das

@udekel @bryanrbeal if you are getting charged a facility fee for an office visit thats very likely fraud and is straightforward to report to your insurer have you tried? or are you talking about procedure visits?

It’s the biggest employer in the region - I’m sure they’re covered legally. I think the core problem is that an office visit charges a facility fee to pay for rent and staff and that the fee is ridiculous because insurance probably pays less but they can use it in their fake “nonprofit” calculation to deduct “charitable care”.

If I have to see an NP instead of a real doctor, I want a 50% discount on my bill This is quite the racket healthcare providers have devised. Most of the time you go to the “doctor“ you’ll never see a doctor at all. You’ll see a nurse practitioner. But they’ll still bill you as if you had seen a doctor. Even though the nurse practitioners are far less educated and trained, and paid much less.

@CoachSchardein @udekel @bryanrbeal they arent treated "more like part of a hospital" they are treated like an asc, which they are if you get billed a professional + facility fee for a procedure, not for an office visit

@das_mchl @udekel @bryanrbeal they are billing these as hospital outpatient departments, you get billed a professional fee and facility fee. The building may look identical to a normal clinic, but from an insurance and billing standpoint it’s treated more like part of the hospital.

if you are getting getting charged a facility fee for an office visit, thats likely insurance fraud insurers and medicare are hyper responsive to these flags since they are the ones footing the bill If you get a procedure at a ASC that happens to be in an office building and get charged a facility fee, that not fraud

In Pittsburgh the health systems have not only been billing NPs and PAs at near MD levels, but many added a “facility charge”. The specialist has an office in a clinic building or a commercial office building, they label it “a hospital facility” and start charging 100-200 bucks extra “facility charge” for going to a hospital clinic

@Noahpinion the majority of south asians in america are on the opposite side of the spectrum of islam

The Black-White racial conflict is petering out as both groups age and decline. The new battle is right-wing working-class Latinos versus elite South Asian Islamoleftists 🇺🇸🇺🇸🇺🇸

@galdayan1895 @a16z @speedrun operational os for injury care clinics, starting with medical billing

Last day to apply to @a16z @speedrun SR007. As an a16z speedrun scout, I've already referred 2 startups who got accepted Sell me your product in one sentence. I will rate each of them with one sentence feedback. Those who are above 9, I will reach out directly and schedule an instant meeting.

@boardyai operational os for injury care clinics

Sell me your product in one sentence I will rate it out of 10.

@pronounced_kyle hard scifi and storytelling are like water and oil that said my favorite recent read in the genre is diaspora by @gregeganSF

Guys, bad news: didn't love Blindsight. Felt like the author got lost in the "hard sci-fi" sauce a bit. I liked the creativity of the alien biology and the crew, but the storytelling was just good, not great... maybe better on a second read?

@JayRughani @CounselHealth @EvidenceOpen @TennrOfficial Lets catch up, building the future of injury care operations with a team from Citadel and Palantir

I want to fund infinite healthcare apps. AI that delivers more care and less paperwork. Companies like @CounselHealth, @EvidenceOpen and @TennrOfficial are leading the way. If you are building this future, I would love to chat.

@Understand_Elex @YanzhongHuang Notable that the next sentence in your screenshot directly rebuts it

@YanzhongHuang Notable that you didn't try to rebut this notion. Because it's true!

One year ago, I published “America is dangerously ignorant of what’s going on in China.” This new NYT essay is its sister piece. Full essay: nytimes.com/2026/05/10/opi… As Beijing prepares for President Trump’s visit to China this week, I examine how growing overconfidence has taken root among the Chinese public. It stems from widespread misperceptions about American decline. 1/2

@johnfontein @ThroneScience Did you change your habits/behaviors because of it at all?

Ok I’m obsessed @ThroneScience

@amrevveejnas @cremieuxrecueil wait how was nucleus fraudulent?

Nucleus Genomics Investors -Seven Seven Six: Led by Reddit co-founder Alexis Ohanian; led the $14 million Seed+ round (2022) and participated in the Series A. -Founders Fund: led the initial Seed round and the $14 million Series A (2025). -Samsung Next: Announced a strategic investment in early 2026 to support Nucleus’s expansion into wearable-integrated health data. -Neo: participated in the Series A. -Other Firms: One Eight Capital, Giant Step Capital, Common Metal, Asylum Ventures, and Rose Street Capital.

I would like to interview VCs who invested in companies that were obviously fraudulent. There are *a lot* of these people who got duped by companies that any reasonable expert could have told them were lying, and I want to know what they feel after the reveal.

