Sean Janoe

[Sean Janoe @scjanoe]

@ishuagra02 I just use @garrytan's gstack context save and context restore skills. works great. https://t.co/yemqDInnOg

[Sean Janoe @scjanoe]

@TheAhmadOsman Seems to lag pretty hard on the Terminal/SWE benches though, right?

[Sean Janoe @scjanoe]

All the time. Especially when it says something isn’t doable.. I just make it take a step back and route to a solution a completely different way. I noticed even the high end frontier models Will but themselves in a linear rut, but the world has many solutions to the same problem.

[Sean Janoe @scjanoe]

When a hospital becomes tax-exempt, it stops paying income tax.

102 switched. Free care: 3.5% of costs, then 3.6%. A rounding error.

For-profits reported a bigger charity-care share.

The exemption is priced on a label nobody reads the receipt for. https://t.co/Uc5bUue2vK

[Sean Janoe @scjanoe]

Medicare pays more when your doctor writes you're sicker.

A Florida group pays $541.5M over the notes: $1,969 a patient a year, 15% of the base.

It reported itself and went bankrupt. Plans delete invalid codes or repay.

The chart note is the invoice. https://t.co/hNlwz6u3NQ

[Sean Janoe @scjanoe]

@sallypipes Enrollment is the easiest number to publish and among the least informative. Effectuated enrollment, the count of people who actually paid a premium, would settle most of this argument, and it gets reported later and quoted less.

[Sean Janoe @scjanoe]

@heacockmd Contagion models assume transmission is close to free. Clinical LLM adoption moves through a purchase order and a per clinician subscription, which is a different transmission function entirely. Does the paper model a vector somebody has to buy every month?

[Sean Janoe @scjanoe]

@DrBruggeman Granted, with a receipt: CMS built the glucose monitor rate in 2017 from supplier price lists and its own existing prices, then indexed it every January as statute requires. The 2026 rate is that 2017 guess compounded. Bidding rounds are where a price gets discovered.

[Sean Janoe @scjanoe]

@AtlasMD Same agency, other tool: of California's 51 material change notices it has decided 49, waived full review in 47, and escalated about 4%. The spending cap is being run by an office whose existing enforcement lever almost never fires.

[Sean Janoe @scjanoe]

@DrugChannels @IQVIA_global Whether an unpaid rebate actually lands on the employer depends on the pass-through terms in its PBM contract, and those vary enormously. Does the IQVIA model assume plans were receiving those rebates in full before the 340B claim was made?

[Sean Janoe @scjanoe]

@healthai_agency @ricardobleite @FrontiersIn @RBaptistaLeite There's a test for this a system can run inside its own walls: count the work that stops happening. Coverage discovery in prior auth is interesting because it removes requests rather than speeding them up. If request volume doesn't fall, you bought throughput.

[Sean Janoe @scjanoe]

FDA keeps one public list of the AI authorized to help treat you.

93% of its 1,614 entries have no error report matched to them.

The scribe that writes your visit note isn't on the list at all.

A smoke alarm wired to the wrong room. https://t.co/tjN6xycQc0

[Sean Janoe @scjanoe]

Your employer's contract sets what you pay for insulin.

Caremark runs drug benefits for 87 million. The FTC settlement binds at most 11%.

Comments closed Thursday. Most other terms are offers.

The remedy is a checkbox on a contract you never see. https://t.co/SbbP4o3mMw

[Sean Janoe @scjanoe]

@lydiahallie

[Sean Janoe @scjanoe]

@Benefitsguynick Discount off which number? Prompt cash against billed charges can still land above the rate the network would have repriced it to, and the hospital knows both figures when it says yes. The story only proves the point if the cut came off the contracted rate.

[Sean Janoe @scjanoe]

@EricTopol Who buys the prevention? A 20-year forecast lands on a patient whose employer plan turns over every few years and whose insurer books the benefit for whoever holds the member in year 19. The models can see that far. No contract does.

[Sean Janoe @scjanoe]

@bobjherman Look at what the $200 routes around. The family pays cash outside the plan, so the PBM never sees the claim, the employer never sees the spend, and nothing counts toward the deductible. The subscription sells the gap between the cash price and the plan's price.

[Sean Janoe @scjanoe]

@InstituteCicero Days to decision is a real number and the one veterans feel first. It holds as a win only if the grant rate held too. A faster denial clears the same backlog, and the testimony as quoted reports days and volume with no decision mix.

[Sean Janoe @scjanoe]

@AtlasMD 22% is above the middle and inside the range. In the 2027 small-group rate filings a quarter of insurers asked for 18% or more, and a Kansas filing adds a 3% load purely for the groups it expects to lose. Part of that clinic's increase is the price of its neighbors leaving.

[Sean Janoe @scjanoe]

@cynthiaccox Does the rename come with a count? A CHOICE arrangement moves a firm's workers from the small-group pool into the individual market, and an Oregon insurer's 2027 filing already says cheaper groups are 'finding more favorable rates elsewhere.' How many came from small group?