It always amazes me to see people with 0 medical billing or revenue cycle experience speak with such conviction about pricing dynamics around medical services. It adds to public confusion and plays right into the hands of MCOs working to perpetuate obfuscation. Not a good look.

We spend $5T on healthcare. That money travels from bank to bank, but mostly sits in the bank of whoever is managing the risk. 5% interest on $1T of that is $50B. Let that sink in.

Father time is undefeated

I know I'm not the only one who feels this way, but I want to let you know that Rohan S. has been one of my biggest assets as I've navigated my startup journey. If you're not familiar with Pepper, I highly recommend you check it out!!

If you work at a big company that is getting pharmacy rebates, your company will be getting sued. Guaranteed. It’s not a question of if, it’s a question of when. The inevitable class action suit will dwarf the tobacco settlements. Help your CEO out and share this with them

everyone great I’ve ever worked with has been brutally humbled, cut down to nothing, at least once in their life and came back for it better it’s incredibly dangerous to work with folks that haven’t experienced a true fall yet. its the most important experience you could have

Once you have the confidence & self-knowledge that "I can figure it out"....there really is no stopping you.

A suit was filed against Wells Fargo today by employees who claim that the drug expenses are too high. Wells Fargo currently uses Express Scripts, and the lawsuit claims that Wells Fargo does not fulfill their Fiduciary responsibility under ERISA. This is similar to the lawsuit

wow James Dimarco just shipped native peer-to-peer video chat in Mishe (say "mish-e"). move aside doxy.me & zoom. theres a new free hipaa compliant telehealth option in town. about to launch the free market betterhelp / talkspace. see ya

Robert Sterling Just use Mishe (say "mish-e") it’s a nation wide network for paying doctors direct. Literally saves 70%.

Hey Docs: thanks for your service.

I appreciate you Raymond Tsai

1/ If you sleep less than 7 hours a night, read this… + One 4-hour night reduces cancer-fighting immune cells by 70% + Chronic 6-hour nights make you 4.2x more likely to catch colds + 18-24 hours awake = 0.05-0.1% blood alcohol level equivalent (0.08% is legally drunk) Sleep

I love this man, Mark Cuban. It takes a certain type of person to take on the biggest problem facing the US economy + people. But for a billionaire to put his comfort on the line + challenge Wall St to benefit people on Main St is a whole other story. 🖤 youtu.be/ayhRmnFlSkE?si…

Brian Gantwerker, MD, FAANS, FACS 🟧🇮🇱 Depends who gets to define the value proposition. If physicians actually ran VBC models, there’d be actual value.

🤢🤮

It’s cute to see the very clearly non-healthcare folks on the buy side banding together and “consulting” health system admins on topics they know so very little about. Enjoy the gravy train while you still can, posers. Tech is about to put an end to your years long scammery.

COE warranties are NOT a novel concept. Medicare (+ all commercial payers) always disallowed reimbursement for related care (ie dx) w/in the 90-day global period. This is just one many examples that highlights the massive disconnect between healthcare's buy & sell sides.

Nearing capacity for our 2024 Symposium on Health Policy. Limited registration space available: carey.jhu.edu/events/2024-sy… Start: September 11, 2024, 07:45 am End: September 11, 2024, 06:30 pm Johns Hopkins University Bloomberg Center, 555 Pennsylvania Ave. NW, Washington, D.C.

amen, Ahilan “Siva” Sivaganesan, MD measuredscalpel.substack.com/p/the-soul-of-…