Ruben,
May I take a shot at helping you understand?
You receive donations and have become a spokesperson for Banner Health and the University of Arizona teaching hospital, Arizona’s largest nonprofit health system.
You say you’re “fighting to make sure” insurance premiums don’t go up by hundreds or thousands of dollars.
Here’s how your policies make that happen:
CMS, the federal agency running Medicare and Medicaid, does not negotiate prices.
It assigns reimbursement rates based on where care is delivered.
Banner Health is assigned higher rates because it is classified as a hospital or hospital outpatient department (HOPD).
Independent practices are assigned significantly lower rates for the same work.
The same colonoscopy that costs $1,500 at an independent is reimbursed $4,000+ when Banner performs it.
Same scope.
Same doctor.
Different building code.
It gets worse:
Banner uses the site of service differential extra to buy up independent practices that have lower prices.
That’s how the US went from 70% independent physicians in 2010 to 20% in 2025.
Once Banner Health owns them, they stop billing independently and start using Banner’s hospital codes.
Automatically, CMS pays more.
Private insurers follow.
PREMIUMS GO UP!
And here’s the kicker:
Banner Health runs its own insurance plans. When Banner’s insurance arm pays Banner’s hospitals those inflated rates, Banner is paying itself, with employer premiums, federal Medicare and state Medicaid dollars.
Money in.
Money out.
Same pocket.
Banner pays no federal income tax, zero AZ tax, and zero property taxes as a nonprofit while buying up competitors, charging monopoly prices, paying executives millions, and hoarding billions.
Nothing about the medicine changes. Just the billing code.
CMS assigns the rate.
Banner collects it.
Families pay it.
Ruben,
Now you know how your policies raise premiums and hurt Arizona families.
- Rojas out
@BenRogers Good is the enemy of great. And great can’t happen under Jerry. Arguing about Romo or Dak is like the state of American politics - they win the more we argue.
@TracesofTexas On that note - I have long rallied for a rotating state fair, between Dallas, Austin, Houston and San Antonio. It’s lost its charm in Dallas, imo. Would be great to coincide with SXSW, Hou Rodeo, and maybe NIOSA. Just one guys $.02 🤷♂️