1. Here is something to know about physicians, Mr O'Neill:
Despite your maligning our millennia old profession,
you could show up in the ER with an appy, MVA, or your sick child and we would treat you + loved ones.
No questions asked.
We would keep your information private.
2. I have questions, @dp_oneill
Hope you don't mind being transparent, because your extensive work in the healthcare IT field is affecting billions of Americans. dponeill.com
3. Question 1: Is there a standing seat/s on the @SenateHELP committee for a RWJF? Does it depend on what party is in charge of the senate? @SenSchumer @LeaderMcConnell
The company you, Mr ONeill were SVP of : Change Healthcare: almost $100 million in Equity.
Do you have any stock options?
And did you have the Senate Help Job before or after your tenure at this company?
Change healthcare gobbled up by @fortune500ceo distributor, @McKesson
Why are there so few distributors. All in Fortune 500 top 15. How did they get so big?
@FTC can you shine 🌞?
Next questions: You were VP of @PracticeFusion
Worth $1.5 BILLION
So how did @allscripps get to buy it for $100million?
I'm no businesswoman, but seems like loads-o-loot missing.
Is it magic?
Do you have stock options, @dp_oneill ?
Inquiring minds want to know more about @ElsevierConnect Clinical Solutions, too.
You were their director. I cannot find a list of board members. elsevier.com/about
Laudable goals, but it seems to so many of us that big co like this have 'friends' who fill their positions
Same questions about Boston Consulting.
When time permits, I am eager to read your presentation at the National Academy of Medicine. Truly.
You have a broad swath of experience.
I swore an oath to keep my patients info private.
The oath is millennia old.
We DO need to rethink this!
nam.edu/wp-content/upl…
USA🇺🇸 has tens of thousands of excellent physicians.
We trained and want to care for our patients.
Keep them well,
keep their info private.
We took an oath.
World of business needs to let us do our job, not throw shade on us. @PPA_USA @Free2CareHC
practicingphysician.org/champions-of-e…

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More from @mass_marion

May 28
.@ChrisMurphyCT, we can't help Denise ( and many other patients) with unaffordable meds without #PBM reform. PBM are at the center of drug finances...Pic from Millman
a 🧵 milliman.com/en/insight/pri…

Image
Some of those 'rebates' in the pic above are really kickbacks that were legalized by our government. First for middlemen #GPO ( GPO in first pic on this thread) and then later for PBM
Great read here in @econliberties
Pic shows short letter to @WSJ 2 🧵economicliberties.us/press-release/…Image
There is almost no transparency on where the #PBM kickbacks that they call 'rebates' are going. @CVSHealth revealed at @SenateHELP hearing last year that the kickbacks are going to a GPO that PBM created. One of these GPO is in Switzerland. 🧵 3
Pic from this @realclearpolicy article realclearhealth.com/articles/2023/…Image
Read 6 tweets
May 10, 2023
a 🧵 In prep 4 today's 1pm @SenateHELP hearing on making #insulin affordable.
On graph: list price is roughly = net price (what pharma collects) + "rebates"/fees collected by Pharmacy Benefit Managers (#PBM) .

According 2 a 2021 @SenFinance "rebates" alone accounted for… twitter.com/i/web/status/1… Image
@SenateHELP @SenFinance @BernieSanders @SenBillCassidy @BoesingLoretta @NSmithholt12 @Free2CareHC @MsPattiPatti @nickjonas @tomhanks @VWOfficial @alldiabetesnews 2. With #PBM making most of the $ In the Insulin market (and for other meds) it's wild that there is little #transparency for PBM.
All of the red ovals show places where we cant see the $
Pic from our @Free2CareHC report: free2care.org/files/report.p… Image
3. If @SenateDems and @SenateGOP and @USCongress and @POTUS want to remedy the cost of Insulin and other drugs, hopefully they won't make the same mistake they did with the Inflation reduction act, "USA will NEVER solve the drug pricing problem without PBM reform – and instead… twitter.com/i/web/status/1…
Read 5 tweets
Jun 6, 2022
"the kind of misinformation that leads to more school closings as well as burdensome mask and quarantine mandates." Thank you, @DrJBhattacharya 1/4 🧵
wsj.com/articles/the-w…
@DrJBhattacharya The kind of misinformation that is fomenting fear, is wreaking havoc with young people's lives.
On college campuses, kids worrying about covid have more mental health problems: @DartmouthHitch @washingtonpost @MartyMakary 2/4 washingtonpost.com/education/2022…
@DrJBhattacharya @DartmouthHitch @washingtonpost @MartyMakary Grateful to have collaborated with physician and Mama bear @CathSark17 on this piece. Misinformation is fueling fear and isolation. It can be deadly on campuses. @FreeCollegeKids 3/4
@StanfordMed usatoday.com/story/opinion/…
Read 4 tweets
May 13, 2022
🧵Re baby formula #shortages:
@PressSec us pediatricians cannot conjure up baby formula.
We will do whatever we can to help our patients but you and @POTUS need to own the colossal supply chain mess that now threatens babies.
@PressSec @POTUS @RogerMarshallMD @RepKimSchrier @MartyMakary @Rosemary100 @ab_peds @MedscapePeds 🧵While hospitals have been better at purchasing and distributing less formula, in an effort to encourage #breastfeeding , they still distribute a LOT of formula . Love to know how much @ahahospitals
🧵As for how baby formula and other supplies get into nursing homes, learn about #GPO, medtwitter !
GPO control supplies of the hospitals in 🇺🇸 including masks, drugs, medical devices, solutions, and.....
@CourierTimes @SenBlumenthal @ChuckGrassley
theintell.com/story/opinion/…
Read 8 tweets
May 13, 2022
Breastfeeding a 🧵
I am concerned we could have lower rates of breastfeeding now than pre-pandemic…@CDCgov do we have any data? cdc.gov/breastfeeding/…
🧵As a mom who breast fed all 3 for a year each, I can tell you that both establishing nursing and sustaining it is NOT easy. That first week was HARDER THAN INTERNSHIP.
We must give grace to those who cannot breastfeed, yet try to encourage it…
🧵As a pediatrician, I think there are too many advantages to breastfeeding. We must stop right now and promote and encourage our new moms to nurse when possible!
Read 5 tweets
Apr 15, 2022
Mr. Scott of @pcmanet, the lobby group for #PBM has been called one of The Hill newspaper’s “Top Association Lobbyists” each year from 2015 to 2020.
Yesterday he spoke at the @FTC hearing on how mergers are affecting healthcare. Let's dissect what this lobbyist said 🧵1/6....
Scott of @pcmanet told @FTC that there were over 70 #PBM.
True, but from DrugChannels, we can see that SIX PBM control 95% of the prescription drug claims in the US
THAT is one WAAAAAY conslidated market! 🧵2/6
The lobbyist Scott of @pcmanet told @linakhanFTC that #PBM were the only players in the market that saved money on prescription drugs.
Whatever you are "doing " to "save 💵"
it ain't working.
Meanwhile #PBM and associated co are at the top of the fortune 500. 🤔 🧵3/6
Read 6 tweets

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