Taylor Rogers

The single biggest operational arbitrage opportunity for companies with 100-2000 employees lies in how they purchase healthcare. It ain’t rocket science. You either use more than you should, pay more than you should for what you use, or both. 1/6…

@mcuban It always comes back to a proper spread of risk.

What if there was a bank account available, that required you to deposit monthly, what you would have paid an insurance company in premiums, for an ACA silver plan. So for a family of 5 about $2100. The amount would then be used for Stop Loss Insurance set at $30k dollars. About $300. Another $200 would be used for local Direct Primary Care for your family The balance would be in YOUR bank account. Like an HSA, It could only be used for approved medical expenses. If you never have any medical expenses, you will get to keep the money plus checking act level interest, when you turn 65 If you have a medical event that is more than what you have saved, your bank will loan you the money you need to pay for it, up to the $30k stop loss trigger You would repay that amount using the monthly $1600 net deposit. Once the loan is paid off, the deposits start to accrue to you again. This is not insurance. It’s a specially designed bank account that gives you control, support, a doctor to work with and catastrophic financial protection. Lots of work and issues to be addressed. But I was curious what people think Let me know !

@SMB_Attorney Look at the fields for Houston and SA… most of the top players very clearly feel the same, they just don’t say it on camera

What a jerk. I hope he falls apart. These other guys all deserve it more.

@SportsSturm Jamie and Lowry both knowing what had to happen was just so beautiful. Lowry is okay in my book.

Bush league.

@samnestler @DLLS_Stars Rhymes with “hero”

Alright, I am ready to hear it. Where is your ACTUAL level of concern for this team heading into the playoffs? 💻 @DLLS_Stars alldlls.com/dallas-stars-g…

@seanshapiro @RobertTiffin Been fun listening to you, Sean. The banter and the guys dunking on you for your Sturm-esque monologues, juxtaposed with Luds genuinely deferring to you for goalie commentary has made for positive juice and fun postgame “come down” listening. Best of luck.

My run at DLLS is over. I had a blast in the last 18 months helping build the DLLS Stars show and I'm going to miss it. Here's some transparency on why, sports media, and why I still love this field. shapshotshockey.com/p/on-the-end-o…

@SportsSturm could not have guessed how fun ABS would be.

I'm with you on this one.

@chrissyfarr Correct. FFS billing is nonsense. True VBC is the path forward, if cost, quality, and access mean anything in this country. Most current VBC models are deeply bastardized.

AI is providing both immense utility to clinicians, but will also drive up costs if the incentives in our current system stay the same. This may be correct billing, but it's also still MORE billing. x.com/HealthcareAIGu…

@ArthurMacwaters @DutchRojas check it out, AI prescribing meds is going to “collapse the cost of care”… Complete fundamental misunderstanding (or deliberate misrepresentation) of what’s driving the $5.3T cost of care.

AI medicine is inevitable. In fact, it has arrived. We're excited about this agreement with Utah to allow our AI to prescribe psychiatric renewals. Yes. AI prescribing medication. This is monumental and will collapse the cost of care. (1/

@aryelipman @nikillinit With T2D, yes. For weight loss, no. It’s 70% cheaper direct… economics don’t make sense to run through health plan.

@nikillinit so you're saying if I have Aetna / Blue Cross / whatever through my employer they won't cover these drugs?

wait... why not??

@ChefGruel Southwest did this to my wife and kids this week as well… when you buy in advance, direct from the airline… you have A-list preferred, and they still tell you tough shit…?

This happened to me on united. I quickly got my son 3 egg salad sandwiches. He gassed his way back into my seat, no one would sit with him.

@alt_w_v_g @TheRoctor_MD direct primary care. Get your bloodwork done 2x/yr, text, call, visit your doctor anytime. I pay <$900/yr, talk to my doc all the time. There’s a difference between “i never waste half a day going to the Dr” and “i never have things I’d love to talk to my dr about in depth”

