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THREAD - Doctors want to fix “surprise bills” more accurately called unpaid insurer bills but today’s “agreement” is NOT the right fix for patients

It’s just a big boost to insurer profits & will shutter independent physician practices & rural hospitals!

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The Independent Dispute Resolution (IDR) in this compromise directs arbiter to consider “in network median rates” when settling disputes which is a sham arbitration & tantamount to benchmarking aka rate setting

Who dictates in network rates?

Insurers!

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This bill prohibits use of charge data (aka usual & customary) which is another way of saying doctors must accept whatever poor contract terms or low balled payment offers insurers are jamming down their throats

This is just giving more power to profitable insurers

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The reason why arbitration works in states like NY, TX is that it levels playing field, directs arbiters to consider independent price database like @FAIRHealth that can’t be manipulated by either side

Insurers have total control over “median in network” rates w their monopolies


When insurers have control over terms of arbitration, they will do everything in their power to do what any respectable publicly traded corporation will do: tilt the terms in their favor to increase
Last week the @ECB extended its current asset purchase program, now totalling €1.8 tn. Several EU states can borrow at negative interest rates.

10 years ago, the eurozone almost collapsed, a result of a misconstructed currency that was meant to fail from the outset.

A thread👇


1/Before the introduction of the euro, fluctuating exchange rates were seen as threat for economic integration & embarrassment for those who were inflating their currencies faster than others.

The European Monetary System, set up in 1979, was an attempt to stabilise fx rates.

2/The EMS was doomed to fail as members applied different monetary policies while trying to keep their fx rates in a pre-defined corridor.

The German Bundesbank refused to devalue the Mark when other centr. banks inflated their currencies - strengthening the Mark by comparison.


3/Traditionally, Southern EU countries have been more prone to inflation & high debt levels due to a large public sector, strong labour unions & generous pension systems.

Northern countries like Germany & the Netherlands typically had more prudent monetary & fiscal policies.

4/To get rid of the stubbornly conservative Bundesbank & monetise public deficits more easily, Southern countries spearheaded by France pushed for a single currency and used Germany’s desire for reunification in 1989 to make it give up the D-Mark.
So here are some ideas /thoughts. Trump is convinced. The confidence level about election being rigged is at same level as when he was telling people that he was spied on. Everyone laughed said it was crazy... few months later we find out.. its all true.

So, I've been thinking about the 2018 executive order. Specifically the 45 day time period.

2018 Executive Order Executive Order on Election Interference
https://t.co/I3KssAZgsh


Break down of procedure of the

When I saw all of the changes in DOD it shot off red flags. Trump was moving his people in place to get go through the process of the EO. He doesn't have to do anything its already law BUT the people managing it have to be trusted.


IF the EO is going forward the key person in investigating all of this would be General Nakasone.

Nakasone looks to be tapped for Chris Kreb position from Cybersecurity and Infrastructure Security Agency