@SenBillCassidy How does this address average specialty drugs being priced at $50k or hospital visit at $30k? Until you address private equity in health care we are doomed
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Frank Driscoll
1.4K posts
Democrats want to send $26B to insurance companies to subsidize silver plans with $6,000 deductibles. Most families DON’T HAVE $6,000 on hand before insurance even helps. A deductible that high is the same as having no insurance at all.
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No one does this better than then the State of Oklahoma. Let’s hope they do the same for independent doctors and clinics next ! @mtleake09 , well done !
Oklahoma Attorney General Gentner Drummond@Okla_OAG
I have secured a settlement of more than $5 million with CVS Caremark to resolve allegations that the Pharmacy Benefit Manager paid Oklahoma pharmacies less than what the medications actually cost. My office is protecting your access to the prescriptions you need and the pharmacists you trust. oklahoma.gov/oag/news/newsr…
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@FluentInFinance Who needs data when dear leader says everything is fine
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Economy so bad, no GDP report, no jobs report, and now no inflation report.
Kalshi@Kalshi
JUST IN: Bureau of Labor Statistics won’t publish October PPI inflation report
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@Inquiringmind53 @AdvaitaEyes @realdocspeaks When 10% of the population are 90% of the cost yes 10 % of bad actors can cause significant increases in cost. Take $100k oncology drugs that add 4 months of life. Many docs would give them for unapproved indications to keep patients hopeful
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@bb_rx7 @AdvaitaEyes @realdocspeaks So, because the lowest 10% of actors suck we need insurance? And hard government regulation supposed to do? Thats a lot of extra $$ to defend against stupid. Refusing to fund it at all would be more cost effective.
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The massive Medicaid fraud in MN reveals the reality of government-run healthcare; it doesn't work.
All the issues you mentioned involve the large insurance companies and not physicians.
We need physician-led healthcare, and I have put forward my ideas many times, and they would lower healthcare costs by 30-40%.
SJ Corber@bluesc12
You have no replacement that will do anything more than limit healthcare to people who can afford high prices. Dreed is correct: Deladder Medicare down to birth. Right now Americans pay what are basically taxes in the form of premiums, deductibles, co-pays, out-of-network costs, ER doctor bills, out-of-network labs, anesthesia bills. They waste hours getting preauths, fighting denials, filling out forms, switching plans, which economists call a "time tax." Employers divert $15,000–$25,000 per worker per year to insurance premiums, which comes out of what would otherwise be wages. In no other developed country do people incur lifelong debt for basic care. Transferring these "taxes" to the federal government would cost no more than what Americans outrageously have to pay every year. Doing so ultimately may cost less to the government and the taxpayer by saving $2 trillion in healthcare costs that otherwise would be paid out of pocket.
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@Inquiringmind53 @AdvaitaEyes @realdocspeaks The problem is 90% of doc’s are right, 5% are dumb and 5% are trying to commit fraud. So yes PAs are needed
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@AdvaitaEyes @realdocspeaks It’s funny to me that you trust an insurance company more than a doctor to determine the diagnostic tests you need. Or what procedure will best fit your needs. When I say funny, I mean insanely stupid, but I don’t know how to say it nicer.
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@disclosetv What did he expect? Zelensky doesn’t want peace and he’s controlled by the EU
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NOW - Trump says he's disappointed, as Zelensky hasn't read the peace proposal yet.
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@mcuban @costplusdrugs Take a look at what they pay pharma jobs, that is the problem
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The ONLY way drug prices go DOWN based on volumes, is when the cost @costplusdrugs pays go down. Because we are the only company to pass on cost reductions , with a standard markup , and charge everyone the same amount , with no membership fees.
This is why we are the only company to publish a full price list.
But as I said , that's not how insurance companies , hospitals or anyone else in healthcare works
John Asghar MD@JahangirAsgha10
You can structure HSAs to let patients pay cash for meds instead of running everything through PBMs. That alone drops prices. The problem isn’t HSAs. It’s that we limit what the vehicle can do
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If you want to cut the cost of healthcare , making sure the pharmacies serving the military off base are paid a little more while the Pbm is paid a lot less , is a good place to start
Taxpayers would save a ton of money just paying pharmacies the standard cash price, and a small processing fee to the PBM
InsuranceOligopoly@InsOligopoly
Hey America: Veteran pays pharmacy $0.90 and $0.52 for two blood pressure medications. This is the total, the total paid to pharmacy. For medication, dispensing, counseling. Record keeping. Everything! Simultaneously, the pharmacy benefits manager, who pays nothing, bills and is paid $34 ($17 each prescription) from the @SecWar Does this seem fair?
