David Skowronek

Realtor contact info:

What do you think of this home? zillow.com/homedetails/11…

@FrankBr05713205 Think about the $23B GM spent on share buybacks lately. Maybe spending money on QC would have been a wiser strategy. Vanguard, Blackrock, and State St could less about these engines. They care about one thing.

It Took GM More Than 28,000 Failed V8s And Three Internal Investigations Before Recalling Its L87 Engines, the standard engine in Escalades, High Country Silverados, full-size Denalis, the trucks that people spend the big bucks on. Seems these engines have defective crankshafts causing catastrophic engine failure. Over the past six or so years, owners of high-trim half-ton GM trucks and SUVs have reported engines conking out, sometimes at alarmingly low mileage. Glad to hear these engines are finally getting recalled, but its going to take quite a while to get all those engines replaced

@TopGrafx Then you become a grandparent and those days are back! This time you savor it knowing you got maybe 25 years left.

6 coisas que os filhos fazem só por um tempo... e depois desaparecem para sempre 😞 1. Um dia eles param de correr até você assim que acordam. Aquele barulho de pezinhos no corredor, o abraço na cama... aos poucos dá lugar ao silêncio e à porta fechada do quarto. 2. Eles param de dizer: "Mamãe, papai, olha!" Já não correm mais para te mostrar cada pedrinha ou cada desenho. Pouco a pouco, o mundo deles fica mais silencioso... e mais deles. 3. Um dia eles param de segurar sua mão enquanto caminham. E de repente você sente o vazio. Não porque o amor acabou... mas porque eles estão crescendo. 4. Um dia eles param de dormir nos seus braços. Aquele apoio no seu ombro, a respiração ficando calma... são momentos que, sem aviso, acabam. 5. Em algum momento, eles deixam de acreditar que o seu beijo resolve tudo. Antes bastava um curativo. Depois, as feridas mais profundas começam a se esconder na música e no silêncio... não mais nos seus braços. 6. Eles param de te trazer seus "tesouros". Folhas, papéis, pequenas descobertas. Aquele amor puro e espontâneo... simplesmente diminui. A infância não é um ensaio. Acontece agora e, enquanto ainda pedem colo e chamam você o dia inteiro, aproveite cada momento. ❤️

@mcuban @Breedlove2019 @thoughtson_tech Then you have non-profit hospital systems out there competing with for-profit hospitals which is another whole issue of who is making the money while employees and employers foot the bill of the money train.

Appreciate it. A couple reasons why we disagree. Most don’t know if their commercial insured business is profitable by carrier. But that’s a topic for another day. Most hospital assets/caregivers (surgeons and some others that get paid per surgery, etc , excepted ), are like a seat at an nba game, perishable. Hospitals pay for it whether it’s used or not. Unless everything is sold, the care/caid patient is all margin contribution - rcm %. Then there is 340b margin created by those patients, especially if you are in a state that makes the state pay full WAC. Then there is DSH and other state/federal contributions. Don’t look at each care event as what determines whether those patients are profitable. Look at it as whether the hospital is more or less profitable accepting those patients. I would bet they are more profitable I’m here to learn. So feel free to correct any of this As far as regulation compliance. It’s a cost for sure. The far greater cost is the cost of compliance and dealing with commercial payers. The amount they underpay, late pay, delay, deny, the cost of peer to peers and the games they play forcing to their PBMs , game brokers and consultants , TPAs and other subsidiaries , cost hospitals and sponsors far more

The greatest problem in healthcare ? Hospitals, even market dominant hospitals, won’t walk away from the big ins companies that underpay, late pay, clawback, deny claims, waste their time in denial appeals, and require them to pay up to 8 pct of revenue to RCM consultants so they think they are getting what they are owed. Here is the crazy part. The ins companies ARE NOT THE ONES ACTUALLY PAYING THEM on commercial plans. Employers are. 60 pct of employees get their insurance from their self insured employers. The ins carrier is just a middleman that pretends to add value. All the clinical “value” they add, the hospital could do better, for both medical and pharmacy. Most hospitals have no idea whether they make or lose money with their big ins contracts. They are just afraid to lose patient flow. But. They actually know which companies their patients are coming from. They actually know or can find out, how much more the employers are paying the ins company, than what the ins company pays them (the spread, just like in pharmacy ) And to make it worse, those ins companies negotiate their rates as a discount from the “charge master “, which is like WAC in pharmacy. Just a made up list price. Because the hospitals are afraid or too uninformed to walk away from these deals, the hospitals use the inflated charge master prices as the basis to charge uninsured , or out of network , or insured but not covered for their care, at charge master rates. Which of course the patients can’t afford. And it crushes their finances or they go without care I’ll summarize. Employers , and their members , are paying far more than they should to companies they don’t like working with , that effectively rip off both the employer and hospital , and they could eliminate the middlemen if they went directly to to the employer. It’s so simple. Sell your services to the employers that use your services at a price that is less than what nine companies charge for your services and you will make MORE money and employers will save a ton And if they did this, they could dump the chargemaster and reduce the price they bill patients when they are at their most vulnerable But they don’t want to change. And don’t get me started on how much hospitals over pay for drugs and devices because of the GPO deals they do. It’s just stupid. Which in turn leads to the hospital being a bad actor with 340b , facilities fees and afraid of their doctors who demand they pay more for things like glue and implants so they can get vacations. If you are a politician and reading this. Now you know why this is so fucked up and it’s not about capping rates. The insurance companies are smarter than you. They will just move the money to other places. It’s not about giving money to patients. You can’t shop for care from hospitals that are too gutless to walk away from the ins companies that distort all of healthcare economics Go to your local hospitals , particularly those at risk of closing and ask for their profitability by carrier. Fully burdened. Ask how much they spend on RCM and consultants. In many cases they could survive if they ran like a real business and hired execs that could do the work rather than just manage consultants. They could work out contracts in their communities rather than with ins companies and benefit everyone. The middlemen are not needed. Get rid of them

