Millard Craft

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Millard Craft

Millard Craft

@CraftMillard

Board/bored certified EM physician. Managed care denials / appeals expert and hating all things insurance. Bourbon collector. Space enthusiast.

Midwest Katılım Mayıs 2021
12 Takip Edilen52 Takipçiler
Millard Craft
Millard Craft@CraftMillard·
@StonkChris Ballsy to buy at a near ATH before a pullback, not sure if momentum will sustain before spaceX ipo
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Chris
Chris@StonkChris·
Back to the highs around $26 looks likely here, but $RDW legitimately has a shot at rocketing toward $40 into the SpaceX IPO catalyst. One of the cleanest setups you will find right now, and now appears to be entering full breakout mode. 🚀📈
Chris tweet media
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Millard Craft
Millard Craft@CraftMillard·
@BrentAWilliams2 The job losses are all from private insurance that reaps benefits from denials This ties into cost increases but I wouldn't frame that like a bad thing The strain etc feels entirely unfounded. Traditional medicare vs MA has sooooo many fewer barriers.
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Brent A. Williams, MD
Brent A. Williams, MD@BrentAWilliams2·
Since they never talk about them, here are the real (not hypothetical) downsides of switching to Medicare For All: 1. Enormous Costs Requiring Massive Tax Increases. 2. Longer Wait Times and Potential Rationing of Care 3. Strain on Providers, Workforce Shortages, and Lower Quality Incentives 4. Major Job Losses and Economic Disruption 5. Transition Risks and Government Inefficiency
Dr. Abdul El-Sayed@AbdulElSayed

Medicare for All means no premium, no co-pay, no deductible. Doesn't matter if you get a job, lose a job, turn 26, turn 65, get married, get divorce — it is there for you.

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Millard Craft
Millard Craft@CraftMillard·
@TorreGiorgio94 No, wondering why you prefer them over $IMSR Next gen salt reactors will come online over next few years, so similar to RKLB in 2022 in my mind I've been shoveling cash into them.
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Giorgio Torre 🤌🏽
Giorgio Torre 🤌🏽@TorreGiorgio94·
My favourite stocks/ETF by sector: - Nuclear: $SMR - Robotics: $OUST - Rare Earth: $UAMY - Copper ETF: $COPX - Memory ETF: $DRAM - Health: $HIMS & $IBRX - AI Infrastructure: $IREN - Drones: $ONDS & $KRKNF - Solar: $CSIQ, $ENPH & $TE - Space: $RDW , $RKLB, $LUNR
Giorgio Torre 🤌🏽 tweet media
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Millard Craft
Millard Craft@CraftMillard·
@pmarca That is definitely not how insurance works sir Source: I run the appeals process for a large Healthcare system. Insurance will just deny everything and make $$$
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Millard Craft
Millard Craft@CraftMillard·
@kiddiewise_ "Lucky strikes Smooth on the draw. Nine out of ten doctors recommend the healthy cigarette"
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Dr. Yonni
Dr. Yonni@kiddiewise_·
“Doctors once prescribed cigarettes for asthma.” Not centuries ago. Not in ancient folklore. Real doctors. Real hospitals. Real advertisements. In the early–mid 1900s, cigarette companies literally marketed cigarettes as “doctor recommended.” Some tobacco products were even advertised to help open the airways and calm cough. Even more disturbing? There was a period where pregnant women were encouraged to smoke because some physicians believed it reduced stress and controlled weight gain. The wildest part is that lung cancer cases were already increasing, but the connection to smoking took years before medicine fully accepted it. One of the greatest healthcare lessons in history is this: Medicine is powerful, but medicine can also be confidently wrong.
Dr. AK 🇮🇳@docakx

tell me an interesting lore about healthcare.

