My American Dream #CrushedByHealthInsurers

American Health Insurance companies are creating companies in foreign countries to hide how their rebate program work in America to manipulate prices sky high Express Scripts caught by the FCC doing this in Switzerland even though they have ZERO customers there Express Scripts runs $75 billion per year through this scam The FTC sued the Big 3 PBMs. Express Scripts must bring their offshore company Ascent back to the US, bringing $750 billion in purchasing activity over 10 years

@GregAbbott_TX @KenPaxtonTX This is happening to a lot of independent healthcare providers in Texas and other states as well. Health insurance giants are eliminating competition by force, paying themselves far more for the same services, and deliberately destroying small practices that have served their communities for decades. Please put a stop to this. Our elderly patients are suffering the most—they can’t get the care they need and deserve.

CVS Pharmacy, Inc. agreed to pay $37.76 million to resolve allegations that, from 2010 to 2020, it dispensed excess insulin and improperly billed #Medicare, #Medicaid, and other federal health care programs in violation of the False Claims Act. direc.to/fSge

According to a new HHS-OIG audit, most of the diagnosis codes submitted by the Medicare Advantage organization Humana Health Benefit of Louisiana to CMS for use in its risk adjustment program did not comply with federal requirements. Read more: direc.to/fS9N

"Subsidies drive up premiums. Choice and competition lower premiums." "One SSN was used to enroll 125 different policies in one year." "We'd like to have healthcare where there is choice and competition, where you don't have fraud or endless subsidies going on forever, so that premiums actually come down for American families." House Judiciary Committee Chairman @Jim_Jordan on Obamacare subsidy fraud and healthcare affordability.

A surgeon calls UnitedHealthcare to SAVE her patient’s surgery. But they won’t give her the doctor’s name, their specialty, or EVEN the criteria used to DENY care. They deny the surgery, then tell her to appeal — WITHOUT explaining the denial. This is American healthcare.

“Bring back the free market in American healthcare to maximize access to care and undo the ACAs attempts to socialize healthcare in the US!” —@drdanchoi No one, nothing, can stop the movement.

The Affordable Care Act was never meant to be affordable. Single-payer healthcare does not work. It will never work. The rising costs in healthcare and health insurance are the design of Congressional Democrats and former President Obama.

The Game Is Over. @mass_marion @TruthRX @_APCI @PharmacyPodcast @IPAPharmacies

Can someone explain to me why @SECPaulSAtkins and @DOJ have not gone after the insurance companies that didn't check if zero premium enrollees actually knew they had been enrolled ? Why haven't they disclosed that this fraud is a material risk to current and future earnings? That the 35b in aggregate premium tax credits could and should be repaid to taxpayers ? Are there any short sellers talking about this ? They usually do more diligence than anyone. Health insurers ask GOP to fix their fraud problem — and extend Obamacare subsidies politi.co/3KEQVNA via @politico

@DutchRojas A group of surgeons built the #1 Orthopedic Hospital in the Nation 3 years running. Paid Millions in Taxes. Sect 6001 of ACA. Can’t expand… Ever. Local Non Profit pays no taxes. Can hire docs and expand forever. Repeal 6001.

What if Physicians led the future of healthcare? What if we were allowed to practice with autonomy free from third party interference and intrusion? What if physician owned and led hospitals were once again the norm? drchristinadeweymd.com/2023/10/23/sta…

We keep talking about “fixing healthcare,” but here are the facts: America doesn’t have a talent problem. It has a permission problem. If you give people agency, real agency, everything changes. Patients choose based on values. Physicians practice without gatekeepers. And builders start building. In this clip, Dutch explain why unleashing the market would unlock 10,000 new companies, bespoke insurance products, smarter lab marketplaces, oncology-specific coverage tools… all of it. Not because government commanded it. Because Americans built it. Let the market work, and prices fall. Let ingenuity work, and America wins globally. Clip below. @dutchrojas @drdanchoi @sdixitmd @anish_koka @DrDiGiorgio

No one does this better than then the State of Oklahoma. Let’s hope they do the same for independent doctors and clinics next ! @mtleake09 , well done !

My PBM Mafia Life: Friday edition Veteran with @TRICARE benefit with @ExpressScripts as the PBM Blood pressure medications Losartan and Hydrochlorothiazide PBM allows pharmacy ZERO dispensing fee PBM pays pharmacy Zero on claim PBM says charge patient $0.90 and $0.52 as copay This doesn’t cover the cost of the bottles we put the medication in. Much less my degree, store license, pharmacy software, my liability insurance. @RepDougCollins @SecVetAffairs allows this to happen. How much does PBM bill for these claims? @AAGSlater @AFergusonFTC @RonWyden @LeaderJohnThune you care?

@mcuban oklahoma.gov/oag/news/newsr… For starters, we stopped Optum from retroactively reducing paid reimbursements in the end of November!

@RobSchneider Same with healthcare. "Control the food and healthcare, and you control the people."

If there is still such a thing as “anti-trust” and a “monopoly” and “not in the public interest” than THIS IS DEFINITELY IT👇👇👇🇺🇸