jasonlofton

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jasonlofton

jasonlofton

@jasonlofton

father of Oaklee, Olivia, Silas and HG: Christ follower, Family Physician, Aledade, gravel biking

Arkansas, USA Katılım Aralık 2008
805 Takip Edilen387 Takipçiler
jasonlofton
jasonlofton@jasonlofton·
@martyZA37 @woopigmak @BarstoolReags Oh I get the frustration on the UK side from the past, but people here get tired of everyone from UK acting like he can’t coach anymore. I think it was a mutual need for a change. SEC is always better when UK and UA are both good. Those are our circled games every year
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Midwest Marty
Midwest Marty@martyZA37·
@jasonlofton @woopigmak @BarstoolReags Appreciate the honesty, crazy game a few years ago. Just insane to me how the narrative flipped, when we all know how everyone reacted when we couldn’t win a first round game in 5 years.
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Bobby Reagan
Bobby Reagan@BarstoolReags·
Biggest failure of a Kentucky season I've seen in my lifetime
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jasonlofton
jasonlofton@jasonlofton·
@martyZA37 @woopigmak @BarstoolReags Was driving home from kids practice. Oh, I was at the game in Arkansas where he got tied up and kicked out. I was yelling at the top of my lungs and enjoying it. Of course we enjoy him now.
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jasonlofton
jasonlofton@jasonlofton·
@mcuban The EMR I use @ElationHealth is building some really good stuff. I’m excited to see how it can help me be more productive and improve overall care.
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Mark Cuban
Mark Cuban@mcuban·
Easy pitch. “We love AI. You use AI. Your day starts at 10am and you leave by 5! Isn’t AI grand ! Come work for us “.
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Felix Prehn 🐶
Felix Prehn 🐶@felixprehn·
Private equity firms bought 500 hospitals. Death rates in their emergency rooms went up 13%. They fired 12% of the staff. Then they paid themselves billions in dividends. A Harvard study just confirmed what doctors already knew: people are dying so investors can hit quarterly targets. Exactly what happens. A PE firm buys a hospital using debt. The debt gets placed on the hospital's balance sheet, not the firm's. Now the hospital owes hundreds of millions it never borrowed. To service that debt, the hospital cuts costs. Costs mean nurses. The numbers from the Harvard/University of Chicago study are horrifying. After PE acquisition, emergency department salary spending dropped 18.2%. ICU salary spending dropped 15.9%. Hospital-wide employees were cut 11.6%. Emergency department deaths rose 13%, seven additional deaths per 10,000 visits. A separate study found patients undergoing surgery at PE-acquired hospitals had 17% higher odds of dying within 90 days. Steward Health Care, owned by Cerberus Capital, filed bankruptcy with $9 billion in debt after closing hospitals across Massachusetts. The CEO lived on a $40 million yacht while emergency rooms went dark. Eight hospitals serving 2 million people nearly disappeared because a PE fund extracted more cash than the system could survive. The private equity industry has poured over $1 trillion into healthcare. They operate a quarter of ERs nationwide. This isn't going away. The investing angle nobody talks about. Non-PE hospital operators like HCA Healthcare (HCA) and Tenet (THC) are the direct beneficiaries. Every time a PE hospital closes or deteriorates, patients flow to the nearest competitor. HCA has returned 1,200% since 2011. Patient volume from PE closures is a structural tailwind nobody's pricing in. Medical staffing firms (AMN Healthcare, Cross Country) charge premium rates specifically because PE hospitals cut staff. The staffing shortage IS the business model for these companies. The disruption play: outpatient surgical centers (SCA Health, now part of UnitedHealth) are pulling profitable procedures out of hospitals entirely. PE-owned hospitals lose their highest-margin surgeries to outpatient, and the death spiral accelerates. Pull up tradevision and monitor healthcare M&A alerts, hospital closure filings, and patient volume migration data. When a PE-owned hospital announces "restructuring," the patient volume shift to competitors like HCA starts within 30 days. That 30-day window is when the competitor's earnings revisions haven't updated yet. Free to try. (a private equity firm bought your local hospital. borrowed $500 million in the hospital's name. fired 12% of the nurses. emergency room deaths rose 13%. then they paid themselves dividends. nobody went to prison. they're currently buying another hospital.)
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Dr Shawn Baker 🥩
Dr Shawn Baker 🥩@SBakerMD·
Epic smokehouse restaurant Crystal city- what are you gonna get?
Dr Shawn Baker 🥩 tweet mediaDr Shawn Baker 🥩 tweet media
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Jon Elder
Jon Elder@BlackLabelAdvsr·
@Jvnior Cheaper tickets for me!
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Jvnior
Jvnior@Jvnior·
🚨 BREAKING: Approximately 25,000+ people CANCELLED their World Cup Tickets overnight and counting. This is commendable. Boycott America.
Jvnior tweet mediaJvnior tweet media
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johnny hammersticks ⭕️
johnny hammersticks ⭕️@themanmulcahey_·
I love spending $75 on a a steak as much as the next guy, but you really can make just as good of a steak at home if you know your way around a pan.
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jasonlofton
jasonlofton@jasonlofton·
@realdocspeaks Yes, I’m looking at a hybrid approach to this. We have a lot of insured folks in my rural community, so I’m not sure how well it would work, but I’m gonna give it as an option. No.
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Real Doc Speaks
Real Doc Speaks@realdocspeaks·
@jasonlofton DPC may be the best option for you, as you can control the cash flow and not have to waste time and money dealing with insurance companies.
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Real Doc Speaks
Real Doc Speaks@realdocspeaks·
Don't forget the high drug prices we see are a result of the PBM/Insurance company and not the drug company. In 1999, Humalog cost $21; in 2017, it cost $275! Same drug, but now 1200% more expensive because of the PBMs. This led to patients rationing their insulin and passing away because of it. Insurance isn't the solution; it is the problem!
Richard Belloff@rrbelloff

