollar asset class has price discovery. Commodities. Equities. Derivatives. Real estate. Energy. Freight. Healthcare has charge masters, rebates, and negotiations conducted in secret between parties who all profit from the opacity. The problem is not that healthcare is expensive. Expensive implies a known price that is too high. Healthcare has no known price. It is unpriced. And the difference between expensive and unpriced is the difference between a market that needs reform and a market that does not yet exist. Link in comments.

With all due respect, there is Nothing The Fed can do to overcome the Healthcare Insurance Tax every individual and company paying for insurance faces. A Family of 5, making 125k per yr pays an effective federal income tax of 3.3%. Their insurance $9600 per yr WITH taxpayer subsidies. PLUS $19,200 ANNUAL out of pocket Max. No subsidies and their premiums go up to 25k per yr. Plus 19.2k OOP max. It can be 10x their fed inc tax. It's horrific for so many families This is why homes are unaffordable. This is why Tariffs hurt more. This is why companies have a hard time giving raises and retaining employees. This is why medical debt causes more bankruptcies Mr Secretary, the big insurance companies DICTATE THE FLOW OF FUNDS FOR A 5 TRILLION DOLLAR INDUSTRY. They determine the flow of patients to providers. The prices paid to doctors and hospitals. The flow of medications and the prices paid. They determine who can afford care via deductibles and OOP max, knowing if patients can't afford their deductible , the premiums paid go right into their bank accounts. Which is more important to a family trying to buy a home, a .5 or 1 pct interest rate reduction or their insurance going up $1500 dollars per month because subsidies disappear ? Or facing a 19k out of pocket risk ? It's all fixable