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Millard Craft
Millard Craft@CraftMillard·
@FiSurgi @mcuban I'm an expert in hospital flow and I'm not sure what you're adding here PT/OT limbo can still happen. SW/placement limbo can still happen. Acute care at home service is something we already offer to (help) prevent readmissions.
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SurgiFi
SurgiFi@FiSurgi·
I've been trying to engage with @mcuban for a while because I truly believe he wants to make a positive impact on healthcare. I've been unsuccessful. So I am putting the conversation I wanted to have with him out here for the world to see.
SurgiFi@FiSurgi

Here is my Model for the future of healthcare systems. I've been working on this idea for years. Sadly I don't think I'll ever have enough money or standing to pull it off. So I am posting it here hoping that someone else sees the value and does it.

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Millard Craft
Millard Craft@CraftMillard·
@KallMeKurtis Momentus is dead in the water and only rising on space hype. Avoid. $RKLB should also avoid. Let's never bring this up again
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Millard Craft
Millard Craft@CraftMillard·
Anyone need any help with working an insurance denials? Bored. I usually do inpatient med necessity but honestly that's harder than outpatient
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Millard Craft
Millard Craft@CraftMillard·
@DrAlexTatem And they don't like being confronted. I speak with insurance company MDs regularly and if you corner them on policy they get squeamish. They're also usually horrible clinicians
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Millard Craft
Millard Craft@CraftMillard·
@mcuban Our system doesn't sue patients. As the appeals director I can-and do-take insurance companies to court if they don't play fair. I'd much rather we work on a system holding insurance accountable and protect patients. Payor mix helps shield us, fortunately
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Mark Cuban
Mark Cuban@mcuban·
Explainer: If you need care and you can't afford your deductible, you will have to borrow money to pay for it. Typically the healthcare provider will loan you the money. Why ? They want to get your insurance company's money. Now, by definition, the hospital is a subprime lender. Not only is the patient in a huge financial hole, across their similarly situation patients, so is the hospital. They know they won't collect however much your deductible is. And that's just for your in-network deductible, nor does it account for your family max out of pocket I don't know the % of bankruptcies this causes What I do know is that the loss of hundreds of billions of dollars for patients and hospitals, starts with the plans offered by insurance companies. They know damn well when someone picks a plan and they can't afford the deductible. And to them, it's not a bad thing. If you can't afford your deductible, the chances they pay anything from your premiums, go way way down So patients go broke or can't afford care. Hospitals have huge uncollected debt, so they make it up elsewhere And then they aggregate those amounts, among others, and use them to get payments from state and federal programs. See how all that works together ?
Anish Koka, MD@anish_koka

“Did medical bills single-handedly account for more bankruptcies than anything else? No. This is an exaggerated half-remembering of a series of studies, authored by (among others) Elizabeth Warren, that were themselves exorbitant exaggerations.” - @asymmetricinfo

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Millard Craft
Millard Craft@CraftMillard·
@DrDeepMD Combine this with insane discharge pressure to keep LOS downtown and surprise surprise
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Sandeep Palakodeti, MD MPH
For those who don’t know this stat, 20ish % for key diagnoses is the benchmark 1 in 5 people coming back to the hospital within 30 days of discharge Been like this for years. Marginally getting better but not by much
Sandeep Palakodeti, MD MPH tweet media
jack@Jack725575

@DrDeepMD 1/5? Of all specialities and procedures ? Or are you speaking to the ED and general follow up as well?

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Millard Craft
Millard Craft@CraftMillard·
@mansizzzzle And when you come after them they fight back. HARD. I'm taking BCBS to court next month and a fucking team of lawyers will try to convince the judge the patient deserved nothing
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Mansi
Mansi@mansizzzzle·
I wish more people knew how incestuous healthcare companies really are Say for example you have Aetna insurance & you go to your local CVS to pick up a prescription, you hand over your insurance card, you pay your copay, you walk out with the drug You just paid three companies, your insurer (Aetna), the PBM that negotiated the price (CVS Caremark), & the pharmacy that dispensed it (CVS Pharmacy) They might look like three separate businesses but they’re not All three are owned by the SAME parent corporation, CVS Health
Mark Cuban@mcuban

If a healthcare company has 2700 subsidiaries and does 160 billion dollars annually in inter-company transfers, do they care if the government is involved or not ? If another company, same industry thinks they are so powerful they won’t show senators the pricing of a government contract with TriCare, even in a SCIF Do they really care if the government is involved or not ?