@grok @Java_Sun_ @HowToAI_ @grok What, if any, usecases does this unlock? Does this make any problems cheaper to solve or allow to solve any previously unsolvable problems?

It's groundbreaking in a practical sense—novel and unanticipated, per the author (found via exhaustive search, no prior single-binary primitive like this for the full elementary set). No evidence it was previously proposed in this concrete form, though abstract universality results exist for operator sets. Not a math revolution (we already had all these functions), but a game-changer for AI/symbolic regression: uniform EML trees let models rediscover exact formulas from data far more efficiently. Like NAND for circuits, but now for continuous math.

Researchers just proved that every single elementary function, sin, exp, log, sqrt, comes from one single binary operator. It is like finding the “God Particle" for calculus. In computer science, every complex program breaks down to a single logical operator: the NAND gate. It is the fundamental building block of all digital reality. But for continuous math, physics, engineering, machine learning, we thought we needed a massive toolbox. Addition. Subtraction. Trigonometry. Logarithms. Every scientific calculator and neural network has to juggle all of them. Until today. But this paper proved that every single mathematical function can be generated by a single, bizarre binary operator. eml(x,y) = exp(x) - ln(y). Combine that with the number 1, and you can build everything. Pi. The square root. Sine and Cosine. Arithmetic. It is all just the exact same operator, repeating over and over again in a binary tree. Nobody anticipated this existed. It was found by systematic exhaustive search. But the implications for AI are massive. Instead of an AI struggling to combine different mathematical rules to discover a new scientific law, it can just use a single, uniform architecture. One trainable circuit. One repeatable node. We thought the language of the universe was complex. It turns out, it's just one equation repeating in the dark.

@menhguin @arlanr @ExaAILabs @honchodotdev What do you use each for?

@arlanr i've been doing this for a few months! will try it in a few days. i recommend adding @ExaAILabs and @honchodotdev, they pair rly well for this usecase.

i built vault, a self-improving knowledge base that can index your entire life (personal mini agi) it updates while you sleep, supports 50+ integrations like notion, snowflake, datadog, and more when you connect a source (like stripe), all the data becomes a filesystem built for both agents and humans, so you can interact with it through either cli or ui

@signulll @Mike_Oda Is this still the case one year later? Operator? Or back to point and click browsing?

@Mike_Oda i’m serious, this is a game changing product. google is working on it as well on chrome (they demo’ed it). will be how every single person uses the internet in the interim—eventually it’ll all be black boxed to the user.

i can’t imagine using the internet without operator anymore—like, ever. even moving my mouse feels like a relic of some bygone, labor-intensive era. i don’t even bother launching a local browser now. it’s operator or nothing. mouse-clicking your way through tabs is the digital equivalent of dragging a plow behind an ox. operator is the tractor.

@Michael_Druggan @TL343 @_albertgu skibo gym hasn't existed in over a decade🥲

@TL343 @_albertgu We were actually going to skibo gym together at the time of this putnam.

What was that again?

@DrHBurstein Doesn't sound right from what I've seen. How do we read the methodology

Much touted AI scribes freed up 15 min per day, allowed 0.5 more pt visits per week, and no change in at-home work by physicians. Certainly far less than transformative. jamanetwork.com/journals/jama/…

@superpower How do I use this?

New from Stanford, SleepFM. An AI that predicts disease from one night of sleep. - 65,000 participants - 585,000 hours of sleep data - 130 conditions predicted years before symptoms appeared. Your sleep may know more about your health than your doctor does.

@ColtonOrtolf so much ai slop text. write yourself and be concise

@21edu @stephenkraus @BessemerVP @1klomp But it is scarce today. there is a fixed barely growing supply, and rapidly growing demand. universal healthcare doesnt solve the supply side, it just expands the demand side

@das_mchl @stephenkraus @BessemerVP @1klomp It shouldn't be a scarce commodity. In the United States entrepreneurship and innovation will skyrocket if there was Universal health Care. The business of healthcare is hurting innovation

I have known and worked closely with @1klomp for more than a decade, and as I said on this week's pod, he is genuinely one of the best human beings in the healthcare business. He is also one of our brightest and best talents and it gives me great hope and confidence that he is helping to lead the most important and influential organizations in our industry - @HHSGov and @CMSGov. Given regulation and public policy affects almost everything we do in healthcare, this week's @hoh_pod episode is a must listen IMHO!

@21edu @stephenkraus @BessemerVP @1klomp How do you make a right out of a scarce commodity?

@stephenkraus @BessemerVP @1klomp "Being the best in the healthcare business" is not the flex you think. Healthcare shouldn't be a business, it's a human right. Your statement just proves he is unqualified.