Pedro E. Cosculluela, MD

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Pedro E. Cosculluela, MD

Pedro E. Cosculluela, MD

@Babar1B

Orthopedic Foot and Ankle Surgeon

Lakeway, TX Katılım Eylül 2021
814 Takip Edilen490 Takipçiler
Pedro E. Cosculluela, MD
Pedro E. Cosculluela, MD@Babar1B·
They know. They have those numbers down to the last cent. In Epic, they actually publish the receipt for the surgeries in certain hospitals. They won’t show us the mark ups, but they know what that is. I have cross referenced with patient bills and the mark up is typically 400%. What I do not have access to is what they were actually paid by the patient’s insurance.
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Mark Cuban
Mark Cuban@mcuban·
@Babar1B I've looked at buying or investing. They didn't know in all but one
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Pedro E. Cosculluela, MD
Pedro E. Cosculluela, MD@Babar1B·
You know the answer to all of this. Of course they know the numbers. I have sat in countless meetings where we discuss all of this and come up with ways in which to continue to increase profits. They are acting dumb because they know the answers are not popular and would expose the scam further.
Mark Cuban@mcuban

Most hospitals don't know their costs. Things I've asked for that made them roll their eyes : A BOM for surgeries P&L for each insurance carrier P&L for Medicaid or Medicare business Why do they need consultants for everything. Why doesn't their CSuite know how to do any of it Why do they use GPOs when prices are insane Why do they work with carriers that underpay, late pay, deny everything, waste docs time with denial committees run by 97 yr old pediatricians. Why do they make no effort to sell direct to employers (excluding those on costpluswellness.com to avoid all the carrier abuse , and avoid being sub prime lenders for patient OOP Why do they abuse 340b Why do facilities fees exist Why do they abuse site neutrality Why do they abuse patients with charge master based bills Why do they not push for standard contract templates to reduce admin. Why do they accept so many different ins plans Anyone want to add more And for context, remember I think the biggest insurance companies are worse

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Pedro E. Cosculluela, MD
Pedro E. Cosculluela, MD@Babar1B·
Buy a group of them, give doctors the ability to run them efficiently with minimal administrative burden and watch them fluorish.
Mark Cuban@mcuban

Why aren’t any of these at risk hospitals publishing their full accounting so everyone can see where they spend their money ? All but one group of hospitals that I have looked at potentially investing in, spend so much on consultants and fees that it’s no wonder they are at risk Plus, I have NEVER seen an industry that is worse than hospitals when it comes to buying medications and items like implants, screws, other devices. They overpay for everything. And then when you show them how to save money, their “supply chain” employees resist any change. They are so set in their ways, it’s a shock more don’t go out of business. Prove me wrong.

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Anish Koka, MD
Anish Koka, MD@anish_koka·
“We need to stop pretending the scarcity is merit-based when the data shows otherwise. And we need to stop letting the people who benefit from the bottleneck control the conversation about whether the bottleneck exists. “ Well said.
Joseph Younis, MD@YounisJoseph

x.com/i/article/2038…

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Pedro E. Cosculluela, MD
Pedro E. Cosculluela, MD@Babar1B·
He may be ready, but the AI is not
Michał Podlewski@trajektoriePL

CEO of America’s largest public hospital system says he’s ready to replace radiologists with AI. Mitchell H. Katz, MD, the president and CEO of New York City’s public hospital system, has stated that he is prepared to begin replacing radiologists with artificial intelligence for certain diagnostic tasks as soon as the regulatory environment permits. Speaking at a recent panel, Katz highlighted the potential for AI to serve as the "first reader" for routine screenings such as mammograms and X-rays, which would allow hospitals to realize significant financial savings amid the rising costs of human specialists. In this scenario, radiologists would transition into a secondary role, only reviewing images that the technology identifies as abnormal. Other healthcare leaders supported this vision, citing data that suggests AI can be more accurate than humans in specific low-risk screenings. However, this proposal has met with intense opposition from medical professionals who argue that such a shift would pose a severe threat to patient safety. Radiologists have criticized hospital administrators for being "confidently uninformed," claiming that current AI technology is not yet capable of providing independent patient care without human oversight.

