BC FOR LATER READ
Saved by @Alex1Powell

1/ The “No Surprises Act” is deeply flawed. It should not advance in its current form. Work must continue to reach a meaningful remedy to “surprise medical bills” #SMB that keeps patients out of the middle and provides balance.

Here are several concerns w/ the current proposal:

 2/ The proposal should require that the initial “interim payment” made by the insurer for out-of-network services be considered the plan’s offer for IDR, to incentivize the insurer to pay a fair initial reimbursement.

But, the proposal does not.
3/ The proposal should allow the IDR process to consider UCR and an independent charge-based database. Lest it be a form of price-fixing by insurers since the qualifying payment is indexed to the insurer-set in-network median rate (w/CPIU adjustment).

But, the proposal does not.
4/ The proposal should avoid a complex administrative burden that threatens practice viability and leads to consolidation and higher healthcare costs for patients. Cost effective independent physician practice provides patients choice.

But, the proposal does not.
5/ The proposal should explicitly prohibit the IDR process from considering Medicare, Medicaid, and other public payer rates. These are well known to be below the cost of providing care and these programs are not implicated by the #SMB provisions.

But, the proposal does not.
6/ The proposal should require that ERISA plans must submit claim information to the APCD. The growth of ERISA plans makes this an imperative. Federal statute is necessary to stipulate.

But, the proposal does not.
7/ The proposal should clearly hold all health plans accountable, with enforcement and audit programs, as robust for ERISA plans as for other health plans.

But, the proposal does not.
8/ The proposal should clearly impose penalties on plans that fail to reimburse providers for out-of-network care or that provide false or inaccurate information on their median contracted rate.

But, the proposal does not.
9/ The proposal should omit revenue cycle timelines unreachable for physician practices - small businesses; omit penalties to physicians due to delayed responses from insurers; and limit insurers’ unwarranted opportunities to operate on the float.

But, the proposal does not.
10/ The proposal should explicitly hold out-of-network physicians harmless for erroneous information an insurer includes in its in-network physician directory, especially unbeknownst to the physician and without physician input.

But, the proposal does not.
11/ A flawed #SMB proposal will:

•Further narrow networks
•Limit access to care for patients
•Jeopardize health equity, and
•Put at risk healthcare jobs for employees

This has direct and indirect economic impacts.
12/ A flawed proposal fails to hold insurers accountable for their fundamental role driving #SMB thru:

•narrow networks
•high deductibles with disproportionate cost sharing
•take-it-or-leave-it contracts spurred by market dominance

It rewards insurers reaping record profits.
13/ A flawed #SMB proposal whose CBO score indicates 80% of “savings” comes from cuts to in-network providers while physicians risk our lives fighting a pandemic, sends the message that physician service is not valued.

Esp. now is not the time to rush a flawed SMB proposal.
14/ @PAMEDSociety urges Congress to go back to the drawing board on this: https://t.co/31WYbkbiWp
15/ @AmerMedicalAssn writes “...we oppose enactment of the bill in its current form...”

https://t.co/6vAd9I5VRs
16/ Please see👆 @CongBoyle @RepBrianFitz @CongressmanGT @RepMeuser @RepJohnJoyce @RepDwightEvans @RepDean @RepHoulahan @RepSusanWild @GReschenthaler @MikeKellyPA @RepConorLamb @mgs @USRepMikeDoyle @RepCartwright @RepFredKeller @RepScottPerry 
@RepSmucker @SenToomey @SenBobCasey
17/ Please see 👆 @SenateGOP @senatemajldr @SenateDems @SenSchumer @SpeakerPelosi @GOPLeader @HouseDemocrats @HouseGOP @HELPCmteDems @GOPHELP @HouseCommerce @EnergyCommerce @WaysMeansCmte @WaysandMeansGOP @EdLaborCmte @EdLaborGOP @WhiteHouse @Transition46 #medtwitter

More from For later read

Pepes Army Of Frogs
Pepes Army Of Frogs
@RedWaveWWG1
🔴[RIG FOR RED]
RED 1
RED2
RED3
RED4
RED5
RED6
7
8
9

Thread of decodes for the day. Make sure you check out the [SUB] threads too!
FOR LATER READ
Defense News Nigeria
Defense News Nigeria
@DefenseNigeria
The people can always be brought to the bidding...tell them they are being attacked, and denounce the naysayers for lack of patriotism and exposing the country to danger.

Hermann Goring

We've seen reports of Yoruba leaders asking President Buhari to stop the war and sack service chiefs immediately as a way of beginning restructuring.Our country is sitting on a keg of gunpowder they claim. Once again partisan hacks want to snatch victory from the jaws of defeat.

