@amitisinvesting Bag holders unite! In all seriousness why else sign this? Major corporate governance violation and pushing the envelope on national security laws that he in his own words thought shouldn't apply to him and Nvidia. Seems odd no one cares about any of that.
@BuyingFDs Took profits all the way up as well and this week in the low 70's knowing that this was a possible outcome. Helps today, but obviously wish I'd sold more. Much more
Share this with your governor. Share this with every politician you know. It will cut the healthcare costs in your state.
We started Cost Plus Drugs because the prescription drug market is too complicated, too opaque and too expensive.
Our model is simple: we show what we pay for a drug, add a transparent markup and pharmacy fee, and show the customer the price.
No games. No hidden spread.
And a large percentage of our customers already have insurance.
They come to us because our cash price is often lower than what their insurance plan asks them to pay.
That tells you something is wrong.
Here are five things Texas can do about it.
1. Let patients shop for cheaper drugs
If someone's insurance says a prescription costs $500, but they can buy the exact same drug for $100 cash, let them buy it for $100.
Then credit that $100 toward their deductible and out-of-pocket maximum wherever Texas has authority to do so.
Patients should be rewarded for saving themselves and their health plan money.
They shouldn't be punished for it.
That's how you create something healthcare desperately needs:
Price competition.
2. Standardize PBM and TPA contracts
Texas should require the state, cities, counties and school districts to use standardized model contracts and mandatory terms for PBMs and TPAs.
I've reviewed these contracts.
They routinely run hundreds of pages.
I've seen contracting packages longer than a thousand pages.
There is no human being—or group of human beings—on this planet who can stay awake and understand every provision in contracts that complicated.
I don't care how much coffee they drink.
I call it contractual terrorism.
The vendor only has to sneak a couple of tricks through hundreds of pages.
The employer has to find every one.
It can't.
I've developed a model PBM contract designed to eliminate the major tricks and hidden economics we've identified.
Texas can have it for free.
Use mine. Improve it. Open source it.
I don't care.
Just stop making every government entity negotiate these contracts from scratch.
3. Make the economics public
If taxpayers are paying the bill, taxpayers should know the price.
Pricing. Fees. Rebates. Guarantees. Pharmacy reimbursement. Affiliate compensation. Audit rights.
Make them public.
I'm not talking about patient information or legitimate security information.
I'm talking about the money.
You cannot have an efficient market without price discovery.
Without price discovery, you get information asymmetry.
And when one side knows dramatically more than the other, guess who wins?
Not taxpayers.
Not employers.
Not patients.
Open the contracts up and let competitors see what they have to beat.
That giant sucking sound you hear will be money moving away from healthcare conglomerates that are too big to care and back toward taxpayers, employers and patients.
In the immortal words of Charles Barkley:
I guarantee it.
4. Kill the gag clauses
PBM contracts are like Fight Club.
The number one rule of Fight Club is that you can't talk about Fight Club.
The number one rule of many PBM contracts seems to be that you can't talk about your PBM contract.
That's insane.
Let employers compare pricing, rebates, fees, guarantees and reimbursement terms.
Markets work better when buyers know what other buyers are paying.
5. Make enforcement hurt
If a healthcare company commits a serious violation, give them one mulligan.
But after a second material federal or Texas enforcement action within a defined period, make them ineligible for new Texas government contracts for a period of time.
Two strikes.
You're out.
Today, some of these companies can make billions, get caught, pay a fine and write it off more easily than I wrote off an NBA fine.
That's not deterrence.
That's a cost of doing business.
And Texas should spend more on enforcement.
If Texas spends $10 million auditing contracts and analyzing claims and prevents $100 million in unnecessary spending, that's not overhead.
That's a 10x return on investment
@Cyclingnewsfeed Sean Quinn on EF undoubtedly has the green light to hunt a stage win. The other five are key lieutenants on GC teams and not going to be in the mix most stages.
@AmericaPapaBear Lived that as a kid 50 years ago. It was terrifying and embarrassing to have to apologize in person. Absolutely know I learned a valuable lesson that day that I have never forgotten.
Every year, I share this video of French caretakers who take sand from Omaha Beach in Normandy, and scrub them into the letters to give them the gold coloring.
They do this for all 9,386 US soldiers who died.
France also gave us this land as American soil. #MemorialDayWeekend
Utah State is entering the Round of 32 stripped of the sport's markers of power. Coach Jerrod Calhoun's roster sits at $2.4 million, well short of what it'd take to "go really deep."
Yet, here the Aggies are, outlasting programs with fuller pockets.
How?
https://t.co/P2xQVprdnM
$SLV $AGQ $SILVER
The morning opened with a clear regime shift.
Trump nominated Kevin Warsh for Fed Chair. Warsh is widely viewed as a hard-money hawk. At the same time, a U.S. government shutdown was averted at the last minute.
Gold and silver had effectively been propping each other up over the past week. Silver looked vulnerable, but gold’s parabolic move prevented a breakdown, resulting instead in a double-top structure.
This setup has historical precedent, most notably in 2006 and 2011.
Quietly behind the scenes topping macro news added up: Greenland resolution, Tariff step back, FED chair hawk(ish)...
As the macro narrative flipped, the “chaos premium” and “debasement trade” evaporated almost instantly. This came on top of rising margin requirements and billions of dollars in call options being offered throughout the week.
With today being Friday, those call positions became trapped. Market makers were then able to delta-hedge back toward neutral by selling underlying shares.
That’s when the dominoes began to accelerate.
As silver broke below key whole-number levels, where the largest call strikes were concentrated, selling pressure increased exponentially. Billions of dollars in call options rapidly went to zero.
The selloff intensified into the 1:30 PM window, driven in part by the $AGQ rebalancing mechanism.
As a 2x leveraged ETF, AGQ must rebalance daily to maintain its leverage ratio. A 10% drop in silver leaves the fund over-leveraged, forcing it to sell futures into weakness.
The “Kill Zone” (1:00–1:25 PM ET) is where the mechanics turned brutal:
1:00 PM: Order cut-off
1:25 PM: NAV calculation
HFTs and authorized participants knew AGQ would be forced to unload significant volume. They front-ran the 1:25 PM window, stripping remaining liquidity.
Silver didn’t merely decline, it gapped through multiple support levels. Selling pressure peaked precisely at the 1:25 PM NAV print. Once the mechanical rebalancing was complete, price finally found a floor.