Mikil Taylor

data @ CrowdHealth

[Mikil Taylor @MikilTaylor]

@SurgeryCenterOK I totally agree! Making doctors have to carefully track every minute seems like it’s making more an idol of paperwork than of medical care. I’d bet most doctors would trade all that paperwork for a consistent payment all day every day - love the work yall have done in this area

[Mikil Taylor @MikilTaylor]

@adityajain_42 I think the question of whether dental insurance is good (hint: it’s a terrible deal financially unless someone else is paying for it), is different from the question of whether dental as a business is good. Most people don’t have dental insurance!

[Mikil Taylor @MikilTaylor]

I mean if you look at the conversion factor of about $20 that Medicare currently uses, the vast majority of commercial insurance contracts with anesthesiologists are in the $60-$80 range. Base units and time units are otherwise identical.

And a tkr is like 16 total units (7 base units plus roughly 9 billed time units), or just under $330 for Medicare and $990-$1320 at 3x/4x Medicare.

[Mikil Taylor @MikilTaylor]

@nikillinit As in the medical system, I feel like a lot of this is driven by how “corporate” the practice you visit is. I go to a small-town dentist and have never been upsold

[Mikil Taylor @MikilTaylor]

@MaxJordan_N @MDsarecomplicit Tell the girl who worked her butt off for 12 years for criminally low pay that her parents income is the reason she’s a doctor

[Mikil Taylor @MikilTaylor]

@MDsarecomplicit I would venture that the vast majority of doctors’ wealth comes from their own efforts, not money their family gave them.

Many many doctors came from families in the bottom 80% of wealth.

[Mikil Taylor @MikilTaylor]

@KatyTalento If they weren’t making money on Medicare prices, they wouldn’t take those patients!

[Mikil Taylor @MikilTaylor]

@DrDiGiorgio What a crazy system we have set up where we spend a decade training people how to perform miracles, but then make them spend most of their time doing data input

[Mikil Taylor @MikilTaylor]

@ajlamesa Participate? Maybe. But you can bet they’d limit the number of patients they allow under that plan, and treat their self-pay patients better

[Mikil Taylor @MikilTaylor]

@DutchRojas But Dutch, they’re non-profit! Surely that means they’re always altruistic entities, only interested in doing public good? 😛😛😛

[Mikil Taylor @MikilTaylor]

@nathanjjmartin @DutchRojas If you think this would end under Medicare for All, I’ve got a bridge to sell you

[Mikil Taylor @MikilTaylor]

@InvestingDoc @rwbayer The fun thing about this is that brokers get to blame the higher of 1) your direct claims experience and 2) broad industry trends. But no matter your experience, the number will go up!

[Mikil Taylor @MikilTaylor]

@BKRBusinessMin The issue isn't that doctors are underpaid (although they're definitely overworked) - it's that we don't have enough of them, and supply is artificially constrained - tons of qualified new grads want to be doctors but don't have a med school spot

[Mikil Taylor @MikilTaylor]

@MacroSloan2929 @amyfaithho Take a look again at where the largest payments by insurers go. Hint: they’re the ones who aren’t supposed to be making a profit, yet they constantly build the nicest atriums in the world

[Mikil Taylor @MikilTaylor]

@MichaelRWarren As your former trainee in the fine art of radio, I concur. We all tried (and failed) to do this at least once, right?

[Mikil Taylor @MikilTaylor]

@fintechjunkie The rationale behind insurance negotiating discounts is that they will add patients to a practice. But medicine doesn’t have economies of scale - the price is just the price of labor. Of course cash is less - you get the labor price without hiring staff to manage the insurance co

[Mikil Taylor @MikilTaylor]

@MartyBent @crowdhealth What’s especially crazy about that Alabama Blue quote is that Alabama notoriously has some of the lowest provider prices in the country due to Blue dominance. Where’s the money going?!?

[Mikil Taylor @MikilTaylor]

@GreyHairOpsGuy A hospital that can never cut costs is a hospital that has to raise prices - I’m in favor of cold-eyed businessmen having a say in what’s actually necessary to run a hospital. If only they would use those savings to lower prices…