You see, when you are fighting small limited wars there is a natural inclination , on the part of politicians not directly impacted by the war to want to blow things out of proportion. There is a basic disconnection now in this country between the population and the war

....and i find it quite frankly. Frightening. Compared to what was obtainable 2015, the security situation in Nigeria has vastly improved yet the media ..and partisan hacks portray a much more pessimistic narrative.

Consider that in 2015 over 21 Local government areas and 2.6 million Nigerians were cut off from the rest of the country, under the administration of a caliphate in Nigeria for 16 months. A huge chunk of the northeast was no mans country.
FOR LATER READ
Advertisement
Shreyas Doshi
Shreyas Doshi
@shreyas
Why does Your Manager’s Manager (YMM) request a deck/doc during a meeting, says it’s urgent, and then doesn’t respond for days after you create & send it?

Or, why does YMM often respond with trivial feedback (e.g. formatting) & not substantive feedback?

Answers in this thread👇🏾

Have you set an entirely new password on a site & said to yourself: “surely, I’ll remember it becos this site is so important for me”. Have you then gone on to forget that password the very next week?

Me too.

The reason for YMM’s odd behavior & my password optimism is the same.

That reason is the Focusing Illusion, first described by Daniel Kahneman.

The Focusing Illusion:
Nothing in life is as important as you think it is while you are thinking about it.

When YMM asked you to create that doc as one of the follow up actions during the Product Review, YMM fell prey to the Focusing Illusion.

Trust me, YMM had no intention of making you do busywork.

YMM truly believed that it was very impt & urgent to create that doc & review it.

This was YMM’s conception of how much of their future time was appropriate to spend on the item for which they requested that doc (Item A):
FOR LATER READ
Mueller, She Wrote
Mueller, She Wrote
@MuellerSheWrote
THREAD: My thoughts on the decision not to call witnesses. Please correct me if I'm wrong. This take is based on what I think I know, and there's much I don't know, but I do not understand why the dems didn't depose Rep. Beutler. Let's talk about the objections: 1/

First, many are saying it would drag this thing out and prevent Biden's agenda from moving forward. I don't see how that's possible. The senate had the votes to depose Rep. Beutler. We saw that with the 55-45 vote to allow witnesses. GOP can't filibuster that 2/

It would have taken probably a week to depose her and introduce her testimony into the senate record. The senate is scheduled to be in recess this week. The only thing a deposition of Beutler would have done is stopped the senate's vacation. 3/

Since everything would have been done in roughly a week, and the senate was scheduled for a week-long vacation, the deposition of Beutler wouldn't have delayed any of Biden's agenda. 4/

Next, many are saying Mitch threatened to filibuster Biden's agenda. That's also an empty threat. Cabinet confirmations require only a simple majority vote, and the Covid relief package is going through the budget reconciliation process so it's not subject to filibuster 5/
FOR LATER READ
Russ Bengtson
Russ Bengtson
@russbengtson
the whole point of Dunks was you could go cop them at VIM whenever you wanted for $65. this shit is like having to enter a raffle to buy milk.


like seriously why not make a ton more of them if they're gonna be so sought-after? they land at outlets? so? nike still makes money off that.

the only reason to keep making them so limited is that they KNOW all that matters is the profit on the flip and if they were readily available FEWER people would want them, not more

the whole system is super broken, but it's just gonna go the way it goes, because at this point it all caters to the secondary market. the only reason Nike can sell Jordan 1s for $200 is because the people buying them can flip them for $500

adjusted for inflation, a $65 AJ1 in 1985 is like $160—and modern-day AJ1s are made from cheaper materials in factories staffed by cheaper workers. they don't HAVE to be $200 retail. but the secondary market nuked the whole concept of what sneakers are "worth"
FOR LATER READ

You May Also Like

Shalini Singh Sengar
Shalini Singh Sengar
@Maverickmusafir
Post Independence, Army wanted to select the most experienced Indian commander as Army chief. But Nehru without consulting anyone appointed Gen Rob Lockhart, a senior British Army officer as the Commander-in-Chief (C-in-C) of the Indian Army.


Most people were shocked to know that Nehru selected a British Man after fighting for independence for over 200 years! Major Gen A A ‘Jick’ Rudra of the Indian Army was completely upset with the decision.


One day Lockhart met Nehru with a strategic plan and proposed many government directive defence policies for the country. He placed it on the table and explained the point to PM Nehru. After a while Lockhart walked out of the room and met AA Jick Rudra,+

Lockhart looked shell shocked and stunned. When asked what happened he said “The PM took one look at my paper and blew his top. Rubbish! Total rubbish! We don’t need a defence plan. Our policy is ahimsa (non-violence). We foresee no military threats. Scrap the army!”

