Duffy

@LuzinskiGreg Yeah, at some point things need to change. Whether the message is not getting through or its the wrong message, its not working.

I really don’t like to say much but at this time I think the Phillies need a new hitting coach with a different approach because a lot of the young kids stopped improving and some of the others aren’t taking to what approach to use.

@MicahhParsons11 What's amusing is the number of people who don't understand that you can't keep a guy around who QUIT on the team!

It’s amusing how many Eagles fans believe Aj Brown is the problem!

@CGJXXIII Because he quit on the team. Why is that so hard to understand?

Philly turned on AJ so bad it’s sad! Yall love us when we help yall win but damn why yall bashing Bruda now ?!

@mcuban Maybe the answer is not to fix hospitals behavior but to open new hospitals which are managed by people on board with this plan. They will be inundated with customers and if run correctly will spread like wildfire. The existing hospitals will have no choice but to adapt.

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

@MarsUniversityX Wait where does this robotic arm reside? If its going to cleanup between rides it would have to be part of the car itself right? You can't have a cab going back to the shop between every ride.

No driver. No janitor. No manual plug-in. Tesla’s Cybercab handles all of it — a robotic arm cleans the interior between rides while the car charges and resets itself automatically. Most people are focused on the self-driving part. The self-maintaining part is just as revolutionary.

@BlackLabelAdvsr buy new, sell in 7 years if conditions are right. Still going to have some upkeep but its manageable.

Owning a home is a money pit. If someone tells you otherwise, they’re lying to you. I’ve lost track of how much I’ve invested in my yard, AC system, air filters, plumbing repairs, water filtration, bidet filters, mold repair, painting, fence replacement, etc. Be warned!

@RobTornoe the turnover for women sports personalities in this town is stupid.

Eagles sideline reporter Devan Kaney is out at WIP as Audacy undergoes another round of layoffs. inquirer.com/eagles/devan-k…

@TukiFromKL fundrise innovation fund

🚨 Do you understand what SpaceX just did.. they're considering excluding Robinhood and SoFi from their IPO.. > Robinhood.. the platform built specifically so regular people could get into deals that used to be reserved for institutions and the wealthy.. the market is pricing SpaceX at $2 trillion.. one of the biggest IPOs in history.. and they may block the one app that exists to let ordinary people buy in.. > Robinhood launched in 2013 with one promise: "democratize investing".. give retail investors access to the same markets the big guys play in.. it was born out of frustration that Wall Street kept the best deals for itself.. > then in 2021 they restricted GameStop trading mid-squeeze to protect hedge funds.. their own users.. the people they were supposed to represent.. now the biggest IPO of the decade is potentially cutting them off entirely.. the "democratize investing" promise has been dying slowly since 2021..

@TeslaTravelstx interesting, if fsd cant see the light because a truck is blocking its view it should slow down until it knows for sure what the light color is and then stop or procede. Seems like an easy software fix.

FSD scared the crap out of me and my wife. We were headed out of town and my wife was taking zoom calls in the backseat and I was relaxing letting FSD do all of the work. We were following behind a cement truck and as we went through the intersection, the cement truck ran the light at the last minute, as soon as FSD was able to see the light it turned red and FSD slammed on the brakes. My wife’s laptop went sliding across the car, but we got stopped, and then FSD backed us up behind the line.

Ever notice that Claude can be kind of lazy? Sometimes Claude is extremely thorough and helps me avoid pitfalls and other times he looks for the easiest solution that makes no sense at all. Frustrating.

@rohanpaul_ai If I can't see the needle being recycled I'm not using it.

Another great Robots in healthcare usecase. Aletta is a robot that fully automates blood draws. The patient sits down; the robot uses ultrasound to find a vein, helps position the arm, collects the sample, and applies a bandage—fully automated

I'm still waiting on some word about how fsd will evolve when it becomes more ubiquitous. At some point doesn't it make sense for optimum safety for fsd systems to be using the same playbook? Predictability between systems requires an open source approach maybe?

XAi needs its own device. Firefox just released an update with an Ai sidebar that does not support Grok. Grok does not integrate with my iphone like other ai agents. Im sure there are ways around that stuff but its actively being suppressed. Doesn't have to be a phone I guess.

This seems impossible but ... Johan Duran just became the first Phillies reliever ever to save a game at home on Opening Day sports-reference.com/stathead/baseb…

@LamarMK Now that is a good looking vehicle. If Cybertruck looked like that I might own one.

The minivan era is over. Elon just confirmed Tesla is working on something cooler than a minivan. Many are hoping it's a Cyber SUV built on the Cybertruck platform. Same durability. Same tech. Same futuristic design. This would be the next evolution of what an SUV should be. Who's ready to order theirs?

@SenRandPaul lol, the sooner everyone admits that Washington is playing with Monopoly money the better you will sleep at night. Sure, there may be consequences, but you are just going to have to deal with those. The national debt has reached escape velocity. Don't sweat what you can't change

5 yrs ago, Congress voted down my plan to shave just 2 pennies off every dollar of projected spending. If they had passed it then, the budget would be balanced today — and we'd be paying down debt instead of piling on trillions more. Now it takes six pennies off every dollar just to balance it in the next five years. And Washington has already voted no on that, too.

@RandPaul ... and the sky is blue. How long have we been insolvent now?

The Treasury just quietly admitted the U.S. government is insolvent. $47.78 trillion in liabilities. $6.06 trillion in assets. My Six Penny Plan would balance the budget in five years. But that would require the government to actually stop spending money it doesn't have. finance.yahoo.com/economy/policy…

@mcuban I love Mark's comments and ideas on healthcare. He's doing us all a great service by exposing the waste and trying to find a better way. Please fix the typos before hitting post though. Its becoming ridiculous.

The are a function of health insurance plans. The insurance companies create plans with deductibles that most people can’t afford. So to get to the insurance money from their plan, they will loan the patient money to cover their deductible. That turns the hospital into a sub prime lender. Then the insurer will under pay, late pay and claw back in the contract. Costing the hospital more cash. And costing them in administrative costs even more Then the insurer will delay approvals and deny care, earning interest on the premiums. So then the hospitals. Non profit or not, have to compensate for the issue with insurance companies. So they create ridiculous shit like facilities fees, abuse 340b programs , abuse site neutrality and more. And of course non profits don’t pay taxes And then the biggest provider systems will say they can’t make money on Medicare. Which is a function of them spending like drunken sailors on everything they can. From buildings to consultants. There are more administrators than doctors and in aggregate they make more. It makes no sense that hospitals spend so much money on consultants. It’s a waste. It’s like them want them to give the CEO cover , so they can try to buy more hospitals which leads to more pay for the ceo Break em all up

@tomstakes It amazes how many people are willing to ignore the fact that he quit on the team. You simply can't keep a guy like that around. He'll probably go elsewhere and play great, but his time here should be done.

Ultimately I want what’s best for the team & for AJ Brown when all is said and done. But selfishly I want it to go my way - which is that AJ stays and we see what they can all do in this new-look offense. Wouldn’t be the same without AJ…

@SoveyX LOL :-D

AI is gonna take your job and your girl.