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Michał Podlewski
Michał Podlewski@trajektoriePL·
CEO of America’s largest public hospital system says he’s ready to replace radiologists with AI. Mitchell H. Katz, MD, the president and CEO of New York City’s public hospital system, has stated that he is prepared to begin replacing radiologists with artificial intelligence for certain diagnostic tasks as soon as the regulatory environment permits. Speaking at a recent panel, Katz highlighted the potential for AI to serve as the "first reader" for routine screenings such as mammograms and X-rays, which would allow hospitals to realize significant financial savings amid the rising costs of human specialists. In this scenario, radiologists would transition into a secondary role, only reviewing images that the technology identifies as abnormal. Other healthcare leaders supported this vision, citing data that suggests AI can be more accurate than humans in specific low-risk screenings. However, this proposal has met with intense opposition from medical professionals who argue that such a shift would pose a severe threat to patient safety. Radiologists have criticized hospital administrators for being "confidently uninformed," claiming that current AI technology is not yet capable of providing independent patient care without human oversight.
Michał Podlewski tweet media
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VK’s Midlife Crisis
VK’s Midlife Crisis@TURBOPOSSUM·
I’m very confused about the number of people who think “property tax” is taxes you pay for services you consume instead of a made up asset value the county used to collateralize a bond offering so they could hire 8,000 administrators for a school with a 40% literacy rate.
Rushi@rushicrypto

I’m very confused about the number of people who think “property tax” is a sales tax on you home rather than taxes to pay for public services you use every day. “I paid off my home why do i still pay property taxes?!?!?” Oh, did you also stop using the roads and libraries and sidewalks and parks? Not worried about fires anymore?

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Fenix Ammunition
Fenix Ammunition@FenixAmmunition·
@gazanotice Don't worry guys I'm sure there was a vital military target someplace in those tents because the IDF has told us many times they're a morally superior force who would never kill civilians
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zerohedge
zerohedge@zerohedge·
IRANIAN MEDIA SAYS THERE WAS NO DIRECT OR INDIRECT CONTACT WITH TRUMP AND CLAIMS HE WITHDREW AFTER THREATENING TO ATTACK WEST ASIA ENERGY FACILITIES: RTRS
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Matt Walsh
Matt Walsh@MattWalshBlog·
Today Lindsey Graham, who for some reason has been the White House's top spokesman for this war, went on TV and invoked Iwo Jima while calling for more escalation in Iran. Iwo Jima of course involved 26 thousand US casualties. It's extremely troubling that Graham has so much influence with the administration and has been so empowered to speak on its behalf. He is not conservative, he is not America first, he has never done a single thing in his career to advance the interests of actual American citizens, and he clearly wants this war to continue indefinitely and doesn't care how many Americans die in the process. He should have no influence and no say over anything. He's one of the worst people in all of congress and that includes the Democrats.
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Noah Kaufman, MD
Noah Kaufman, MD@noahkaufmanmd·
The response to yesterday’s post about opening @KaufCare has been incredible. After 20 years in the ER I saw the same thing every shift: Patients waiting forever. Ridiculous bills. Frustrating for patients & docs. Too many middlemen. That’s why we’re trying a different model.
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Humane Healthcare for All
Humane Healthcare for All@LighthouseDPC·
I've seen the studies. They are not "blinded" and run by Hospitals and NPs. No independent studies have been performed. We now have decades of data. You know who knows the efficacy of Midlevels via data? Malpractice Insurance Companies. Malpractice Insurance Companies have evaluated the data and have the actuarial tables. I wanted to just RENT a room to an Independent NP with his own LLC. Completely Independent, not even signing his notes. I checked with my Malpractice Carrier to ensure they would not raise my rates. They said they would SIGNIFICANTLY RAISE my rates. Because despite the NP being independent as I was the Senior Medical Officer, MD, in the clinic, I was responsible for every patient in the clinic. Malpractice Carriers have reviewed the actuarial data and KNOW Midlevels as a whole provide Inferior Care. That's not to say Midlevels don't have their place in Healthcare. But they require close supervision. Even Malpractice Carriers recognize this fact. Why do you think DESPITE NP Independence in Virginia Hospitals and Health Insurance STILL Require a Doctor Co-Signature on ALL Mid Level Notes. #Hospital #HealthInsurance #scam #CORRUPTION
Ron Ray@ENPDoc

@LighthouseDPC oh, the hysteria. Yet, if you look at the outcomes, their identical between both types of providers.

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Pedro E. Cosculluela, MD
Pedro E. Cosculluela, MD@Babar1B·
Ironically, the nutrition curriculum should focus on teaching doctors to advice their patients to avoid the exact same things they are unwilling to tackle.
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Keşfet

@gazanotice @KaufCare @sportsdoc2016 @InvictaOrtho @orthotraumamd @generalorthomd @elonmusk @BarackObama