Tess Gordon MD, MBA

More people are showing up to township data site meetings than any political events or protests in 2026 Michigan. You’d be a fool to support them at this point. Michigan is not a storage facility for big tech.

@DocDifferently Absolutely!

Want to go part-time? Inform your boss/med director/dept. chair of your decision. Do not ask. “I am informing you of my decision to reduce my clinical FTE to 0.75 beginning July 1” Denied? Told it’s “not possible” because of staffing shortages and patient access needs? ➡️➡️

@ACSPARTAN1 Sickening

THIS IS JUDGE MAGGIE SCOTT She let child rapist Daniel Cieslak, who r*ped a 12-YEAR-OLD girl, WALK FREE from her courtroom. But guess what folks? Not only that! She gave him an ABSOLUTE DISCHARGE, despite him pleading GUILTY. She also sparked outrage by praising Algerian rapist Hamadache Hamza for settling in Britain and setting up a hairdressing business. She said that the predator deserved “credit” for overcoming his “very difficult background” to become a successful business owner in Scotland.

@Govindtwtt Older generations worked sun up to sun down, and would not tolerate the theft of tax payer funds.

Older generations say “we all struggled in our 20s.” No, you didn’t. You didn’t pay $2,200 for rent and $7 for eggs. You didn’t graduate into $50K student debt and $0 job security. Gen Z isn’t dramatic. They’re drowning.

@isaacrrr7 @BillDon89952121 This is repulsive

Ayham Hussein, un joven iraquí de 15 años, fue juzgado por el tribunal del Estado Islámico por el "delito" de escuchar música durante la oración. Fue decapitado ante una multitud eufórica. ¡Esto es la ley Sharia!

This

@LifeNewsHQ @naomirwolf Evil

Rev. Jim Lewis, an Episcopalian priest, held a ceremony to bless an abortion clinic. You can't be a Christian and promote killing babies.

Iranian regime planning to execute first female protester. Bita Hemmati, is set to be executed by hanging alongside her husband for taking part in anti-regime protests in January. Where are western feminists? Where is Jane Fonda? Where is Amal Clooney? They are silent.

@ladydatadoc @DutchRojas In theory it should be as described, yet in the two large systems I had employment contracts with; that was not my experience and the administrative silo was hostile when questioned.

The provider organization certainly knows; if it is a very large organization and the physicians are salaried, their physician management team will know (while the others may not) assuming the payments are to the TIN; not to the individuals (who are salaried). Meanwhile I do advise every physician to understand what he or she has signed off on as billed services under their NPI as the rendering physician. All the professional services have to be recorded (with coding) on the UB04 or the HCFA 1500 as part of the claim filed w the patient’s benefit plan. The financial information may not be shared but the services reported by the institution should be understood by the practitioner. And the physician should be comfortable that his/her actions are reflected correctly on those submitted claims.

We price oil to the penny in real time across 195 countries. But nobody on earth can tell you what a knee replacement costs before you get one. That’s not complexity. That’s a cartel.

🚨Wow! Major Trump-Vance policy shift just dropped: Foreign aid will now go straight to national governments — no more routing billions through NGOs. This cuts out the middlemen who’ve turned taxpayer dollars into their own bloated business model. Effect on NGOs: Many will see their funding evaporate overnight. Expect mass layoffs, shrinking budgets, and some outfits shutting down entirely. The entire aid-industrial complex just took a body blow — no more endless grift. America First is finally hitting the middlemen where it hurts.

@matthewmaddock No JB!

Translation: I am Abigail Spanberger.

@ladydatadoc @DutchRojas It has been my experience that the contracting of rates are done behind closed doors without the knowledge of the physicians being held to those contracted prices. This truly is cartelian.

@DutchRojas Actually we do know; the MCOs for Medicaid Medicare Commercial especially the HMOs; we have a contracted price for both hospital and surgeons, etc. The hospitals displayed charges are not related to their contracted price for the most part.

@ProtecttheFaith Absolutely not Pontiff

This is absolutely insane Tell this to the 100,000s of English girls who have suffered the trauma of rape gangs Tell this to the Christians and Yazidi girls and women still suffering as sex slaves Tell this to the Christians in Nigeria, Sudan, Ethiopia et all being raped and murdered by Islamists conducting a genocide Tell this to the thousand plus Jews murdered on October 7th Tell this to the Israeli Jews and Arabs subjected to Hamas/Hezbollah terrorists attacks Tell this to the native citizens seeing their cultures swamped and destroyed by criminal invaders Its OK for Pope Leo, he's got 27/7 armed security, but ordinary people are experiencing the brunt of 21st century militant Islamism

@SalaryDr @lh_innovations All done intentionally

@lh_innovations Also means if you go private you need more heads just to manage all the regulation

In 2012, 76% of physician practices were doctor-owned. Today it's 37%. In one decade, physicians went from running medicine to working for it. Private equity. Health systems. Insurance companies. Everyone's extracting value except the people seeing patients.

@JustinPKeener @SalaryDr Agree 100%

@SalaryDr AI will empower physicians to own their practices again.

And to further the travesty...is the theft of wetware from physicians disguised as "committee" work, "administrative leadership" work, "Train the Trainer" work. While the value is "feels" for the docs, it has had horrific negative consequences in the quality of history taking, clinical exam, and the art of meeting people where they are in their health journey and carving out a plan that works for them...not standardized 💰💰💰bundles.

🚨 Michigan lost 100,000 acres of farm land to big tech, solar, windmills, and failed economic development efforts in just one year. 🚨 Before the data center boom. Michigan is not for sale. Save our farms!

Four Lessons Physicians Refuse to Learn 1. Nobody stole independence. The architecture eliminated it. The talking point is that 75% of physicians left independent practice. That frames it as a choice. It wasn’t. Reimbursement cuts, regulatory burden, and payer consolidation were designed, by lobbyists and lawmakers, to make independence economically irrational. Consolidation wasn’t an accident. It was an output. The system was architected to produce exactly this result, and it did. 2. A million high-earners with no lobby is a policy disaster. Physicians are among the highest-earning professionals in the country, and they have virtually no organized political presence. They don’t give. They don’t lobby. They don’t show up. That vacuum gets filled by hospital associations, carrier lobbyists, and PBMs who write the rules in their absence. That’s why professional fees have been declining for two decades while facility fees climb. That’s why physicians have no ownership stake in hospitals and site-neutral payment remains an uphill fight. When you leave your seat at the table empty, someone else sits in it. 3. Physicians compete with each other instead of competing with the system. The surgeon across town is not the enemy. The health system extracting 40 to 60% of collections through facility fees is the enemy. The carrier dictating reimbursement rates with no negotiation leverage on the other side is the enemy. And physicians consistently choose to compete laterally, doctor against doctor, rather than collaborate and compete vertically against the institutions that actually control their economics. Every fragmented practice is easier to acquire, easier to underpay, and easier to ignore. 4. Ownership has been on the table. Physicians keep walking away from it. Physician-owned hospitals. Captive insurance vehicles. Joint ventures. Equity-bearing partnerships. Direct contracting. Employer-based clinics. The opportunities to own infrastructure, not just practice within it, have presented themselves repeatedly. And by every evidentiary account, physicians have taken a hard pass. Not because the models don’t work. Because the profession has been conditioned to trade autonomy for a paycheck, and most doctors have accepted those terms without reading the contract.​​​​​​​​​​​​​​​​ -Rojas out

Hochul is a fool