HokiePharm @HokiePharmacist
Black out with the biggest names in pharmacy on the PBM on the Rocks podcast! Join PUTT today! #Hokies #TwitteRx #Pharmacy truthrx.org/pbm-on-the-roc… Joined September 2022-
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I would build three Long John Silvers
I get it honest
"The most important way for an insurer to protect its profits at the expense of your health is to deny care that your doctor believes you need. Cigna has transformed itself into a care-denying assembly line." From Cory's thread below:
Private equity is coming close to mercenary style hunting games of the poor. bloomberg.com/news/articles/…
This Cigna story is great; what is demoralizing is how much DC worships firms like Cigna. It makes me pessimistic about any reform really getting thru and truly reshaping it. All too many ppl worship the dollar. So out in the open, yet undaunted by any change thrown its way
This Cigna story is great; what is demoralizing is how much DC worships firms like Cigna. It makes me pessimistic about any reform really getting thru and truly reshaping it. All too many ppl worship the dollar. So out in the open, yet undaunted by any change thrown its way
Many AI applications turn out not to even be "AI" - they're just low-waged workers in an overseas call-center *pretending* to be an algorithm (some Indian techies joke that AI stands for "absent Indians"). 46/
If the hospital buys an AI, fires half its radiologists and orders the remainder to review the AI's superhuman assessments of chest X-rays, that's not an AI assisted radiologist, that's a radiologist-assisted AI. 44/
Other timelines were even more aggressive: many denials of prescription drugs were meant to be resolved in fever than *two minutes*. 29/
These were *not* long times. If a doctor asked Cigna not to discharge their patient from hospital care and a nurse denied that claim, the doctor reviewing that claim was supposed to spend not more than 4.5 minutes on their review. 28/
In Dr Day's story, the turning point came when Cinga outsourced pre-approvals to registered nurses in the Philippines. Legally, a nurse can *approve* a claim, but only an MD can *deny* a claim. 17/
But as the competitive landscape for US healthcare dwindled - and as Cigna bought out more parts of its supply chain and merged with more of its major rivals - the company became uniquely focused on *denying* claims, irrespective of their medical merit. 16/
Cigna - like other health insurers - is "too big to care." It doesn't have to worry about losing your business, so it grows progressively less interested in even pretending to keep you healthy. 8/
Cigna - like all private health insurers - has two contradictory imperatives: I. To keep its customers healthy; and II. To make as much money for its shareholders as is possible. 1/
“Deny, deny, deny. That’s how you hit your numbers” 1.2 seconds =average time for insurance doctor to make a care authorization decision.
“Deny, deny, deny. That’s how you hit your numbers,” said former Cigna medical director Dr. Debby Day about the pressure put on her to rapidly review patients’ cases. My latest on health insurance denials with @PatrickMRucker propublica.org/article/cigna-…
"Mail order pharmacy business is not highly regulated." @nabp aol.com/medicine-mix-f…
Take it or leave it contracts…drawn up by our competitors. Our competitors dictate what we get paid and there’s no negotiation. Many pharmacy deserts are in the near future if this doesn’t get fixed!
Take it or leave it contracts…drawn up by our competitors. Our competitors dictate what we get paid and there’s no negotiation. Many pharmacy deserts are in the near future if this doesn’t get fixed!
THREAD: There is a massive, totally legal bribery scheme driving up drug prices in America. And pharmacy benefit managers—shady middlemen you’ve probably never heard of—are right at the center.
