Another way to look at the 🇺🇸 HC spend:
70% of physicians owned by a hospital or corporation
Hospital systems own many clinics
This makes hospital costs really important to examine. Image
It's REALLY important to know hospital prices! Image
Even though the last 2 US administrations have a rule on hospital price transparency, only 15% of hospitals are complying.
Rest are hiding their prices
If you are hiding something you must have sumptin to hide!
"There’s an appalling cost to not knowing the cost...
Did you hear the one about the $25,000 test for strep throat? How about the $59,490 ultrasound?" More here @bizcatalyst360 : bizcatalyst360.com/hyperinflation…
Consider:
Up to 40% of a hospital overhead is supply
#GPO (Group Purchasing Organizations control the pathway for drugs, solutions, devices and supplies into hospitals, nursing homes and clinics
More about GPO and their kickbacks @CourierTimes
theintell.com/story/opinion/…
2/3 of 🇺🇸 Hospitals are 'non-profit' and pay no taxes.
Read more by @MarniOnHealth on the seven-figure executive salaries and offshore accounts for these hospitals
medicaleconomics.com/view/how-nonpr…
@MarniOnHealth Many of the same 'non-profit' hospitals bring thousands of lawsuits against patients, some against its own employees, for unpaid medical bills @propublica @marshall_allen propublica.org/article/thousa…
🇺🇸 won't fix the healthcare cost problem until we see what the cost is.
We cannot have exceptions to #transparency, as suggested for the medicare advantage plans... same plans that @AARP earns a royalty on. goerie.com/story/opinion/…
The same AARP has defended the kickbacks collected by prescription drug middlemen #PBM
Read more @bizcatalyst360 re how PBM make 💵:
helping themselves to Medicaid money, kickbacks, clawbacks and more: bizcatalyst360.com/america-its-ph…
#PBM and health insurance companies have merged, and PBM have become cash cows 💵 for the insurers. From upriseri.com/pharmacy-benef… Image
We are back to lack of #transparency, this time in the prescription drug arena.
Red circles are hidden flows of 💵 Image

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More from @mass_marion

Aug 11, 2021
1. In today's op ed in @CourierTimes , The head of TRG healthcare tells us that #PBM provide better access at a lower price.
When you are done laughing, 🤣
read all his unsubstantiated claims here: theintell.com/story/opinion/…
2. I am so glad to learn more about TRG healthcare
They help to create Mergers and consolidations
with places like @BeaumontHealth
Read more here: trghealthcare.com/services/align…
3. Patients DO NOT use BIG #PBMs + mail order for affordability and ease.
They use them because the BIG PBM are merged with the insurance and the mergers themselves leave patients with few choices and damaged goods. TY @CynthiaMcFadden @NBCNews nbcnews.com/specials/milli…
Read 4 tweets
Aug 10, 2021
My recent Op Ed got the attention of @AARP HQ in Washington DC.

Here in rebuttal they state I am fueled by Big Pharma.

Let me be clear
I take no 💰 to advocate.
I am fueled by the need to create an affordable sustainable medical landscape.
👀 when disgruntled members sued the AARP for not acting in their interest, AARP lawyers said there is no requirement for the AARP to “act with the interests of [members] in mind.”
Why act for members when United healthcare pays you? commitmenttoseniors.org/aarp-says-its-…
AARP opposed drug 'rebates' going direct to seniors.
(They are not rebates, they are KICKBACKS!)
Instead the money could flow to PBM like Optum who are owned by AARP top funder, United HC.
This was against the wishes of 3/4 of AARP members dispatch.com/opinion/201907… #boycottAARP
Read 5 tweets
Aug 9, 2021
Yep. And…
patients would receive better care.

Whose idea was it to exclusively ban one group from ownership in hospitals? healthaffairs.org/doi/10.1377/hb… @RepGonzalez @michaelcburgess
Oh, I see…
“The American Hospital Association (AHA) joined the Federation of American Hospitals in 2019 to lobby against proposed legislation that would have repealed the POH ban.” armoneyandpolitics.com/ten-years-gone…
THIS @ahahospitals
The group that ranks 5th in lobbying.
The group that wants to hide prices
This is the group that wants to restrict who can own hospitals.
Read 5 tweets
May 31, 2021
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
Read 10 tweets
May 22, 2021
1. Check out another way #PBM are making bank:
Insurer owns PBM who owns specialty pharmacy
Specialty pharmacy= pharmacy dispensing 💊💉stored under temp + special conditions: Chronic disease patients really need good specialty pharmacies. But....
beckershospitalreview.com/payer-issues/h…
2. Insurer can force patient to use their in-house specialty pharmacy... thus...Aetna makes pts use CVS, BCBS+Cigna makes pts use accredo, etc
Besides the whopping conflict of interest....
3. ...there ⬇️ motivation 2 deliver 💉💊in quality manner so drugs actually work.
Cystic Fibrosis patients get sicker due to #PBM @ExpressScripts shoddy delivery of 💊
Migraine patients: same
Express Scripps don't care.
@amfmigraine @CF_Foundation @VP
nbcnews.com/specials/milli…
Read 17 tweets
Apr 10, 2021
AHA!!! We all know that BCBS Is the biggest individual Health Care Insurance donor to congress over the past 20 years, right? opensecrets.org/federal-lobbyi…
2. How did BCBS get so rich? They were originals.
@BCBSAssociation the insurance co with the LONGEST In house owned #PBM: Prime theraputics
PBM are the insurers cash cows. 💵🐄
@Cigna revenues tripled when they bought Express Scripps. 60% of @CVSHealth revenues from PBM
It's all on their website under history: primetherapeutics.com/en/about/histo…
Read 8 tweets

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