Share this page!

Enter Twitter Thread URL to Unroll

Needs to be the full URL like: https://twitter.com/threadreaderapp/status/1644127596119195649

How to get URL link on Twitter App

  1. On the Twitter thread, click on or icon on the bottom
  2. Click again on or Share Via icon
  3. Click on Copy Link to Tweet
  4. Paste it above and click "Unroll Thread"!
  5. More info at Twitter Help
David Dayen Profile picture
@ddayen
Aug 1 • 4 tweets • 2 min read Twitter logo Read on Twitter
OK I've got a #longread today for our health care series about the godfather of modern health policy, responsible for Medicare Advantage, Medicare Part D, risk adjustment, physician payment schedules & more.
His name is Tom Scully.
prospect.org/health/2023-08…
Once out of government, Scully became a partner at the leading health-focused private equity firm (Welsh, Carson, Anderson & Stowe), using his unparalleled knowledge of a system he helped create to exploit pockets of government support.
prospect.org/health/2023-08…
Scully reflects the trajectory of the modern healthcare system. He set in motion privatization, the revolving door, the role of private equity in the industry.
I watched every scrap of tape over 40 years and did a long interview with him. Here's my story.
prospect.org/health/2023-08…
It's a very hard story to thread because it's really a 40-year history of healthcare: a gradual, ideological move to open public systems up to for-profit businesses, and the consequences of that ideology. I swear it's worth the read.
prospect.org/health/2023-08…

• • •

Missing some Tweet in this thread? You can try to force a refresh
　

Keep Current with David Dayen

David Dayen Profile picture

Stay in touch and get notified when new unrolls are available from this author!

Read all threads

This Thread may be Removed Anytime!

PDF

Twitter may remove this content at anytime! Save it as PDF for later use!

Try unrolling a thread yourself!

how to unroll video
  1. Follow @ThreadReaderApp to mention us!

  2. From a Twitter thread mention us with a keyword "unroll"
@threadreaderapp unroll

Practice here first or read more on our help page!

More from @ddayen

David Dayen Profile picture
Aug 2
Our business of health care series continues with a history of UnitedHealth, the largest insurer & the largest employer of physicians in the country, with so many subsidiaries that 25% of its revenues come from *itself*.
From @SaraLSirota & @KristaKBrown.
prospect.org/health/2023-08…
We go through UnitedHealth's entire history, from its founding as a way around state laws that required HMOs to be nonprofits run by physicians to its serial acquisitions of just about everything in healthcare.
https://t.co/DYbarYOQxJprospect.org/health/2023-08…
Image
PBMs? UnitedHealth invented them.
Medicare Advantage? United's the biggest private company.
Health savings accounts? United has a *bank* with $20 billion under management.
IT? United's claims data subsidiary has information on 285 million patients.
prospect.org/health/2023-08…
Read 5 tweets
David Dayen Profile picture
Jun 30
So according to the president's words, they're going to create a new program, I presume with the same parameters, under the compromise & settlement authority of the Higher Education Act that we discussed as the main way to cancel student debt 4 years ago: prospect.org/day-one-agenda…
He mentioned that "it will take longer." I think this is what that means.
There are a couple regulatory hurdles. They are discussed in this letter:
static.politico.com/4c/c4/dfaddbb9…
There's something called the Federal Claims Collection Standards (FCCS) that requires a rulemaking if an agency wants to cancel debt owed to the government. There are federal standards that govern this authority.
Read 13 tweets
David Dayen Profile picture
Jun 12
Breaking: 90% of the $4 trillion in Covid funding properly spent, and thousands of people who grabbed at the other (potentially) 10% have been arrested, with thousands more investigations underway
apnews.com/article/pandem…
Also another $1 trillion has yet to be spent and therefore has yet to be stolen. So it's more like 8% (potentially) stolen, with many of those responsible arrested and that number probably maximized for sensationalism's sake
This is what we're dealing with. Find me anything at that level in the private sector with a 99% success rate Image
Read 6 tweets
David Dayen Profile picture
Jun 7
NEW from me: student loan payments are going to restart in September. This is an impossible task made more impossible by the private loan servicers whose entire history has proven their incapability to do the job. A 🧵:
prospect.org/education/2023…
As @millennial_debt told me, "I’m not aware of any instance where a creditor restarted a 40-million-account portfolio. That’s at a scale that finance doesn’t operate in, let alone government"
In this case, as many as half of student loan accounts have *changed servicers* since the last time they paid in March 2020. Borrowers will get a notice from a company they never heard of to pay a debt that's been dormant for 3 1/2 years.
Read 6 tweets
David Dayen Profile picture
May 26
If you're the White House this is a salable deal. That =/= a good deal, but they can sell it.
The expectation is that McCarthy will never get his guys to pass an actual budget. That would then mean a continuing resolution at current levels for 2 years. With all the funding shifts, this is scheduled to be pretty close to that, with a 1% bump in year 2.
"If you don't like it, win back the House and I'll get it all back" could be a talking point, I imagine.
Read 11 tweets
David Dayen Profile picture
May 25
I have a feature out today about the new industrial policy, and how it's designed to support the very groups that have been left out of past economic transitions, building the necessary coalition for long-term transformation. 🧵
prospect.org/economy/2023-0…
The idea that America has forgotten how to build anything is silly. We went from zero LNG exports to the world's largest exporter in six years, through national policy, willing financing, and economic and political power.
prospect.org/economy/2023-0… Image
Bills like CHIPS & the IRA seek to create a similar dynamic. Since their signing, companies have announced $216 billion in private manufacturing investments, nearly 20x the number announced in 2019. Public funding, not deregulation, kickstarted this.
jackconness.com/ira-chips-inve…
Read 11 tweets

Did Thread Reader help you today?

Support us! We are indie developers!

This site is made by just two indie developers on a laptop doing marketing, support and development! Read more about the story.

Become a Premium Member ($3/month or $30/year) and get exclusive features!

Become Premium

Don't want to be a Premium member but still want to support us?

Make a small donation by buying us coffee ($5) or help with server cost ($10)

Donate via Paypal

Or Donate anonymously using crypto!

Ethereum

0xfe58350B80634f60Fa6Dc149a72b4DFbc17D341E copy

Bitcoin

3ATGMxNzCUFzxpMCHL5sWSt4DVtS8UqXpi copy

Thank you for your support!

Follow Us on Twitter!

Send Email!

:(