Win-win. The way any competitive market works!! #txlege
Texas Employers for Affordable Health Care@TXEAHC
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James Frank
5.2K posts
James Frank
@RepJamesFrank
Husband of amazing woman, father of 6 boys, imperfect Christ-follower, businessman & state legislator in the best state in the most amazing country on earth.
Wichita Falls, TX Katılım Ocak 2013
568 Takip Edilen6.8K Takipçiler
James Frank retweetledi
Unaffordable, and inexcusable.
@jason@Jason
They updated the most legendary chart on twitter What stands out?
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Why should employers focus on Dr pay so much when doctor pay is only 8% of total medical spend?
Shouldn’t employers first focus on hospital prices? Hospitals comprise > 40% of spend and have HUGE pricing differences based more on market strength than quality. #txlege
The Wall Street Journal@WSJ
Employers are clamoring for workers who can do doctor-like work but who are trained faster and can cost them less. on.wsj.com/4wOliEy
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If Medicaid expansion is the answer to high private healthcare costs, then explain the chart below:
As far as Senator Kolkorst is concerned, no one has been more bold taking on special interests in healthcare.
You don’t have to agree with her policies, but don’t question her motives. #txlege
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The best person to address it with is someone who has never worked in healthcare and has consistently voted against accepting federal dollars for Medicaid expansion?
With all due respect, my state senator is not only unqualified to address these issues, but she routinely declines to meet with the non-profit healthcare experts that could inform her legislative decisions.
Texas has the highest uninsured healthcare rate in the nation.
I have built my career from direct patient care, to management, to the director level, in both for-profit and nonprofit organizations. I have seen the inner workings of organizations who prioritize shareholders and those who prioritize efficient and quality patient care.
If I may, when healthcare access has reached crisis level in Texas, perhaps it’s time to elect healthcare experts and not donor puppets?
Just a thought.
James Frank@RepJamesFrank
The explosive growth of healthcare prices is the #1 affordability issue in Texas. No one better to work with to address it than @LoisKolkhorst #txlege
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James Frank retweetledi
Regulatory capture is the mechanism by which incumbents convert regulatory agencies into sustaining innovation engines.
The process is straightforward. The regulated industry provides the technical expertise that regulators need to write rules. Over time, the rules become so complex that only people with industry experience can interpret them. The agency becomes dependent on the industry for staffing.
At that point, the regulations no longer constrain the industry. They constrain new entrants. Every compliance requirement, every reporting mandate, every licensing rule becomes a fixed cost that established players can absorb and new entrants cannot.
This is why healthcare regulation grows in volume every year and competition decreases every year.
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@moodyforelpaso I’ll agree that both are problems.
But healthcare is 2x more expensive than it should be directly due directly to government policies (& lack of anti-trust enforcement).
Housing is largely driven by supply/demand forces (w/ the exception of a few local governments). #txlege
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Respectfully, the #1 affordability issue in Texas is housing. With that said, you are absolutely correct that we have to take action on healthcare prices. Texans expect and deserve it. Let’s get it done. #txlege
James Frank@RepJamesFrank
The explosive growth of healthcare prices is the #1 affordability issue in Texas. No one better to work with to address it than @LoisKolkhorst #txlege
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The explosive growth of healthcare prices is the #1 affordability issue in Texas.
No one better to work with to address it than @LoisKolkhorst #txlege
Holly Hansen@hollyshansen
In: #txlege Senate Health & Human Services Committee chaired by @LoisKolkhorst - interim hearing on May 27 to Examine the drivers of rising health care costs in Texas.
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James Frank retweetledi
Thank you @Repjamesfrank for working on this critical issue that affects so many Texans. #TxLege
dallasnews.com/opinion/commen…
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@quorumreport To be clear, any monetary recovery from this lawsuit will be used for the benefit of employees. I will receive nothing personally from any judgment or settlement. #txlege
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chair frank files class action lawsuit against blue cross blue shield: bit.ly/4tPIY8V
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@JRichieTX To be clear, any monetary recovery from this lawsuit will be used for the benefit of employees. I will receive nothing personally from any judgment or settlement. #txlege
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State Rep. James Frank's lawsuit claims @BCBSTX intentionally misrepresented prescription drugs prices by failing to disclose rebates it received from a pharmacy benefit manager it owned.
