John Slate

...

[John Slate @SlateDMD]

@charliebilello July 2020. Well I know why.

[John Slate @SlateDMD]

@Ric_RTP First it was facebook taking your personal info, and now AI taking your IP

[John Slate @SlateDMD]

@charliebilello That's really bad. It's only going to get worse.

[John Slate @SlateDMD]

@RapidResponse47 Very dangerous lol

[John Slate @SlateDMD]

@charliebilello That's some high quality TA right there.

[John Slate @SlateDMD]

@PeterMallouk The jobs that pay in % instead of a set salary or $/hr pay way more.

On average they may fall within this chart but the outliers of those jobs who pay in %, are the richest people in the world.

On average the outliers who are doctors are still within range of these numbers.

[John Slate @SlateDMD]

@giantsyankees21 @capitalweather That may be one of the coolest photos!

[giantsyankees2020 @giantsyankees21]

@capitalweather Taken by a buddy at the game tonight

[John Slate @SlateDMD]

@BradWilcoxIFS @aibm_org For the sake of my relationship, I'll keep this one to myself 😂

[John Slate @SlateDMD]

@MKBHD Not a chance. It can't even set my alarm properly sometimes.

[John Slate @SlateDMD]

@Patriots @RobGronkowski @TheHall Always a great attitude as well!

[Mark Cuban @mcuban]

The greatest problem in healthcare ? Hospitals, even market dominant hospitals, won’t walk away from the big ins companies that underpay, late pay, clawback, deny claims, waste their time in denial appeals, and require them to pay up to 8 pct of revenue to RCM consultants so they think they are getting what they are owed.

Here is the crazy part. The ins companies ARE NOT THE ONES ACTUALLY PAYING THEM on commercial plans. Employers are.

60 pct of employees get their insurance from their self insured employers. The ins carrier is just a middleman that pretends to add value.

All the clinical “value” they add, the hospital could do better, for both medical and pharmacy.

Most hospitals have no idea whether they make or lose money with their big ins contracts. They are just afraid to lose patient flow.

But. They actually know which companies their patients are coming from. They actually know or can find out, how much more the employers are paying the ins company, than what the ins company pays them (the spread, just like in pharmacy )

And to make it worse, those ins companies negotiate their rates as a discount from the “charge master “, which is like WAC in pharmacy. Just a made up list price.

Because the hospitals are afraid or too uninformed to walk away from these deals, the hospitals use the inflated charge master prices as the basis to charge uninsured , or out of network , or insured but not covered for their care, at charge master rates. Which of course the patients can’t afford. And it crushes their finances or they go without care

I’ll summarize. Employers , and their members , are paying far more than they should to companies they don’t like working with , that effectively rip off both the employer and hospital , and they could eliminate the middlemen if they went directly to to the employer.

It’s so simple. Sell your services to the employers that use your services at a price that is less than what nine companies charge for your services and you will make MORE money and employers will save a ton

And if they did this, they could dump the chargemaster and reduce the price they bill patients when they are at their most vulnerable

But they don’t want to change. And don’t get me started on how much hospitals over pay for drugs and devices because of the GPO deals they do. It’s just stupid.

Which in turn leads to the hospital being a bad actor with 340b , facilities fees and afraid of their doctors who demand they pay more for things like glue and implants so they can get vacations.

If you are a politician and reading this. Now you know why this is so fucked up and it’s not about capping rates. The insurance companies are smarter than you. They will just move the money to other places. It’s not about giving money to patients. You can’t shop for care from hospitals that are too gutless to walk away from the ins companies that distort all of healthcare economics

Go to your local hospitals , particularly those at risk of closing and ask for their profitability by carrier. Fully burdened. Ask how much they spend on RCM and consultants. In many cases they could survive if they ran like a real business and hired execs that could do the work rather than just manage consultants. They could work out contracts in their communities rather than with ins companies and benefit everyone.

The middlemen are not needed. Get rid of them

[John Slate @SlateDMD]

@mcuban Mark, you absolutely nailed it. I've been trying to define this big picture view for a while and came to similar conclusions.

However, I'm just a sole practitioner with little control over the situation. Thank you for using your platform to spread awareness and inspire change!

[John Slate @SlateDMD]

@BernieSanders How much did these companies pay in Federal income tax, Payroll taxes, State and local income taxes, Property taxes, Excise taxes, Sales and use taxes, and Foreign taxes?

[John Slate @SlateDMD]

@capitalweather When I drove by DCA at 3pm yesterday it was 95...

[John Slate @SlateDMD]

@mcuban Cut out the middle man. They don't have the best interest of the people (patients) in mind anyways, so it's better without them.

You would be subjected to "Out of Network" fees from providers though (typically reflecting the real cost of quality care). Which I personally do.

[John Slate @SlateDMD]

@capitalweather This is exactly why I want to scratch my eyes out. 🥹

[Capital Weather @capitalweather]

Tree pollen spiked again with onset of warmer temperatures. 🤧 The most recent 24-hour report from Tuesday morning indicated it was very high at 2,152 grains per cubic meter of air. Tree pollen counts were up about 550 since Monday’s count and among the most significant counts so far this season.

At the current tree pollen level, almost all allergy sufferers will experience symptoms, and some individuals will have severe symptoms.

Oak is the biggest contributor, as it tends to be around here. Sycamore, mulberry and pine are also offering up a lot of pollen.

The report for the 24 hours ending April 3 was very high at 3,193 grains per cubic meter of air and may have been the peak, unless it happens in coming days. Oak catkins — the snake-shaped flower clusters that deliver pollen — have heavily dropped from trees since that earlier warm spell, although some remain.

[John Slate @SlateDMD]

@RapidResponse47 You could also just simply say, "We're providing federal aid to protect the Potomac river, a critical asset to the entire DMV and Chesapeake bay communities."

The negativity is unnecessary.

[John Slate @SlateDMD]

@pete_rizzo_ @grok What were some of Tom Lee's price predictions for Bitcoin over the past couple years?