One year after the incident the Kashmir crisis had increased and Gen Lockhart used to exchange ideas with the Gen Douglas Gracey who was commander in chief of Pakistan Army.There were many infiltrations along the border which Lockhart knew and took no action. But Lt Gen Cariappa+
HISTORY
Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
@AnuSatheesh5
Velimalai Kumaraswamy Kshetram
Kumarakovil, #Kanyakumari
#Tamilnadutemples 🚩

Velimalai Kumaraswamy Temple is a Murugan temple located in Kanyakumari District of Tamilnadu.

Muruga faces east and is said to be facing Sthanumalayan (Paramashiva) of Suchindram. Muruga is of


eight feet vigraham and Valli thayar is six feet tall. Eventhough Thiruthani is believed to be the place where Subrahmanya married Valli, it is also believed that Valli’s thayar's marriage took place with Murugan here.

There is a Kalyana Vinayakar sannidhi
who helped Muruga's


marriage with Valli. Kumarakovil is also known as Kumara Kshetram and Subrahmanya Sthala. The Tamil epic Chilapathikaram refers to the temple as Chera Nattu Aeragam

Wedding of Valli and Murugan is celebrated here in the Tamil month of Panguni (March-April).

Om Muruga
🙏🕉🙏
ALL
Advertisement
(\u3063\u25d4\u25e1\u25d4)\u3063 \U0001f499 \U0001d440\U0001d4b6rymo Belfast \U0001f499\U0001f331\U0001f340 \u24cb\U0001f397\ufe0f
(っ◔◡◔)っ 💙 𝑀𝒶rymo Belfa...
@MarymoBelfast
THREAD PART 1.

On Sunday 21st June, 14 year old Noah Donohoe left his home to meet his friends at Cave Hill Belfast to study for school. #RememberMyNoah💙


He was on his black Apollo mountain bike, fully dressed, wearing a helmet and carrying a backpack containing his laptop and 2 books with his name on them. He also had his mobile phone with him.

On the 27th of June. Noah's naked body was sadly discovered 950m inside a storm drain, between access points. This storm drain was accessible through an area completely unfamiliar to him, behind houses at Northwood Road. https://t.co/bpz3Rmc0wq


"Noah's body was found by specially trained police officers between two drain access points within a section of the tunnel running under the Translink access road," said Mr McCrisken."

Noah's bike was also found near a house, behind a car, in the same area. It had been there for more than 24 hours before a member of public who lived in the street said she read reports of a missing child and checked the bike and phoned the police.
CRIME
Anu Satheesh \U0001f1ee\U0001f1f3
Anu Satheesh 🇮🇳...
@AnuSatheesh5
Velimalai Kumaraswamy Kshetram
Kumarakovil, #Kanyakumari
#Tamilnadutemples 🚩

Velimalai Kumaraswamy Temple is a Murugan temple located in Kanyakumari District of Tamilnadu.

Muruga faces east and is said to be facing Sthanumalayan (Paramashiva) of Suchindram. Muruga is of


eight feet vigraham and Valli thayar is six feet tall. Eventhough Thiruthani is believed to be the place where Subrahmanya married Valli, it is also believed that Valli’s thayar's marriage took place with Murugan here.

There is a Kalyana Vinayakar sannidhi
who helped Muruga's


marriage with Valli. Kumarakovil is also known as Kumara Kshetram and Subrahmanya Sthala. The Tamil epic Chilapathikaram refers to the temple as Chera Nattu Aeragam

Wedding of Valli and Murugan is celebrated here in the Tamil month of Panguni (March-April).

Om Muruga
🙏🕉🙏
ALL
foone
foone
@Foone
It is 2018 and this error message is a mistake from 1974.
This limitation, which is still found in the very latest Windows 10, dates back to BEFORE STAR WARS. This bug is as old as Watergate.


When this was developed, nothing had UPC codes yet because they'd just been invented.
Back when this mistake was made, There was only one Phone Company, because they hadn't been broken up yet. Ted Bundy was still on the loose. Babe Ruth's home run record was about to fall.

When this bug was developed, Wheel of Fortune hadn't yet aired. No one had seen Rocky Horror. Steven Spielberg was still a little-known directory of TV films and one box-office disappointment. SNL hadn't aired yet. The Edmund Fitzgerald was still hauling iron ore.

WHEN THIS STUPID MISFEATURE WAS INVENTED, THE GODFATHER PART II HAD JUST OPENED IN THEATERS.

So, why does this happen? So Unix (which was only 5 years old at this point) had the good idea of "everything is a file" which mean you could do things like write to sockets, pipes, the console, etc with the same commands and instructions.
TECH