CA docs: I was unaware of the class action lawsuit against Sutter Health, the largest health care system(and a non-profit) in northern CA. They settled a $575 million dollar antitrust class action lawsuit alleging anticompetitive practices that drove up revcycleintelligence.com/news/judge-app…
2)the cost of health care services in the region. Just when the case was set to go to trial in 2019, they decided to settle. It is interesting to note that in November 2017, Sutter was sanctioned by the judge for "intentionally destroying 192 pieces of evidence that were relevant
3)to antitrust issues". It is mind-boggling that costs were much higher in northern than southern CA, considering southern CA has a higher cost-of-living and is more congested. Sacramento, my home town, has the most expensive maternity care IN THE NATION! More expensive than the
4)Bay Area, which came in second. Guess where Sutter is concentrated? In Sacramento and the Bay Area. kqed.org/stateofhealth/….
5)I am tickled pink that not only is Sutter now prohibited from anti-competitive behavior, they are mandated to be transparent overall in costs and their business processes. They will be under the watchful eye of a court-approved monitor for the next 10 years!
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All EM docs and residents out there in Twitterland need to view this video. Summarizes the f***ed up situation with my beloved specialty--in a nutshell. Beautifully done. I remember the days when I would be hired for a job, sight unseen. Sent in my CV and
2)boom, I was hired. My training was spectacular and my attendings supportive. And I recall when I became concerned about the changing landscape of EM, especially when CMGs began to become more prominent and small democratic groups sold their practices. We did this. We gave away
3)EM. To everybody. It took a while for the damage to manifest, but now it's here. I'm so proud of the beginnings of EM. The goal was to improve care to critically ill and trauma patients by aggressive intervention. And we did, we improved survival rates. Now we are going
Deception is so common in scope creep that it barely raises an eyebrow. Words matter, context matters. So a bit of education...Here is an ad seeking a "collaborating" or supervising doc for a NP practice in MA. Collaboration is not supervision. By the ad, the poster is clearly
2)seeking a doc to function as a safety net; however, a lot of NPs hate the term "supervision". They prefer the misnomer, "collaboration", which connotes being on an equal plane with doctors. Here's the kicker though. MA is an unsupervised state, the governor signed it into law
3)in Jan 2021. So exactly what "supervisory regulations" have to be met? In addition, this highly desirable position is offering the "collaborating" physician a whopping $400-$500/month for the use of his license in case s**t goes south. That's about one hour's compensation for
Can we physicians, for the love of God, stop qualifying our opposition to FPA/OTP and misappropriation of titles with "NPPs are an important part of the team"? Since dirt, RNs, NPs, PAs have, in some capacity, even prior to their official designations, always worked alongside
2)docs. Who doesn't know this s**t? "Team" is not a neologism. No man is an island. Teams have also existed since dirt, so how about we stop perpetuating corporate medicine's rhetoric as if there have been no teams until the 21st century? Medicine would not function w/o
3)teams--is there anyone who does not know this? What has been forgotten in the NPPs umbrella organizations' push to blur the lines and perpetrate physicians is the patient. Physicians are not innocent in this mess when we support that s**t. How the f**k have we forgotten that
A FYI for followers: State insurance commissioners are consumer advocates. They deal with insurance fraud as well as health, homeowners, life, flood, etc. companies which tend to be obstructive when it is time to pay the piper. Health insurance is the worst. This is MedTwitter,
2)so I will focus on the health insurance scumbags. If you and your doctor determine that your health insurance company is denying a claim or refusing to honor a medication and instead is telling your doctor how to practice medicine, you as a consumer can contact your state
3)insurance commissioner and file a complaint against your insurance company as well as the medical director or physician who denied your claim. You can ask the insurance company for the name and medical license number of the physician to provide to the commissioner. Many times,
I'm asking all TX physicians, as well as the citizens of TX, to please support Betty's Law. This law "would require healthcare workers providing direct patient care and practicing in freestanding ERs and urgent care clinics to wear a photo identification change.org/p/greg-abbott-…
2)badge." The law was introduced by the parents of Betty Wattenbarger, after their 7 y/o autistic little girl was misdiagnosed by a pediatric nurse practitioner(PNP), sent home and died from complications related to sepsis/pneumonia. The PNP did not identify herself as a Nurse
3)Practitioner nor did she have a badge that was visible-so the parents thought she was a physician. Similar laws do indeed exist on the books; however, the associated consequences don't. Violation of Betty's Law may lead to the medical facility being sepsis.org/faces/betty-wa…***
A perfect example of physicians being left out of the conversation when it involves healthcare. These fools are intent on making docs obsolete in the provision of rural health care. Invisible. By intent. No doctor on this list. innovation.cms.gov/innovation-mod…
2)Health insurance executives are well-represented. Right at the top. Now take a look at the "hospital representatives". Not one f***ing physician anywhere. One RN. One CRNP. No physician. Let me reiterate for those in the back...HOSPITAL REPRESENTATION, health.pa.gov/topics/Health-…
3)WITHOUT PHYSICIAN REPRESENTATION. This is how non-medical entities control the narrative of health care. So for the docs who keep yapping that this "is the way medicine is going" have relinquished their position in the driver's seat. I'm not one of those docs. Medicine is our