Went to the doctor the other week My wife made the appointment She said I "look tired" I said I am tired She said "not normal tired. Weird tired." I don't know what that means but I went anyway Nice office Fish tank in the lobby Third one this year Signed in at 1:48pm My appointment was at 2:00pm 12 minutes early Because I was raised to believe that matters The receptionist said "the doctor is running a little behind" I said "how far behind" She said "about 45 minutes" I said "so my 2:00 appointment is actually a 2:45 appointment" She said "we appreciate your patience" I said "I haven't shown any yet" My wife grabbed my arm There was a sign behind the desk "Missed appointments without 24-hour notice will incur a $75 fee" The doctor was 45 minutes late Nobody offered me $75 We sat down CNN was playing on mute with subtitles Running a segment about New York City redesigning its trash cans Cost the city $4 million I looked at my wife She said "don't start" Seven magazines on the table All from 2019 I read an article about supply chain disruptions that have since been resolved Very informative My wife was on her phone She looked up and said "WebMD says you might be dehydrated" I said "so we're paying $1,800 for a second opinion on WebMD" She went back to her phone At 2:54pm they called my name A nurse walked me to a room Took my blood pressure Took my temperature Typed for three minutes Then said "the doctor will be right in" I sat on the paper The paper ripped immediately I looked at the wall There was a diagram of a colon Not how I planned to spend my Tuesday 3:19pm The doctor walked in 1 hour and 19 minutes after my scheduled appointment He was looking at his phone Shook my hand without making eye contact Sat down and read my chart for about 30 seconds While I sat there watching him learn who I was He said "so what brings you in today" I said "my wife thinks I look weird tired" He said "what does that mean" I said "I was hoping you'd tell me" He said "when's the last time you had bloodwork done" I said "2019 maybe" He said "we should run a full panel" I said "fine" He asked if I was sleeping well I said "I have three kids and a golden retriever who thinks 3am is a reasonable time to need outside" He said "are you drinking enough water" I said "probably not" He said "that might be it" I said "you think the reason I look weird tired is because I don't drink enough water" He said "dehydration is more common than people think" I said "I've been here over an hour and sat on a piece of paper that ripped to be told to drink water" He said "we'll know more when the bloodwork comes back" I said "when will that be" He said "3 to 5 business days" I said "business days" He said "yes" I said "my blood has business days" He didn't respond Then he said "any other concerns" I said "several. But none you can bill for." He shook my hand again Still no eye contact Total face time with the doctor: 6 minutes Total time in the building: 1 hour and 37 minutes I was examined for approximately 6% of the time I was present I've fired people for better numbers than that My wife was in the waiting room She asked how it went I said "I need to drink water" She said "I told you that last week" I said "yes but now it's a medical opinion so it costs $1,800" She didn't laugh In the car she said "at least now you know you're fine" I said "I was fine when I walked in. I just didn't have the receipt to prove it." She didn't disagree The bloodwork came back four business days later Everything was normal The doctor's office sent a message through their portal It said "results look great. Continue to stay hydrated and follow up in 12 months." Follow up in 12 months To be told to drink water again $1,800 1 hour and 37 minutes 6 minutes of face time One ripped piece of paper And the same advice my wife gave me for free Plz fix. Thx. Sent from my iPhone

@brianjstubbs @SouthwestAir I’ve been a lifer, too… I’ve called them the Costco of the skies, in the most endearing of manners. All good things come to an end

man when @SouthwestAir is no longer friendly or find a way to make it right, we are in real trouble.

@KLUV1414 @SouthwestAir I bought 3 tickets together… 6A-C for my wife and 2 young children and when I went to check in the seats were not together. I called and they told me tough luck! They expect my kids to sit by themselves. ALP for years. Gross stuff.

Example Post @SouthwestAir My daughter and her husband were involuntarily denied boarding due to an oversold flight from New Orleans to Maui yesterday on their honeymoon. They had to purchase an $840 Delta ticket to continue their trip and missed their first excursion in Maui. We’re requesting DOT denied boarding compensation and reimbursement. Hoping Southwest will help make this right.

@TronCarterNLU just despicable stuff here… the skies are no longer friendly

.@SouthwestAir I paid for 3 seats together… preferred seats for my wife and 2 children (7/9 y/o). When I checked in they are not seated together. I called and you guys told me tough luck?! A-list preferred, and paying for 3 seats together, and that’s the answer?

@SportsSturm Not sure if it counts as “relatively unknown”, but Chris Tanev had me at hello

Antti Miettinen says hello.

@ryanwhitney6 It’s 1 regular season home game. But dude… McDavid taking a cut and playing at 12M, still somehow surrounded by replacement level players…meanwhile Kaprizov at 17M is surrounded by dudes… has to make him sick.

A lot of Dallas stars fans in my mentions which really cracks me up. “Belt to ass whit!” “Your team sucks Whitney!” We’ve worked you over in 2 straight western conference finals… Have some pride. Oh no we lost to you march 12 in game 66. The horror

@KatyTalento Correct. The only people who glamorize it are people who haven’t done it. Yes it works. Yes the experience suffers.

My first client was a group of Catholic nuns. I helped them fire Blue Cross, fire Express Scripts, and fire their conflicted broker. We saved 30% in year one and kept saving every year after. I also gained a permanent twitch in my left eye. Reference-based pricing can theoretically work. It can also be — how do I say this delicately — a liturgical reenactment of the Passion. Providers don't love "take it or leave it" pricing. Patients can't get appointments. Balance bills pile up. It can work, but the success of the whole thing depends on whether your vendor stack can execute the unglamorous, unsexy, someone-has-to-do-it work that nobody puts on the sales slide. You can outsource plan functions, but you can't outsource accountability. This week's article is a play-by-play how-to.

@brit Yeah, I have a suspicion they’ve never had 2 baseball games, a dance recital, 2 cousin birthday parties, 1 school friend birthday party and time change all in one weekend

Clearly you are not a parent 😅

@ryanwhitney6 @spittinchiclets Suspended? Doug kick him off the tour.

I do not think thats a major on MacKinnon. if Nurse hadnt made contact with him than maybe