Keely Strong @KeelyStrong

I was today-years-old when I learned that BLUE CROSS BLUE SHIELD IS A NON-PROFIT… The deets: #BCBS is actually a federation of independently owned/operated BCBS companies, the overarching entity of which is BCBS Association @BCBSAssociation, which is a nonprofit. A nonprofit with $780M in revenue and a $19M CEO compensation. The “members” of BCBS Association, though historically non-profit, have been allowed to convert to for-profit for the past couple decades. Some have, but many remain still non-profit. The most well known FOR-profit BCBS is probably @ElevanceHealth (formerly Anthem), publicly traded with a market cap of $109 Billion. The NON-profits? These include: @HCSC, @BCBSM (Michigan), @_GuideWell (Florida Blue), @IBX (Independence Blue Cross), and more… While non-profit, these are not 501(c)(3)s (charitable organizations), but mostly 501(c)(4)s (social welfare organizations). Call me pessimistic, but I still believe “non-profit” is a tax (exemption) status, not a mission statement… But tell me, where does BCBS fall on this? Tax status (they do pay taxes, though get tax breaks based on their specific 501 subsection)? Or mission statement? 🤨

@micahf @amyfaithho @BCBSAssociation Please don't give up. “They” have done this for a reason. We all have to push for change.

@bhallcpa I am cool with the kids getting the digital distraction, the parents being on theirs too and the whole damn family missing out on the meal/ interactive time…that is the real 🤯

🔥 this just in Patient could not afford SGLT2i that I prescribed for HF. Understandable and common challenge. Patient called insurance. Insurance directed patient to glimepiride which would cost $5 Patient wants Rx for glimepiride. This now requires 30 minutes of additional education. Exhibit A for how US healthcare system is FUBAR And yet the insurance company will accept no responsibility or liability for providing medical advice (erroneous) to their enrolled patient who they won’t let me (the patient’s doctor) manage in accordance with guidelines. This is death by a thousand papercuts of #moralinjury

This!

BigNickEnergy @Trenpercent

3 years ago

@AndrewJSauer What will it take for all the healthcare professionals to unite and fiercely push back against this nonsense? Cmon!! It’s going to get worse until action is taken.

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Q: Why are waits at emergency rooms so long? A: Because the rest of the healthcare system is failing. The patient did everything right, but the healthcare system did them so so so wrong. 🧵… They call their PCP, but can’t get an appointment. So they turn to the ER. They call their specialist, but the call line (automated, no human to respond) says go to the ER. They try to pick up their new medicine, but it’s 3x their monthly rent $ and they already work 3 minimum wage jobs…so they turn to the ER to get a dose of medicine. They try to get their imaging done, but can’t get the prior auth approved. So they come to the ER to get it. Their employer won’t let them take a sick day without a work note (and the ER is the only thing open they can get into TODAY). They need to see their doctor in the clinic, but can’t afford to take time off work to go, much less arrange childcare, and the ER is the only thing open when all those conditions sync up. They lost their job and now have no insurance and can’t see their doctors anyways. So they come to the ER. The list goes on and on and on… Healthcare reform is not about healthcare — it’s about economics, corporate greed, lobby dollars, transportation, housing, politics/policy, culture, and more…

@rohindhar Ruggable! Washable tops, lots of sizes and get the thickest pad for softness. I have 3 and love them.

@spokanerising 🙋🏼‍♀️

@amyfaithho This. And, don’t even get me started on Credentialing.

For those just now realizing insurers don’t care if you live or die— 🚨🚨🚨Insurers do not care if you live or die. In fact, death is highly cost effective, especially if it is fast, and especially if you are chronically ill. Up to 25% of all Medicare expenditures are spent on the last 12 months of life. Insurers would love to eliminate that, as the cost of care >>> premiums collected at that point. Remember that what you call healthcare, they call LOSS — as in, their medical LOSS ratio being the how much $ of premiums is spent on medical care. And they would love to cut the loss, for our (unfortunately) most vulnerable populations — elderly, chronically ill, with little support.

Amy Faith Ho, MD MPH @amyfaithho

3 years ago

Here’s the dirty secret of emergency medicine: We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED. But here’s why we care about prior auth anyways: B/c not a shift goes by where a patient doesn’t land in the

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Here’s the dirty secret of emergency medicine: We don’t have to do prior auth. Like ever. We just order what the patient needs, and the patient gets it done in the ED. But here’s why we care about prior auth anyways: B/c not a shift goes by where a patient doesn’t land in the ER as a last resort when #priorauth denied or delayed them the outpatient care they needed.

@rohindhar Appreciate that mentality but people need to know that you are not some large hotel chain who can absorb that loss. Like any service provider (dr, hair stylist, therapist, nail tech) time lost is money directly out of your family’s budget. They are responsible and should pay.

Check out this inspiring video about the SBRN #SmallBusiness program from @WAStateCommerce! Thank you for your leadership @lisabrown4mayor, lets keep it going @marcusriccelli @andybillig & friends! youtu.be/wLfpkm7RoBA

@DowntownSpokane Oh I am so glad! I was so bummed when it closed on Grand Ave.

May we all have the chance to know the loves our life, make people happy with our humor and live a healthy life without bitterness until days before our 100th. #RIPBettyWhite

@RoninH2 @RobinhoodApp @AskRobinhood Which one did they kick and how much of it?

@rohindhar I could talk with him and see if he would be interested in occasional side work like this. I highly recommend him. This is Keely, formerly from One Medical (Now Foresight Mental Health). You sublet our space for your company in the way back days!

@rohindhar Are all your properties in CA? Thinking about the operational complexity of things like wells and their required maintenance…I have a handy person at work who likes to travel around and do things, engaging someone like that might be helpful in situations like this.

@RoninH2 I don’t believe that random spreadsheet at all. Source check?

@RoninH2 Don’t let the government tell me what to do...unless it is in regards to women’s reproductive decisions, then it is totally fine.