The inflated drug prices was then used BCBSTX to artificially increase plan premiums.
quorumreport@quorumreport
chair frank files class action lawsuit against blue cross blue shield: bit.ly/4tPIY8V
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Thanks. Look forward to working with Cicero on the biggest affordability issue facing Texans. #txlege
Cicero Institute@InstituteCicero
"Healthcare prices are rising faster than inflation, faster than workers’ wages and far faster than in the rest of the developed world." How can Texas fix this massive problem? @RepJamesFrank's excellent op-ed in today's @dallasnews points the way: more transparency, more competition, and more patient engagement. #txlege
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James Frank retweetledi
"I want healthcare providers to succeed, but I want them to succeed by serving Texans safely and efficiently. I do not want them to succeed through regulatory capture, perverse incentives, monopoly power, or by taking advantage of government programs intended to help the most vulnerable."
—@RepJamesFrank #txlege
dallasnews.com/opinion/commen…
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Cuban nails it.
We must have all 3 components of a functioning market for prices to fall:
1) Transparent prices
2) Robust competition
3) Customer engagement
Without any part of this 3-legged stool, the market will fail patients. Most of healthcare has 0 of 3. #txlege
Mark Cuban@mcuban
If you think all we need to do in healthcare is let people shop for prices and they will fall, is ridiculous The number of hospitals and insurance comps walking away from each other, particularly for Med Adv, tell us everything That the entire HC system is designed to make it IMPOSSIBLE to price shop Hospitals don't know their costs and can't set prices to insurance companies Insurance companies do their best to manipulate transactions (latelq, underpay, deny, etc) All of MA is an attempt by the carriers at arbitrage They bet that they can break the law, and never adhere to reporting regs and the worse that can happen is they might get fined They bet that hospitals don't know their margins or profits on a per plan or carrier basis and they will make stupid decisions That is starting to change Now they are using AI to manipulate prices and costs in real time, knowing providers use consultants for Rev mgt, making them unable to respond in months, let alone real time They bet that by gaming MLR with subsidiaries, they can further break the law and not get caught Bottom line , it's not an efficient market , due to zero transparency at the transaction level ,and the concept that individuals can shop based on price , when neither hospitals or insurance companies know what their actual costs and prices are , is insane Carriers manipulate and obfuscate every number they can with the goal of making it impossible to know actual prices Good luck shopping for prices on all bu the simplest, most obvious services
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@SjogrensForum In fairness, vertical integration itself has rarely worked for the patient regardless of for-profit or not-for-profit model! #txlege
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@RepJamesFrank Vertical integration in for profit model has not worked. Need
to be beholden to patient not shareholder.
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We have the system that was designed.
Improve the incentives and prices will drop.
#txlege
Dutch Rojas@DutchRojas
Healthcare pricing is not chaotic. It is architectural. The space between what a procedure costs to deliver and what it bills is engineered, line by line, by people who know exactly what they are doing. Chargemasters are not lists. They are weapons. Network designs are not accidents. They are funnels. Prior authorization is not safety. It is friction monetized. Stop calling it dysfunction. Start calling it design.
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James Frank retweetledi
We spend 18% of GDP on healthcare vs 3.4% on the military.
Morgan J. Freeman@mjfree
We always find money for war. But not for keeping people alive. #HealthcareNotWarfare
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The state has the authority and responsibility to ensure a level playing field for our constituents. Heathcare prices are not transparent, competitive or customer-centered. We can and must do better. #txlege
Texas 2036@Texas2036
Since 2000, hospital prices have surged 3x faster than inflation and over 2x faster than wages. One major reason? Consolidation. Hospital mergers have left 61% of Texans in markets dominated by just a few large hospital systems, giving them significant influence over pricing. More here: bit.ly/4nf5x56 #txhealth #txlege
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@VarunVermaMD Facility fees are a symptom of the problem, not the problem itself. The problem is an unlevel playing field that rewards market dominance, not quality.
Facility fees would rarely be paid in a system with transparent pricing , robust competition & empowered patients. #txlege
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@RepJamesFrank Facility fees. That’s why. Game is rigged. My upcoming colonoscopy – the hospital facility fee is 10 X what the Physician professional fee is. And the gastroenterologist went to college then, 4 years of medical school, 3 yrs residency, 3 years of fellowship (at least).
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I will never understand how keeping doctors from owning hospitals is logical.
As a businessman, I can own a hospital.
If I go to medical school, pass the medical exams, complete a residency & become a doctor - the feds now forbid me from owning a hospital. SMH. #txlege
Real Doc Speaks@realdocspeaks
In a letter to @RepBethVanDuyne and @RepCuellar, The American Hospital Association said, " Physician self-referral is the antithesis of fair competition". If the self-referral conflict is real, then it shouldn't be allowed for either independent physicians or hospital-employed physicians. Hospitals employ over 270,000 doctors, which is a lot of system self-referral! The Stark laws didn't end physician self-referral; they just moved it to the hospital system! @DrOzCMS @HeathVeuleman @DutchRojas @HEALTHCOSTtruth @mass_marion @KatyTalento
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