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Marion E Mass, M.D. #patientsfirst #scrubsnotsuits Profile picture
Marion E Mass, M.D. #patientsfirst #scrubsnotsuits
@mass_marion
Wife mom pediatrician gardener writer, speaker. Quality accessible sustainable medical care 4 less? YES WE CAN! #sunshine4all @IWF visiting fellow
Nov 8 • 4 tweets • 1 min read
Years ago, I went to a meeting in Philadelphia. The after lunch lecture was all about quality measures. They were all the CMS people up on stage yapping about what the quality measures were doing. I honestly don’t even know what they were saying. When they were done, they asked for questions.…1/3 @EdGainesIII …. So, CMS experts, I get it, you want to make sure you’re getting value from physicians so you have this MIPS. How much did it cost to plan launch and implement MIPS, and is there any data that it’s saving America 🇺🇸 money 💰?
The CMS experts all looked at each other… 2/4 🧵
May 28 • 6 tweets • 4 min read
.@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
May 10, 2023 • 5 tweets • 9 min read
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
Jun 6, 2022 • 4 tweets • 4 min read
"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…
May 13, 2022 • 8 tweets • 9 min read
🧵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
May 13, 2022 • 5 tweets • 3 min read
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…
Apr 15, 2022 • 6 tweets • 6 min read
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
Apr 5, 2022 • 7 tweets • 13 min read
@thedailybeast The Affordable Insulin Now Act “ does not lower the price of insulin by one penny,” said @LloydDoggettTX
He's right.
It's a cap on the copay only.
Americans, including the uninsured will STILL pay 800% more than they should for insulin and many other drugs.
🧵1/6 @thedailybeast @LloydDoggettTX 🧵2/6 👀who the profiteers are in the Insulin Cartel
Net price is approx what the big 3 manufacturers pull in.
List price= net price + 💵 #PBM make
PBM are responsible for lion's share of cost of insulin, which will not ⬇️ with this bill.
Uninsured will still pay 800% ⬆️ BOO!
Feb 16, 2022 • 11 tweets • 7 min read
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
Aug 11, 2021 • 4 tweets • 4 min read
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…
Aug 10, 2021 • 5 tweets • 4 min read
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-…
Aug 9, 2021 • 5 tweets • 3 min read
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…
May 31, 2021 • 10 tweets • 6 min read
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
May 22, 2021 • 17 tweets • 19 min read
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....
Apr 10, 2021 • 8 tweets • 7 min read
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
Apr 7, 2021 • 5 tweets • 5 min read
#SurpriseMedicalBilling #SMB battle not over.
Insurers 👀 out 4 their pockets. 💵
🇺🇸 Medical care in peril
Patients need physician care.

⬆️ Dr-exit means patients lose
#MedTwitter : SMB bill must get implemented FAIRLY
realclearhealth.com/articles/2021/… Image ER docs esp working like crazy during #Covid
This last 2 weeks 2 US ER docs took their own life.
Tragic
@PamelaWibleMD put out wonderful sobering film
@Dr_RaulRuiz @SenBillCassidy @GOPDoctors, please be aware
We cannot continue having 400 physicians per year kill themselves