WV

@us_beacon @mcuban If you’re so confident in your assertion, file a whistleblower. Otherwise sit this out.

@mcuban A large hospital system in Arkansas has hired an AI driven RCM to manipulate coding to bring in more revenue. They landed a sweet deal with the hospital. The company and the hospital are now marketing their product to other hospitals.

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

@us_beacon @mcuban Manipulate, or fairly represent the care they are providing?

@mcuban You’re ignorant about 501(r). Read it, health systems do t charge uninsured patients full chargemaster rates. It’s illegal. They get same discount on charges others do.

@wvsenate16 Categorically false. Private Physician practices are exempt from CON requirements.

This is what the Certificate of Need law does to new doctors who want to open a practice here. Before these doctors are approved or denied, they must pay a NON-REFUNDABLE fee (up to $35,000) to apply.

West Virginia consistently ranks among the lowest in the nation for overall healthcare, frequently placing 46th to 51st. Imagine McDonald's has to ask Wendy's permission to open a location before they can do so? youtube.com/watch?v=nZ_eog…

@elonmusk Then why isn’t cybertruck getting 3,000 miles on a charge??

Tesla Semi

@SalaryDr Not true

The average nonprofit hospital CEO earns $3.5M a year. The average primary care physician earns $260K. One of them sets your doctor's salary.

@socaleer @ethanbock_ Not what we are even talking about

@kp07110 @ethanbock_ Doesn't look meaningless to the kids playing to me

In Ross Hodge’s first season, WVU reaches 20 wins for the first time since the 2019-20 season

@ethanbock_ Then get out of here with your natty comment. I was also realistic - a tourney birth, and we failed.

@kp07110 I did! Not sure exactly what my win total predictions were, I’d have to go back But I also realize it’s Y1 of WVU having their fourth coach in 4 years, so I went in realistic

@noeternity20 @ethanbock_ I’m a fool then. Tournament birth or bust.

@kp07110 @ethanbock_ 4th year new coach and Ross went above and beyond .500, went .500 for conference, and playing championship game in post season tournament. Yall are childish with expectations. This a very successful year, and you’re a fool if you think otherwise.

@ethanbock_ You seriously didn’t have aspirations / expectations of a tournament birth?? Go follow another team dude

@kp07110 What were your expectations back in October? Natty? 😂

@BurntRoniRoll @ethanbock_ Enjoy your consolation tourney Mr ball knower

@kp07110 @ethanbock_ Non-ball knower

@ethanbock_ Sure, the school counts them. You’re missing the point. The games are meaningless. Hodge gets no credit in my book for 20 wins. We missed the tourney…season is failure

@kp07110 They most certainly do. Every school counts them

@smallfieldRVA @DutchRojas Okay.

@kp07110 @DutchRojas Not really. They pay execs 8 figures, bloat admin (pay people who often are in the way of care) and do essentially 0 charity work. The also embezzle money out by hiring “consultants” and paying firms for work that are all friends of the executive team at overpriced rates.

Every major hospital system in America is a nonprofit. None of them are poor.

@after_sonic @TFranchosa Retard of the day

@TFranchosa si le das a un mono tiempo infinito y vida infinita para aprender a amarrar un zapato lo va a hacer

No creo en Dios pero también cuesta mucho creer que esto se haya formado por simple casualidad, una esfera con la atmósfera perfecta, con la cantidad agua perfecta, del tamaño perfecto, a la distancia perfecta de un sol del tamaño perfecto y decenas de más cosas matemáticamente perfectas

@TimBrando @wrenbaker @WVUhoops @coachrosshodge @BaylorMBB @CBBCrown @CBBonFOX @coachrosshodge drop the dets on those pants

The Mountaineers of ⁦@WVUhoops⁩ are a happy bunch I’m sure this morning. My first meeting with @coachrosshodge and his young and personable AD @wrenbaker have it going on in Morgantown. They get ⁦@BaylorMBB⁩ Saturday SemiFinals ⁦@CBBCrown⁩ ⁦@CBBonFOX⁩ 🏀👑

@MikeAsti11 No one cares man, participation trophy and most of them won’t be back. Baseball season

Say what you want about the College Basketball Crown not meaning much to a program with the history of WVU, but these players clearly care about this. We saw why West Virginia was inconsistent this season in that game, but we also saw a group with a lot of heart comeback and win.

@mcuban I can’t wait for you to buy a hospital and find out how it really works. Best of luck

Why aren’t any of these at risk hospitals publishing their full accounting so everyone can see where they spend their money ? All but one group of hospitals that I have looked at potentially investing in, spend so much on consultants and fees that it’s no wonder they are at risk Plus, I have NEVER seen an industry that is worse than hospitals when it comes to buying medications and items like implants, screws, other devices. They overpay for everything. And then when you show them how to save money, their “supply chain” employees resist any change. They are so set in their ways, it’s a shock more don’t go out of business. Prove me wrong.

@wchstv Is it possible to erect a new building that is somehow also 50 years old to match their other locations?

WATCH: Charleston officials said GoMart has purchased the property where the former Kmart sits with the intention of building a service area or truck stop-type area. Story: wchstv.com/news/local/gom…