@linakhanFTC @GOPoversight @OversightDems PBMreform needs to happen now. PCMA and their clients have crossed all possible limits of lies, deception and robbery. They must be stopped immediately. PBMS DO NOT NEGOTIATE
@linakhanFTC @GOPoversight @OversightDems PBMreform needs to happen now. PCMA and their clients have crossed all possible limits of lies, deception and robbery. They must be stopped immediately. PBMS DO NOT NEGOTIATE
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1K Followers 1K Following We are a community pharmacy located in downtown Blacksburg, VA. We are dedicated to superior service, saving patients money, and giving back to our community.JT 💰 @TalleyBandz44
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44K Followers 590 Following Senior staff writer and lead football beat writer for Tech Sideline. New to TSL? Use the promo code ANDY for $20 off. Contact at [email protected]Deablo fan account @DeferredWalkOn
7K Followers 2K Following It’s a struggle from the womb to the tomb.Clark Ruhland @Hokie20
9K Followers 872 Following Doing it for the people in @SalemVA. @Virginia_Tech Class of 2007. #HokieHistory Guru & Graphic Designer for @VTEquipment. Loves watching cars go in circles.David Cunningham @therealdcunna
16K Followers 4K Following Managing Editor @TechSideline covering #Hokies. @commvt grad. Heisman voter. Beautiful mind.Treadmill Horse @treadmillhorse
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4K Followers 2K Following VT alum. Dedicated #Hokies fan. Proud member of #HokieTwitter. Co-host of the Two Deep podcast; follow us @TwoDeepVT and subscribe: https://t.co/8pEC7zvnTnMain Street Pharmacy @mainstreetpharm
1K Followers 1K Following We are a community pharmacy located in downtown Blacksburg, VA. We are dedicated to superior service, saving patients money, and giving back to our community.JT 💰 @TalleyBandz44
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1K Followers 2K Following A coalition of patient & provider orgs who have joined together to address the impact of PBMs on prescription drug costs & patient access to treatment.Ava Hartsell @ahartsell5
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3K Followers 2K Following CPhT turned PharmD 💊, Pharmacy Masochist, Wife, Fur Mom, 🌎 Traveler , 🏳️🌈 🏳️⚧️ ally——My tweets are reflective of only myself and not my employersDrones Strike Inbound.. @DelusionalHokie
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2K Followers 2K Following writing fellow @theprospect. send tips to lgoldstein at prospect dot org . signal: 310-871-2214This is the best piece of television that HBO has ever produced. Mini-series or not, it completely sweeps The Sopranos, The Wire, True Detective, etc. And it should be preserved in the Library of Congress for being culturally and historically relevant. It's excellent.
All of this is giving:
How can a coach be expected to build a roster when players commit/de-commit within a few weeks? Imagine every professional player being a free agent *every* offseason. How is this allowed? Oh yeah, cause everyone involved is lining their pockets. Except for fans, of course.
@HokiePharmacist Is there one within driving distance? I can just barely make it on my lunch break if I'm not running behind.
@HokiePharmacist No way that the plumbing could handle that
@candice_counsel When I'm 92 I'll be lucky to be alive, bonus points for full bowel and bladder control.
Who’s gouging who @SecBecerra ?
“Deny, deny, deny. That’s how you hit your numbers,” said former Cigna medical director Dr. Debby Day about the pressure put on her to rapidly review patients’ cases. My latest on health insurance denials with @PatrickMRucker propublica.org/article/cigna-…
"The most important way for an insurer to protect its profits at the expense of your health is to deny care that your doctor believes you need. Cigna has transformed itself into a care-denying assembly line." From Cory's thread below:
Cigna - like all private health insurers - has two contradictory imperatives: I. To keep its customers healthy; and II. To make as much money for its shareholders as is possible. 1/
This is tantamount to what? Torture? Extortion? Extreme duress? Robbery? Even Obama spoke of his mother fighting insurance bills as she fought cancer, yet he passed the ACA w/marginal benefits and protections.
Cigna - like other health insurers - is "too big to care." It doesn't have to worry about losing your business, so it grows progressively less interested in even pretending to keep you healthy. 8/
Private equity is coming close to mercenary style hunting games of the poor. bloomberg.com/news/articles/…
@HokiePharmacist LORD HELP US!!! Isn't he like 60 already? #ROFL #OldMan #GodBlessHisWife #HBDErv #SexyLegs #ManNeedsAShingleShot #ManNeedsARSVShotAlmost #ManNeedsAPrevnar
@m_c_elish These are combined with other bossware to push doctors to robosign hundreds or thousands of denials per day, on the pretense that these denials were "reviewed" by a licensed physician. 61/
@m_c_elish The Filipino nurses in the Cigna system are an avoidable expense. As Cigna's own dabbling in algorithmic claim-denial shows, they can be jettisoned in favor of a system that uses productivity dashboards. 60/
The AI turns its "human in the loop" into a "moral crumple zone," which @m_c_elish describes as "a component that bears the brunt of the moral and legal responsibilities when the overall system malfunctions": estsjournal.org/index.php/ests… 59/
AI is the final stage of this progression: robots without the human suits. 58/
They were reverse centaurs, serving as the human faces of the intransigent robots programmed by monopolists that were too big to care. 56/
The Amazon Grab and Go workers were humans in robot suits, but these customer service reps were robots in human suits. The software told them what to say, and they said it, and all they were allowed to say was what appeared on their screens. 55/
The money paid out to the few customers who were stubborn or angry enough to karen their way to a supervisor and get something out of the company amounted to pennies, relative to the sums the company reaped by ripping off the rest. 54/
At that point, a large number of customers would have given up on getting a refund, exchange or credit. 53/