Real Doc Speaks (@realdocspeaks) 's Twitter Profile
Real Doc Speaks

@realdocspeaks

A Patient-focused physician, speaks out on health issues to clarify complexities, expose middlemen, and explore the future of medicine. NOT medical advice

ID: 1721551308329467904

calendar_today06-11-2023 15:33:34

7,7K Tweet

3,3K Followers

1,1K Following

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

oversight.house.gov/wp-content/upl… This is the House Oversight Committee report on PBMs and, it is stronger and more damning of PBMs than the FTC report, in my opinion. Why is Express Scripts not upset about this report and suing this Government body?

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

This is a horrific statistic. We need to support each other and advocate for physicians. We have so many stresses with EHRs and regulatory requirements.

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

This story highlights what is wrong with politics. In this story, lobbyists spend hundreds of thousands of dollars to encourage State Government officials to look the other way for questionable claims for Medicare. The parties are accused of overbilling the State Medicaid

Laura Vater, MD, MPH (@doclauravater) 's Twitter Profile Photo

To all healthcare workers: If you have a particularly difficult and emotionally tough day in this field, remember that you've done your best, you did not cause a person's disease, and the world is better because you are in it.

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

statnews.com/pharmalot/2024… This article describes the FTC lawsuit filed against the three largest Pharmacy Benefit Managers (PBMs)and their associated Group Purchasing Organizations (GPOs). The FTC alleges that the companies used anti-competitive practices to elevate the list price

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

I want to thank all the people who attended this event despite their busy schedules. It was an excellent discussion, and I am awed by the caliber of the participants. There was a great mix of physicians, IT experts, and nurses, and we had participants as far away as New

Beth Joyner Waldron (@bethwaldron) 's Twitter Profile Photo

But, but, but PBMs say they are the only healthcare actors working to lower drug costs for patients & it’s big bad ol’ pharma who sets the cost of drugs. 🤔

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

This is what we all experience with the EHR. Practicing physicians were never consulted on its construction or implementation. The Government presented us with a poorly designed system and demanded we use it. We never should have agreed to it. Now, we all have to find our own

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

This is a great Op-Ed, and it describes how physicians and nurses perform an increasing amount of uncompensated care. They do this because of the increase in EHR and administrative time. It is time that we say yes to the patients and no to the administrators. We need to say no

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

beckershospitalreview.com/hr/brigham-and… Nurses strike and receive a 25-35% raise over three years. Physicians accept another pay cut from the Medicare Fee schedule. It is time for physicians not to accept what Congress offers us. We deserve a raise and need to advocate for ourselves.

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

It is time for the exclusion of the Federal Anti-kickback law to end for PBMs and GPOs. This CVS Statement is very ironic; you must follow the law to which we have an exemption. Rep. Diana Harshbarger Rep. James Comer Jake Auchincloss Buddy Carter

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

The PBMs feel that they are being unfairly targeted, and I have a simple plan to help them out. To avoid the appearance of impropriety, we should do the following: • Not allow insurance companies to own PBMs as insurance companies are the customers of PBMs. This will avoid

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

There are about 66 PBMs, and the 6six largest controls about 94% of the market. Most of the others are transparent PBMs, and they facilitate the flow of drugs to patients without predatory behavior.

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

Nobody is as plain-spoken and passionate when it comes to PBMs as Mark Cuban! He makes a strong case for us all to use transparent PBMs and avoid any PBM that collects rebates. Maybe Congress should repeal the anti-trust exemption for PBMs and GPOs and then this wouldn't be an

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podcasts.apple.com/us/podcast/the… This is a fascinating episode of the Heart-of-Healthcare podcast. This features Mark Cuban, who just started Cost Plus Drugs. He had 100 generic drugs on his site, and now that is over 2,200 with some branded drugs as well. Cost Plus Drugs has

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

open.substack.com/pub/healthcare… This is a great article that answers the question of why Express Scripts sue the FTC? The author formerly worked at Cigna and has great insight into the suit. IMHO, this suit will backfire on ESI and irritate those in Congress. But time will tell.

Real Doc Speaks (@realdocspeaks) 's Twitter Profile Photo

I am not a fan of middlemen, I know Cost Plus Drugs uses a PBM, and I would love to hear Mark Cuban answer why he uses a PBM. Mark, you are very eloquent in your opposition to the large PBMs, and yet you use a PBM in Cost Plus Drugs. Why do you need their service, and what do