Thread by @EdGainesIII

@ZachJonesForTX @mass_marion 1/ Zach--where do I begin? 1. For those thinking that the #NoSurprisesAct is about out of network (OON)/balance billing (BB)--maybe 3-6% of a hospital based group--sorry--it's all about in network rates; the vaulted @USCBOcostest calculated that the Energy & Commerce bill in '19.

@ZachJonesForTX @mass_marion @USCBOcostest 2/ would "save" ~$20B over 10 yrs. BUT 80% of that savings would come from the declination in network rates; my opinion you say? Actually no--last week @BlueCrossNC wrote to over 50 physician groups in #NC citing the NSA and NC state law--groups in Rad., Anesthesia & EM--and....

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC 3/ demanded (and we have letters to support the same) between -5% to -20% in current participation agreements (cuts rumored to be as high as -30%) else #BCBSNC would consider terminating the agreement b/c the #NSA & the #QPA as calculated would permit "interim reductions".....

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC for "outlier contracts" w/ a demand that was by 12/15/21--I am frankly done w/ them & it's time to take off the gloves--30 yrs I have battled w/ this plan & friends it is high time to call total BS on their current tactics--give no quarter--@BlueCrossNC & its ilk have minted $...

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC 5/ (I am so pissed off I did not number #4 above) while you all have been on the wall for us dying and saving lives--I will be damned if they get to drive physicians & hospitals to the brink on my watch and do nothing--here are the letters--make sure you have a beverage of choice

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC 6/

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC 7/

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC 8/ PS--when I first received this letter last week, I thought it was a fake--sadly it is not--a large physician group practice manager called the 15+ yr VP of BCBSNC to ask if he really sent it--he said that he did--reportedly over 50 groups in NC received it. @drdanchoi

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC @drdanchoi 9/ @813JAFERD @Reese_Tassey @ercoderguy @sonodoc99 @amychomd @Valleus556 @MarilynHeineMD @mass_marion @TakeWeightOffMD @fuzzymittens @reh3md @RichDuszak @ERGoddessMD @EmergencyDocs @NC_ACEP @NCMS_MedSociety @ASAGrassroots @RadiologyACR @AmerMedicalAssn @ahahospitals @texmed

@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC @drdanchoi @813JAFERD @Reese_Tassey @ercoderguy @sonodoc99 @amychomd @Valleus556 @MarilynHeineMD @TakeWeightOffMD @fuzzymittens @reh3md @RichDuszak @ERGoddessMD @EmergencyDocs @NC_ACEP @NCMS_MedSociety @ASAGrassroots @RadiologyACR @AmerMedicalAssn @ahahospitals @texmed 10/ Contracts to @MBonilla1 & @ASAGrassroots for calling out @BlueCrossNC

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@ZachJonesForTX @mass_marion @USCBOcostest @BlueCrossNC @drdanchoi @813JAFERD @Reese_Tassey @ercoderguy @sonodoc99 @amychomd @Valleus556 @MarilynHeineMD @TakeWeightOffMD @fuzzymittens @reh3md @RichDuszak @ERGoddessMD @EmergencyDocs @NC_ACEP @NCMS_MedSociety @ASAGrassroots @RadiologyACR @AmerMedicalAssn @ahahospitals @texmed @MBonilla1 *Congrats* auto correct strikes again!