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I continue to support the repeal of Obamacare and replacing it with true free market reforms, not just some rearranging of the current system.
My Health Marketplace and Savings Accounts For All Act is the only truly conservative option.
newsweek.com/rand-paul-my-p…
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@mcuban Why do you think there are $0 premium plans. Where does that money come from - rebates…
Sure drug costs can go down, but premiums will go up
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This will help you understand why the big PBMs are bad.
You can go to lillydirect.com and buy a GLP1 for under $500 and falling. It's cheaper, because no PBM is involved
Your company, uses a big PBM for your pharmacy benefits. It charges your company $1300 for a GLP1, which means you pay $1300 during your deductible phase. The PBM then gives the rebate it gets, from the money you paid, to your company.
And it won't allow you to buy the GLP1 from lilly direct.
No PBM < $500. Big PBM $1300
This is one of many reasons you should show this to your CEO and tell them to switch away from their PBM
Matt DaCosta@thBookOfMatthew
@mcuban @mcuban - Can you explain the significance of this for the layman and, more importantly, how this will benefit everyday Americans? Why do you think Lilly switched? And what will it take to have more Pharma cos switch to a move transparent provider? Thank you!
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We’re happy to share that we’ve reached a deal with Disney to bring their content back to YouTube TV. Subscribers should see channels including ABC, ESPN, and FX returning to their service over the course of the day. Thanks for your patience and for being a valued member.
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@EA_Rice I can’t wait for people with cancer to get what’s coming to them. It’s their fault they got sick.
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If this happens, it’s a big step in the right direction. 👏
Insider Paper@TheInsiderPaper
NEW: Donald Trump has a plan to replace Obamacare by giving Americans cash to buy their own health insurance
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@realdocspeaks Most are not ‘often’ available for pennies. Most specialty drugs are $50k plus and no discounts. everyone thinks pharma is going to drop prices and it isn’t happening. People are just going to go without or go into crazy debt. Don’t oversimplify the problem
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There is no standard definition of specialty drugs!
Most of the time, there is nothing special about them, other than the high prices charged by the PBMs.
Often, they are available for pennies on the dollar at CostPlusDrugs.com
Frank Driscoll@bb_rx7
@realdocspeaks @Jon_8675309 With specialty drugs now costing $50k, is psoriatic arthritis catastrophic? Is MS? RA? You realize catastrophic insurance cost is not going to be much less then what they pay now… You can’t compare what’s available today vs 1970
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@Jon_8675309 @realdocspeaks That’s not a response to my point and also not true
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@bb_rx7 @realdocspeaks You realize that the overwhelming majority of the drug approval process is made up. And doesn’t even offer the safety it purports?
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The best option is to limit the use of insurance to rare and catastrophic events and let patients shop for the routine care.
Tara Perretta@ctperretta
@realdocspeaks I wish there was a way for the AMA to start their own not for profit health insurance company. They could cut out the middle man, give autonomy back to doctors, lower consumer costs and increase payments to doctors.
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@Jon_8675309 @realdocspeaks It costs $2 billion to develop a drug and it only has 10 years of patent time in the actual market. Those costs to do 3 stage studies and patent laws are created by the government soooo yeah it’s not insurance, it’s pharma creating those costs. They don’t magically disappear
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@bb_rx7 @realdocspeaks Why do you think the drug costs so much?
Overwhelming the answer is because they can.. because of insurance.
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@realdocspeaks @Jon_8675309 With specialty drugs now costing $50k, is psoriatic arthritis catastrophic? Is MS? RA?
You realize catastrophic insurance cost is not going to be much less then what they pay now…
You can’t compare what’s available today vs 1970
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@Jon_8675309 It worked very well until the government intervened in 1973.
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@YouTubeTV U all suck, why do I have to work for the $20, it should just be applied right away, bye bye
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Members: We've been working to negotiate a deal with Disney that pays them fairly for their content and returns their programming to YouTube TV. We know it’s been disappointing to lose Disney channels, and in light of the disruption, we’re offering our subscribers a $20 credit.
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