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Elizabeth Warren
Elizabeth Warren@ewarren·
The President should be lowering costs, not trading stocks.
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Millard Craft
Millard Craft@CraftMillard·
@DrAlexUrology My views on Medicaid have probably shifted the most out of anything since becoming a Healthcare administrator. I truly didn't realize how much it was completely designed to hate fuck poor people
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Alex Shteynshlyuger MD
Alex Shteynshlyuger MD@DrAlexUrology·
Mark, The medical school debt is not the main problem. Just like corporate debt is not a problem if the underlying business has solid fundamentals. Getting rid of the debt doesn’t address the fundamentals. The problem is that the business fundamentals facing physicians are not favorable. A system built for complexity + the complexity is maintained through regulatory capture: X12 / CAQH / WEDI. Regulations that disadvantage direct care. Middlemen that siphon off 50% of healthcare dollars. Hospitals will significant political influence that have an interest in suppressing physician compensation. Insurances that make more money keeping doctors of worthless networks than what doctors make providing care. Insurances brokers that get paid more per year for signing up a patient than what a primary care physician makes in a year taking care of them. High cost services with government fixed and anchored prices (Medicare/Medicaid) that are well below costs.
Mark Cuban@mcuban

If you want more doctors doing house calls, not selling their practices and going to work for the big HC conglomerates, make public med school free. A little gov intervention, so that rather than having 100s of thousands in debt guiding their decisions , they can do primary care or be a family physician and spend as much time with patients as they want. They can take cash. They can take chickens. If you had 250k after almost a decade of school, do you think that would impact your decisions ? And if you own a big HC conglomerate, does knowing they are drowning in debt impact your decision and how you compete and contract with them ? Fuck yeah it does. You pressure them till they have to sell out to you in an acquihire. They can’t afford to survive on their own and every huge HC company takes advantage of them About 32k students enter med school and DO school a year. 75k for a grant each. Thats 2.4b annually for each class. That’s it. You want better healthcare for everyone. That’s the place to start.

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Millard Craft
Millard Craft@CraftMillard·
@SalaryDr The clue here is "large Healthcare system" The job satisfaction stuff is likely BS, the paneling of those patients is probably brutal and frankly not good for the doctor or the patients
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salaryDr
salaryDr@SalaryDr·
This Family Medicine physician in Massachusetts made $460,000 last year. $250,000 base $210,000 bonus 36-hour workweek 4 weeks PTO 5/5 job satisfaction 5/5 work-life Large health system. 16 years in. The "family medicine doesn't pay" narrative needs an update. Would you take this deal?
salaryDr tweet media
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Millard Craft
Millard Craft@CraftMillard·
@mcuban Major healthcare companies (UHC et al) have fully ingrained themselves into our society. If they all went belly up over a million jobs in this country would disappear. There is an insane industry to gatekeeping Healthcare It's insane what we tolerate, which makes fixing harder
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Mark Cuban
Mark Cuban@mcuban·
You think the HC companies doing tens and hundreds of billions in revenue, profitably, would go out of business ? I think they would do all they could to force everyone else out of business Who could stop them?
Ange@civilagain

@mcuban Most will go out of business because they don’t have a business model anymore that extracts tax-money and extorts working people . Physicians can go back to starting their own clinics and run them like normal businesses the way they used to. Nobody can scam taxpayers anymore.

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Millard Craft
Millard Craft@CraftMillard·
@BenLeaf Same amount of value he brings to shareholders over last 5 years of a bull run market Or actually worse, net loss
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