Mr. Stein, you and Catherine Rampell of MSNBC sniped at @RogerMarshallMD who has consistently offered BIPARTISAN cost ⬇️ measures in HC ( transparency PBM reform. Bloomberg columnist Matthew Yglesias and Atlantic ( formerly New Yorker) writer James Surowiecki did the same. All huge accounts. Do insurance companies advertise in the publications that butter your bread? As a physician , @CMSGov has the sunshine database so you and everyone else can see what money I might be taking from @PhRMA or device companies. That’s fair. It would also be fair for 🇺🇸 to see what media companies and advocacy organizations take ( advertising, sponsorships) from big corporate, including insurance companies, PBM’s and medical distributors.

Fraud in medicine is so curious. Here is a clip of @DrOz and @SenWarren agreeing that up-coding by the insurance companies that run Medicare Advantage Is fraud youtube.com/watch?v=fIX-XjmW… 1/6 🧵

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

Delighted to join @whyy 's studio 2 team with @wendellpotter and Dr Zeke Emmanuel to discuss big fixes for healthcare. My big fixes were Price Transparency and Preserving the scrubs who care for the patients by exposing the profiteering of suits We discussed more than that... AI, Direct Pay Care, reducing administrative bloat, vertical integration. There's more agreement and more bipartisanship than you think! Thank you, Cherri Gregg, and Avi Wolfman-Arent , and Producer Debbie Bilder for inviting me! youtube.com/watch?v=g1vA-7bz…

Listening to Zeke Emmanuel - Using AI to reduce billing admin will not mean hospitals will pass savings to patients - they will just take those $$ and hire other useless compliance admins.

The Big Fix: Remaking American healthcare | Studio 2 from WHYY | 2/24/26 Take a listen to the whole show on @whyy on fixing healthcare, but my favorite part was when we all laughed! youtube.com/live/g1vA-7bz5ZE… via @YouTube

They ever find out where that unaccounted for Stimulus money went?

Is it time to ask why a United Healthcare subsidiary (Optum Serve) is hired by our government to reduce fraud waste and abuse, using technologies solutions when another United subsidiary (Change Healthcare) failed to use tech industry standards to prevent half the country's sensitive HC data from leaking to the dark web? business.optum.com/en/data-a…

Centene is the largest Medicaid managed care organization in the USA🇺🇸 (they have 22% of the market) with a big share of its revenue coming from Medicaid programs. Let's look at the compensation of officers and board....1/5🧵 gurufocus.com/stock/CNC/fina…

One of the most consequential healthcare policy mistakes of the last 15 years? The 2010 ban on physician-owned hospitals. I wrote about why repealing Section 6001 of the ACA isn’t a partisan issue. It’s a pro-competition, pro-patient, pro-community reform. The data are clear: physician-owned hospitals deliver lower readmission rates, lower mortality, higher patient satisfaction, and lower costs. ASCs have proven for decades that physician ownership doesn’t produce runaway utilization but instead produces efficiency. Meanwhile, 140 rural hospitals have closed since the ban. Large systems are walking away from Medicare Advantage contracts. And yet independent physicians are blocked from stepping in with local solutions for local problems. It’s time to restore competition to American healthcare. offcall.com/learn/opinions/r…

Karan Gupta, age 47, a Senior Director at Optum, a subsidiary of United Health Group, was found guilty after a six day trial on multiple counts, including fraud and money laundering conspiracy, for hiring an unqualified friend for a position where the friend did no work and paid half his unearned salary in kickbacks to Gupta, whose fraud totaled more than $1.2 million. @DMNnews Additional Details: justice.gov/usao-mn/pr/calif…

We have an Army of IRS agents auditing citizens. No one audits where our Healthcare money is spent. Health Insurance and Hospitals are having a party on the backs of Middle Class families. 7 of the Top 10 Lobbyists paying Tribute to Congress belong to the Healthcare Industrial Complex. They bought the privilege to Financially Rape Taxpayers. Congress sold it to them. Hospitals here are refusing my Specialist Consultations for my patients because I don’t work for them. We have a Physician Shortage. Hospitals are denying Healthcare to the sick and suffering. Healthcare purchased through Health Insurance is 18% the Economy. $1 of every $6 you spend Every Day! Healthcare purchased through Health Insurance costs more than Food, Energy and Military Spending COMBINED! Now we know why. Look at all the Corruption. Health Insurance and Hospitals treat workers like their private piggy banks. How did this happen? #Healthinsurance #Hospital #Congress #CORRUPTION

For the general audience: Medicaid alone is 10% of our nations entire spend. ( defense is 13%) It is joint federal state, the spend is an average of 15% of state budgets. Looking for fraud doesn’t mean you want to defund Medicaid, it means you are keeping it economically solvent so you are able to pay for the care that is truly needed. 22% of Pennsylvanians are on Medicaid. Tagging @GovernorShapiro @PAAttorneyGen @PAAuditorGen @ValArkooshPA

For the general audience: Medicaid alone is 10% of our nations entire spend. ( defense is 13%) It is joint federal state, the spend is an average of 15% of state budgets. Looking for fraud doesn’t mean you want to defund Medicaid, it means you are keeping it economically solvent so you are able to pay for the care that is truly needed. 22% of Pennsylvanians are on Medicaid. Tagging @GovernorShapiro @PAAttorneyGen @PAAuditorGen @ValArkooshPA