otownfranchize
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If I told you a charity that lost $201 million in six months just bought naming rights to an NFL facility, you would assume I was describing a fraud.
I am describing a nonprofit hospital.
Jefferson Health. 501(c)(3).
Tax-exempt.
The Philadelphia Eagles’ practice facility now bears its name.
In economics, we call this “revealed preferences.” Ignore what institutions say they value. Watch what they buy.

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We used to think that the benefit of GLP-1 drugs (like Ozempic) was dependent on weight loss.
Now we know so many health benefits have little to do with that!

Eric Topol@EricTopol
Independent of weight loss, semaglutide (Ozempic) improves knee arthritis by cartilage restoration, in both the mouse model and a small randomized clinical trial @Cell_Metabolism cell.com/cell-metabolis…
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This is 🐂 💩- @novonordisk has produced two #Semaglutide pills:
1. Rybelsus which has been on the market since 2019 is FDA approved for type 2 Diabetes and results in 8.1 pound weight loss on average over 26 weeks with a 14 mg dose. The 7 mg dose resulted in a 5 pound weight loss over 6 months.
2. The new @novonordisk pill will have SNAC technology that avoids breakdown - digestion in the stomach and yields placebo controlled results over 14%. (This will NOT be the HIMS drug)
So do yourself a favor and DON’T waste your money!!!!
Buy the real thing or nothing at all!
Hims House@himshouse
🚨 BREAKING: $HIMS SAYS IT WILL SELL A COPY OF NOVO NORDISK'S WEGOVY PILL AT $49/MONTH 🤯🤯🤯
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NBC reports a newborn died after mom fell for the raw milk fad. Pasteurization was invented to stop this exact tragedy. But sure, trust TikTok wellness influencers over 150 years of science and see what happens.
NBC News@NBCNews
Health officials in New Mexico are warning against consuming raw dairy products after a newborn baby in the state died from a listeria infection that they say was likely contracted when the baby's mother drank raw milk during pregnancy. nbcnews.com/news/us-news/n…
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Health officials in New Mexico are warning against consuming raw dairy products after a newborn baby in the state died from a listeria infection that they say was likely contracted when the baby's mother drank raw milk during pregnancy. nbcnews.com/news/us-news/n…
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AOC: This is quite a bit of market concentration. Wouldn't you agree?
CVS HEALTH CHAIR DAVID JOYNER: No. I'd suggest it's a model that works really well for the consumer
AOC: I think it works well for CVS. Health insurance gets a cut, pharmacy benefit manager gets a cut, drug manufacturer gets a cut, and the patient gets screwed
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49% reduction in cancer risk with mRNA cancer vaccine
(In August, RFK Jr announced $500M in cuts to mRNA vaccine research)
wsj.com/health/pharma/…
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Week 2 — Medicare Physician Fee Schedule Updates and Cuts: Ongoing Threats to Independent Practice Viability
Happy Monday. This week we’re taking a deep dive into the CY 2026 Medicare Physician Fee Schedule (PFS) final rule (CMS-1832-F, released October 31, 2025)—and what it really means for independent physician practices.
At first glance, the news looks positive. CMS finalized a 3.26% increase in the conversion factor for most physicians (non-qualifying APM participants), raising it to $33.40 (from $32.35 in 2025). That increase reflects a one-time 2.5% statutory boost from Congress (via the One Big Beautiful Bill Act) plus a +0.49% budget-neutrality adjustment.
After years of cuts, that’s welcome relief. But let’s be clear: this is a temporary patch, not a structural fix.
Key threats to independent practice viability in the final rule include:
• A new –2.5% “efficiency adjustment” applied to work RVUs for most non-time-based services, based on a 5-year lookback of MEI productivity factors—disproportionately impacting procedural and diagnostic specialties.
• Changes to indirect practice expense allocation in facility settings, cutting the portion tied to work RVUs in half and widening site-of-service differentials that favor hospital outpatient departments over independent offices.
• No permanent inflation adjustment: Medicare physician payments have declined an estimated 25-33% in real terms since 2001, while practice costs (rent, staffing, supplies) continue to rise—and hospitals still receive automatic MEI-linked updates.
The result is continued pressure on independent practices, accelerating consolidation into hospital or corporate models that often prioritize scale and volume over patient-centered care. Despite the headline increase, many specialists—including orthopedics, interventional, and surgical fields—face net cuts, threatening access in rural and suburban communities, including here in Texas.
This week, we’ll unpack the details:
• Tuesday: The efficiency adjustment—why it’s flawed and who it hurts most
• Wednesday: Site-of-service differentials and the quiet erosion of independent offices
• Thursday: Specialty-specific impacts (skin substitutes, telehealth, and more)
• Friday: Policy Solutions—why permanent MEI-linked updates matter and how physicians can engage
Independent practices remain the backbone of personalized, high-quality care. Outdated payment policy shouldn’t be the reason they disappear.

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Using acetaminophen as directed during pregnancy does not increase a child's risk of autism, ADHD or intellectual disability, a major new review published Friday finds.
Read more: abcnews.link/SLL4ldz

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Last week, we announced a plan to make child care universal. Today, applications are open for pre-K & 3-K. If your child is turning 3 or 4, apply now for the fall at: myschools.nyc
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Want another reason why healthcare costs are insane ?
Hospitals will not only charge a facility fee and other random costs BUT ALSO , if they believe the insurance company is willing to pay MORE THAN WHAT WAS ON THE PATIENT BILL, THEY WILL INCREASE THE BILL to the insurance company.
Of course the insurance company then charges the self insured employer the higher amount.
Our healthcare has become a game of who can rip off who and get away with it.
Too Big To Care - all of it.
Break em up !
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1. #CDC posted new #flu data today. A 🧵
Another pediatric death was reported in the 2024-25 flu season, making it the deadliest flu season for kids since CDC started collecting this data point 20 years ago. 2024-25 has surpassed the 2009 H1N1 pandemic.
9 kids have died from flu so far this year.

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Recent research indicates higher rates of neurodevelopmental disorders among children exposed to #COVID19 during pregnancy. ja.ma/49bs0cx
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Medical Billing Company owner confirms Cigna Health Insurance has begun automatically “Downcoding”
If Cigna thinks a service is too expensive, they will automatically change it to a different code and pay the doctor the new lower amount
I made posts warning about this, it’s happening
Downcoding occurs when an insurer reduces a billed procedure code to a lower-level one, resulting in lower reimbursement. In healthcare
An example of this is: A new patient exam and follow up patient exams, they're going to take those high level exams when your doctor's actually spending time with you trying to figure things out coded at a 4 or a 5. These are higher level exams and they're gonna automatically down code these exams to a 2 or a 3.
So the doctor won’t get paid as much for these exams, and critics say this will greatly impact patient care
This is fraud. They’re purposefully and falsely changing records and billing requests
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