@JOSEPHM45075332 @realdocspeaks My point exactly. The rules keep shifting, making the drug plans seem like a necessity.

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Dr. Gripesalot
Dr. Gripesalot@pgipe·
@realdocspeaks The Dan’s are part of what make Twitter insufferable. Constantly confidently wrong. Yeah dude, I’m sure you know more about the medical professions than the actual medical professionals. These people are insufferable.
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jasonlofton
jasonlofton@jasonlofton·
@joshteeter01 It’s Musicks first year, the roster was depleted prior to her coming here, and she doesn’t have a lot of NIL. Last year they had 10 wins total. They already have 11 this year. Give it time. She is a good coach.
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Josh Teeter
Josh Teeter@joshteeter01·
No Arkansas team should ever lose to an in state opponent
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jasonlofton
jasonlofton@jasonlofton·
@reid_ness @Jbarbs9 @EhrhartEarl @ClayTravis I’ve always felt players needed to be paid, but there is value in learning life lessons through commitment. The Money is in the transfer, which is why so many transfers are taking place. It’s too easy right now. It doesn’t build appreciation for the hard work that is necessary
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Clay Travis
Clay Travis@ClayTravis·
John Calipari is right on this — allow one player transfer, after that, you have to sit out a year to transfer. We have guys playing for four different teams in four years. It’s beyond ridiculous and bad for the sport:
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jasonlofton
jasonlofton@jasonlofton·
@pgipe @DrDiGiorgio Would love for there to be a way for PSLF to be offered to new grads via commitment to rural communities but in private practice. It’s basically impossible for me to compete with the hospitals on initial offer.
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Dr. Gripesalot
Dr. Gripesalot@pgipe·
@DrDiGiorgio Great read! Have seen this play out many times. One major issue also, without independent practices being able to participate in PSLF the traps will continue and corporate employment will continue to climb.
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Anthony DiGiorgio, DO, MHA
Anthony DiGiorgio, DO, MHA@DrDiGiorgio·
People often ask me why, as an employed physician, I spend so much of my energy advocating for policies that protect independent private practice. All doctors, employed or not, need a thriving private practice ecosystem with solo practices, group practices, specialty-specific models, ASCs, hybrid structures, and cash-friendly care. The persistence of that ecosystem forces hospitals to treat physicians as partners rather than disposable RVU generators. This is why policies that protect private practice matter for all physicians even those who never plan to leave employment. Things like site of service differential, 340B distortions, certificate of need laws, Stark Law, and tax advantages put independent private practice at a disadvantage over large consolidated systems. They make private practice harder to sustain and by doing so, they make life worse for doctors and patients alike.
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jasonlofton
jasonlofton@jasonlofton·
@tyromper We have a 2011 Yukon Denali XL that we paid around $17K cash for several years ago. It is approach 200K miles. It is still in good shape and will be what my kids drive when they turn 16.
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Tyler Todt
Tyler Todt@tyromper·
My soccer dad 12 year old SUV went over 100,000 miles today. Reasons I love my 12 year old SUV: •It is paid off. No car payment. •My kids can get in dirty, muddy, wet & I don't care. •It's PAID OFF. I'll never have a car payment. •It's reliable & drives fine. •It's paid off. We invest $800/mo & buy FREEDOM instead of making car payments. •3rd row of seats lets us haul kids everywhere comfortably. •IT IS PAID OFF! Driving a luxury car to a job you don't love everyday is foolish on my opinion. FREEDOM > flashy stuff.
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jasonlofton
jasonlofton@jasonlofton·
@RealJohnDennis @kevinnbass What would be interesting is to see the breakdown of docs/dentist who are self employed vs hospital/PE employed.
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John Dennis
John Dennis@RealJohnDennis·
@kevinnbass Now do dentists, if you can. That will help answer your question. Hint: dentists are small business owners.
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Kevin Bass
Kevin Bass@kevinnbass·
According to publicly available political contributions data: In 2000, 60% of physicians supported Republican candidates. In 2020, 80% of doctors supported Democrat candidates. From 60% Republican to 80% Democrat. What happened?
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