@MaryBowdenMD@CMSGov This wouldn't crack the top 10 of low hanging fraud fruit despite the concerning trend imo. The better approach is to determine why the increase in utilization. Half are likely CT head for falls related to elderly. I think this is more due 2 CYA and less incentivized kickbacks.
@Cali_saloni@RepGregMurphy Doctor lobby? There really is no such thing. Trust me, I wish there was. We get trounced routinely by actual lobbies for insurers, hospitals, drug/device industry. Hell even nurses have a functional lobby. Physicians don't set prices and only 12% directly employed by hospitals
@Gabe__MD@AriReddy@grok Gabe- If you want to make a letter v spirit argument, fair play. However, forgoing the collegial "hallway conversation" and invoking your AI pet (with tepid agreement) makes you look like a lazy dunce.
@culturewarnotes@cremieuxrecueil Why on God's Earth are you using insurance for statins? Your provider and their kissing cousin PBMs mark up these drugs 10x (it's called spread pricing). Frankly instead of following the advise of quacks patients should spend their time understanding the true enemy- insurance.
@lanham_m79436@MaryBowdenMD@mcuban It's a huge reason docs in private practice have declined from 70% to 40% from 2000-present. No negotiating leverage. Mandated EMR/"tech" costs. Increasing admin burden and cost of ancillary staff to deal with the admin BS. It's not an easy gig.
@mcuban I'm all for a scorched Earth approach on the HC industrial complex & middlemen. Politically, it may be too big to fail from a employment standpoint. UHC has 260k non-clinical emp alone! This bloat does little for the end user (pt/clinician), but politics outweigh common sense.