@Super70sSports Sadly, those days are gone. Everyone there without a smartphone and completely in the moment or drunk as hell. Stadiums were always packed and you didn’t need a 2nd mortgage to attend a game.

Let’s hop in the time machine and return to the glory days when big time college football meant Keith Jackson. Take me back …

@Henry___22 @LoveTheOrange1 It already has. Hard to watch now. I loved watching real athletes get to the rim and the physicality of the game. All shooting and finesse now. Zzzz

@Skow5 @LoveTheOrange1 God help us if the NCAA game turns into the NBA game...watching the past two weeks, and Saturday, I think it's headed in that direction. Sighee....

43 years ago. I don’t see any guys today getting this high. But “evolution”

@darrenrovell They need to focus on the barefoot concept with wide toe boxes. Foot joint health are the trends right now.

Three things missing on Nike collapse. 1. Focus on retro cushed them. Literally embracing a customer growing older. 2. Today’s kid doesn’t get excited about the swoosh. They lost all buzz. My boys would rather GOAT or The Drip Shop. 3. Completely abandoned storytelling.

@DomMirandaTV Please keep high school basketball the way it is.

In the 4A State Title game, Crown Point held the ball for a minute plus…. With 5 minutes to go in the 3rd quarter. No movement… as deafening boos came down from this Gainbridge Fieldhouse crowd. Indiana needs a shot clock and it needs it now.

Does @Uber offer scent/aroma/air-freshener- free rides? Is that a feature? It should be.

@FBGreatMoments I remember a punter breaking his leg during one of these games.

When the College All-Stars played the Super Bowl champions.

@BSmile @TheRealSangy35 Happy Birthday! Have a great day!

Pittsburgh #Pirates stars Manny Sanguillen, Willie Stargell, Al Oliver, Dave Cash & Roberto Clemente (1971) Happy 82nd Birthday "Sangy"! #MLB

@HawkEmDownChris Jose Hernandez.

Age yourself by naming an MLB shortstop you grew up watching. I’ll start: Derek Jeter.

Game 7 of the World Series. Bottom of the 9th, 2 Outs. Your team is up by 1. Vince Coleman is on 2nd and Tony Gwynn lines a single into RF You have your choice of any RF, of any era, to try and nab Coleman at Home. Who makes the throw?

@Todd_Spence That’s hinky

In 1993, a local Chicago reporter covering the St. Patrick's Day parade spotted Tommy Lee Jones filming a movie amidst the festivities and stopped him for a quick interview. The movie was THE FUGITIVE 🔥

@steelcitystar #15 did his job that season, and if not for the injuries to Rocky and Franco in the AFC Championship, it would have been 3 in a row. One of my favorite players was Mike Kruczek.

Happy birthday to Mike Kruczek! ⬇️ Jack Ham interviewing Kruczek in 1986

@Super70sSports Today’s players are incredibly skilled and incredibly boring at the same time. The game strategy is boring too.

Of all the sports that I loved as a kid, college basketball has fallen the farthest for me. I just don’t give a shit anymore. It used to be so good. Young people today can’t even understand what we know.

@TheRealSangy35 Great stories Manny. What a great friendship. Family, friends, Golf, 6 eggs a day, & kielbasa is the recipe to get 89 years on this earth. RIP Maz.

Maz was my friend & brother. We had so much fun together. We joked a lot. He made me an honorary member of the polish family, calling me "poluski". Maz taught me how to play golf & eat kielbasa for breakfast. He would eat it with 6 eggs!! He was very humble and kindhearted.

@Pirates What a legend. RIP Maz. 🙏🏼💛🖤 I had a chance to visit home plate and the left field wall of old Forbes Field this fall where you made history in 1960. Surreal.

It is with a heavy heart that we relay the news of the passing of legendary Pirates and National Baseball Hall of Famer, Bill Mazeroski. Maz was a 7-time All-Star who hit the greatest home run in baseball history. He was a beloved member of the Pirates family and he will be deeply missed.