Wow! Through Multiplan’s algorithms America’s largest health plans have conspired together to fix prices without having to meet and discuss it. This is a big deal!

Everything in the hospital could cost $1, and the insurance companies conglomerates would buy them, raise prices, and make sure their top and bottom lines grew I'm not saying hospital systems are innocent, far from it. But the big vertically integrated insurance companies create the annual plans that crush people's financial situation

This has to be one of the most ridiculous laws ever passed (and that’s saying something!). Doctors can’t own a hospital but private-equity can. Apparently, conflicts of interest only exist if you are a doctor, but MBAs don’t have any. Smh. #txlege

Experience tells us that each plan having their own PBM will lead to even more fraud, waste and abuse.

Exactly. And where is the revenue going that you make off the backs of insured patients and employers who pay for this program? To build more empty hospital beds and buy more physician practices?

I like this better. The State of Texas is much more likely to produce independent, non-conflicted science on the efficacy and safety of ibogaine than a drug manufacturer would anyway.

More PBM-related casualties….we really should follow Arkansas’s lead and ban the ownership of pharmacies by PBM’s. Independent pharmacies are a lifeline in rural Texas, and they are worth defending.

“Report finds hospitals price the same cancer drugs up to 2000x apart, worsening financial toxicity and intensifying demands for real transparency.” @andrea_elea @PtRightsAdvoc targetedonc.com/view/new-rep…

Hi there, Federation of American Hospitals! I found the members of your Board of Directors on your website, used AI to pull up their 'day jobs', ownership structures, the kinds of medical facilities they own and their reach across the nation. -Can you fill in the blank numbers (in pink)? -Is there no conflicts of interest within their systems or other systems that your organization, representing for-profit hospitals represents? -Do any of the hospitals you represent attempt to steer within their systems, as was pointed out yesterday at the @HouseCommerce in questioning with @aafp and @DrDiGiorgio ? -Do you represent all PE owned or backed hospitals in America? I ask because there are many 'scrubs' that care for patients concerned that when PE acquisition happens, employees get cut, quality may decline and hospitals close.

Prior authorization IS the practice of medicine. Read this to see why…

Nope. Not true. 46brooklyn.com/news/trump-sa…

For many years, we rely upon the idea that if we are “covered“ we can access care. 61% of the coverage for non-Medicare recipients comes from employers who have an incentive to lower the cost of care for their employees. When we get transparency, employers can start to see that they are paying entirely too much. Sometimes those employers are the taxpayer through state employees, county employees, even school districts. Look at what Ashtabula school district did here. They fired the BIG so called insurers, paid direct and saved 2.4 million for the 300 lives covered in a single school district in Ohio. blog.riskmanagers.us/how-thr…

I remember working with your team when we first brought this bill. The pushback and difficult questions from the TMB made it better for when it was finally passed. This is a good step to mitigating the physician shortage in our state and particularly the rural areas. Well done and glad to see it. @TPPF @szaafran #TMB @txleg

HB2038, a bill passed unanimously by all Republicans in the legislature and now being implemented by the TMB had its strongest advocates with conservative think tanks who were forward thinking on how to tackle physcian shortages. texaspolicy.com/texas-has-th…

I can’t with this guy

I am glad that you are 'for' price transparency. At the onset of the show, our co-hosts highlighted the continued rising cost and decreased access of healthcare. Why do I tout transparency as a fix? We already have models of transparency SHOWING that we can pay less. Let's start with outpatient care, (I will do additional threads for inpatient and pharmaceutical) DPC, Direct Primary Care, which I mentioned in our live broadcast, is a fully transparent model of primary care delivery. It works outside the insurance 'coverage' model This is not concierge care; willing patients pay $60-$90/month (less for children). They get 24/7 access to their physicians, same day appointments, lengthy visits, and savings on labs and imaging as I will demonstrate below. Patients develop a relationship with their physician, which increases trust and compliance. They avoid expensive ER visits, saving the ER for what it was meant to be used for. A study conducted by Milliman/Society of Actuaries found that employees enrolled in DPC saw a 40% reduction in ER visits and a 53% lower ER spend compared to those in traditional health plans. Physicians report they are back to practicing medicine, having removed the administrative burden that we also discussed during the @whyy show There are over 2900 primary care doctors practicing DPC in the US. And there is a growing body of specialists practicing in direct pay models. Here is a site where interested patients can find DPC practices: mapper.dpcfrontier.com/ 1/4 🧵on DPC

Our monthly delivery from @costplusdrugs. $13k a month on “insurance.” Less than $40 a month from @mcuban ‘s Cost Plus Drugs. One pill a day that means the literal difference between life and death.

Quote of the day goes to @mcuban. 💥💥💥

Price Transparency will cut healthcare costs for every American. Let’s make it law!