Mitchell

[News to Remember @allchronology]

Listen to this. And then listen again. And again. Until you get it.

[Amy Faith Ho, MD MPH @amyfaithho]

If you think doctors are the problem when it comes to healthcare costs…check this:

Physician reimbursement ($/RVU) is DOWN 12%

Meanwhile…
Health insurance premiums are UP 146%
Inflation is UP 65%
Medical school debt is UP 72%
Healthcare administrator roles are UP 156%

The math is not mathing🤨

[Dutch Rojas @DutchRojas]

A primary care visit at an independent office: $116. The same visit billed by a non-profit hospital : $217.

Same physician.
Same patient.
Same visit.

Medicare pays non-profit hospitals more for the same service.
Instead of using it to cover expenses, hospitals started buying independent phsician practices.

Now you pay the 87 percent...

See why I say, the US government doesn't like you.

[unusual_whales @unusual_whales]

The average US family health insurance premium, per KFF’s annual survey:

1999: $6,000
2002: $8,000
2005: $11,000
2008: $13,000
2011: $15,000
2014: $17,000
2017: $19,000
2020: $21,000
2023: $24,000
2026: $28,000

That’s up 387% since 1999, about 6% a year.

Inflation over the same period: about 2.6% a year.

[Brian Stelter @brianstelter]

Here's that moment:

[Pypeline @Pypeline_]

As MACtion kicks off tonight, we have to pay homage to the greatest comment ever posted 💀💀

[Mitchell @mitchell345]

@jonesy1017 😂

[Scorigami @ScorigamiGuy]

TEN 36 - CIN 43

🚨 SCORIGAMI 🚨

That is the 1098th unique score in NFL history, and the 3rd of the 2026 season.

[Adam Bruggeman, MD @DrBruggeman]

Between October 5 and October 7, nine social media influencers all posted the same Medicare argument about a relatively unknown coding modifier physicians use. A content creator, a commentary account, a MAGA account that rescues animals, a radio host, an Outkick writer, a comedian, a newsletter guy, a Townhall columnist, and a RedState columnist who used to carry the nuclear football all suddenly became experts in the minutia of healthcare billing. They don’t regularly discuss Medicare and physician coding in their posts. Their posts reach hundreds of thousands to millions of followers depending on the account. One was labeled “paid partnership”.

Modifier 25 is not a scam. It’s not a loophole. It’s not some get rich scheme. Modifier 25 allows a doctor to indicate that a second, separately payable procedure was performed at the same time as another visit.

What does that mean in real terms? It means an orthopedic surgeon had you on their schedule for “knee pain”. After careful examination and discussion (the clinic visit), they recognize that you would best be served with an injection (the procedure) to help with the symptoms. They then provide the injection and attach a 25 modifier to indicate that this is a separately identifiable treatment from the visit and requires its own payment for those services.

CMS wants to pay the highest-priced service in full and cut every other same-day service by 50%. It is unclear how they came up with 50% and the agency even stated that they aren’t sure there is overlap in work for the two separate codes, but stated the overlap is “likely”.

I’ve been clear in my opposition and why.

When a plumber comes out to your house because your water supplier sent you a note that you might have a leak and then the plumber finds that leak, do they charge you half price for fixing the leak?

Our own government doesn’t even follow these rules. If you go to the post office and have two packages to send to the same address, do they charge you half price for the second box since it is going to the same address?

What will happen? First, we’ve determined that 80% of the impact of the -25 modifier will be on independent, private practicing doctors. We’ve created a new tax on independent physicians, pushing them further into consolidation. When doctors become employed, costs go up dramatically leading to increased premiums and increased out of pocket costs.

The other impact will be on patient care. Doctors will refuse to be paid half for the same work. They will tell patients to come back on another day for the procedure. That’s another copay. That’s another day finding help with children or loved ones. That’s reduced productivity while waiting for needed treatment. And at the end of the day, the cost to the payer and patient will end up being worse as doctors consolidate.

[Bloomberg @business]

Capital One said in a court filing late Friday that it closed accounts belonging to President Donald Trump’s sprawling real estate company in 2021 for legitimate reasons after an internal review by the bank’s anti-money laundering team. https://t.co/OIS1fsSBws

[MeidasTouch @MeidasTouch]

🚨 NEWS: In a new court filing, Capital One says Donald Trump’s accounts were closed in 2021 after months of analysis by its anti-money laundering (AML) professionals, not because of politics, as Trump has long claimed.

The bank says its AML team conducted a careful review that identified suspicious transaction patterns and made the decision under federal anti-money laundering obligations.

[Charles Hoskinson @IOHK_Charles]

American healthcare in a single sentence

[Mitchell @mitchell345]

@Mike_kim714 159

[Mitchell @mitchell345]

@NickHoopes_ $200/session for spinal decompression? I gotta adjust my rates… 🤣

[ArtButMakeItSports @ArtButSports]

Composition (Petit univers), by Joan Miró, 1933, 📸 by @morgantencza for @FortyOneMag

[mark normand @marknorm]

This looks like a Disney movie where a 12 year old becomes president

[Agri-Pulse Communications @agripulse]

Bird flu, screwworm monitoring among foreign aid programs killed by Trump https://t.co/z2xL2Ejqom

[Mitchell @mitchell345]

@Hali 😂 and I just went 82-0 with guy rodgers and marbury in the back court

[Mitchell @mitchell345]

I just went 82-0, think you can go 82-0? https://t.co/yIakPEYmJw #NBA #82and0

[Sarrah Bellus @sarrah_bellus]

The sickest thing about gas prices going from $2.84 to $4.99 in just two months is that Donald Trump is mentioned over 38,000 times in the Epstein Files.