@nkato3.bsky.social
For example, I just had someone who had a ffr CT that said he had 70% blockage, but NO symptoms. He got pressured to get a Cath done. To find out ffr CTs have a wildly bad false-positive rate and his actual blockage is 30%. He risked an unnecessary stent which always leads to more stents.
December 11, 2025 at 4:17 PM
For example, I just had someone who had a ffr CT that said he had 70% blockage, but NO symptoms. He got pressured to get a Cath done. To find out ffr CTs have a wildly bad false-positive rate and his actual blockage is 30%. He risked an unnecessary stent which always leads to more stents.
So self-insurance over bills Medicare/Medicaid by 250% but the net profit margins of hospitals about in-line with Medicare/Medicaid up charges.
I’m the first to say there are areas in Medicare/Medicaid to improve (ex: speed, digitalization, etc), but I’m sick of doctors operating needlessly.
I’m the first to say there are areas in Medicare/Medicaid to improve (ex: speed, digitalization, etc), but I’m sick of doctors operating needlessly.
December 11, 2025 at 4:11 PM
So self-insurance over bills Medicare/Medicaid by 250% but the net profit margins of hospitals about in-line with Medicare/Medicaid up charges.
I’m the first to say there are areas in Medicare/Medicaid to improve (ex: speed, digitalization, etc), but I’m sick of doctors operating needlessly.
I’m the first to say there are areas in Medicare/Medicaid to improve (ex: speed, digitalization, etc), but I’m sick of doctors operating needlessly.
Medical bills contain 25-40% of fraud.
My company finds on average 34% of excessive payments on all bills we review. We also have an $124,000 (on average) annual savings on infusions.
The problem is employers are incredibly sticky with their broker and insurance provider.
My company finds on average 34% of excessive payments on all bills we review. We also have an $124,000 (on average) annual savings on infusions.
The problem is employers are incredibly sticky with their broker and insurance provider.
December 10, 2025 at 3:47 PM
Medical bills contain 25-40% of fraud.
My company finds on average 34% of excessive payments on all bills we review. We also have an $124,000 (on average) annual savings on infusions.
The problem is employers are incredibly sticky with their broker and insurance provider.
My company finds on average 34% of excessive payments on all bills we review. We also have an $124,000 (on average) annual savings on infusions.
The problem is employers are incredibly sticky with their broker and insurance provider.
No, but it’s not a great EPS. I’m guessing it’s been like this for a while, but I left the market months ago.
November 20, 2025 at 3:22 PM
No, but it’s not a great EPS. I’m guessing it’s been like this for a while, but I left the market months ago.
Are consultants hired as professional scapegoats?
In a weird form of self-sabotage instead of taking the true leap.
I was a consultant for 2 years, out of college, and that was something I couldn’t shake.
In a weird form of self-sabotage instead of taking the true leap.
I was a consultant for 2 years, out of college, and that was something I couldn’t shake.
November 7, 2025 at 5:17 PM
Are consultants hired as professional scapegoats?
In a weird form of self-sabotage instead of taking the true leap.
I was a consultant for 2 years, out of college, and that was something I couldn’t shake.
In a weird form of self-sabotage instead of taking the true leap.
I was a consultant for 2 years, out of college, and that was something I couldn’t shake.
I misunderstood something. The military will not be paid in 2 weeks. It’s more of a technicality.
October 3, 2025 at 4:49 AM
I misunderstood something. The military will not be paid in 2 weeks. It’s more of a technicality.
From my understanding the military is paid with a separate pool of money so they are paid. However the Government Employee Fair Treatment Act requires back pay of federal employees during a shutdown.
October 1, 2025 at 4:44 AM
From my understanding the military is paid with a separate pool of money so they are paid. However the Government Employee Fair Treatment Act requires back pay of federal employees during a shutdown.
So when they’re looking at the costs it’s dependent on the itemized invoice. Most hospitals you need to call in to get the real bill through the mail. My company uses specialized physicians to review and renegotiate these claims.
Medicare/Medicaid are capped through an CMS software application.
Medicare/Medicaid are capped through an CMS software application.
September 3, 2025 at 6:01 PM
So when they’re looking at the costs it’s dependent on the itemized invoice. Most hospitals you need to call in to get the real bill through the mail. My company uses specialized physicians to review and renegotiate these claims.
Medicare/Medicaid are capped through an CMS software application.
Medicare/Medicaid are capped through an CMS software application.
Or a reform of the DRG system to what it originally was (hospital and physician payments are lumped together).
September 3, 2025 at 3:07 PM
Or a reform of the DRG system to what it originally was (hospital and physician payments are lumped together).
About 30% of health case is waste, fraud and abuse. That turns medical waste fraud and abuse into a trillion dollar business. Start looking there and the funding gets easier.
September 3, 2025 at 3:06 PM
About 30% of health case is waste, fraud and abuse. That turns medical waste fraud and abuse into a trillion dollar business. Start looking there and the funding gets easier.
However the net profit margin of hospitals is about inline with Medicare/Medicaid expected net profits.
We need a multi-industry approach with physicians, finance, legal and communications, etc.
We need a multi-industry approach with physicians, finance, legal and communications, etc.
September 3, 2025 at 3:03 PM
However the net profit margin of hospitals is about inline with Medicare/Medicaid expected net profits.
We need a multi-industry approach with physicians, finance, legal and communications, etc.
We need a multi-industry approach with physicians, finance, legal and communications, etc.
So I need to add data to this statement. Both the Kaiser Family Foundation and myself (I was able to recreate this data using a small subset of historical data) have found that commercial insurance companies are paying 250% above Medicare/Medicaid payments.
September 3, 2025 at 3:01 PM
So I need to add data to this statement. Both the Kaiser Family Foundation and myself (I was able to recreate this data using a small subset of historical data) have found that commercial insurance companies are paying 250% above Medicare/Medicaid payments.
My company saves $145,002 per patient per year on infusion transfers like Privigen, Gammagard, and Infliximab. We also save $170,627 per patient per year on high-cost drug carve-outs. You mean like that?
August 31, 2025 at 1:33 AM
My company saves $145,002 per patient per year on infusion transfers like Privigen, Gammagard, and Infliximab. We also save $170,627 per patient per year on high-cost drug carve-outs. You mean like that?
I don’t actually know anyone who has a good concierge doctor. They tend to get unnecessary treatments and poor care.
The one I’ve been seeing lately that has no scientific backing are IV vitamins, which have a large risk of introducing excessive amounts of microplastics into the bloodstream.
The one I’ve been seeing lately that has no scientific backing are IV vitamins, which have a large risk of introducing excessive amounts of microplastics into the bloodstream.
August 29, 2025 at 4:11 PM
I don’t actually know anyone who has a good concierge doctor. They tend to get unnecessary treatments and poor care.
The one I’ve been seeing lately that has no scientific backing are IV vitamins, which have a large risk of introducing excessive amounts of microplastics into the bloodstream.
The one I’ve been seeing lately that has no scientific backing are IV vitamins, which have a large risk of introducing excessive amounts of microplastics into the bloodstream.
If it makes you feel better rich and famous people get terrible healthcare because hospitals only save lives if they do surgery vs. first medication approach. Ex: I asked my dad who is a cardiothoracic surgeon about the case for a quintuple bypass and he said you only need four to live.
August 29, 2025 at 2:44 PM
If it makes you feel better rich and famous people get terrible healthcare because hospitals only save lives if they do surgery vs. first medication approach. Ex: I asked my dad who is a cardiothoracic surgeon about the case for a quintuple bypass and he said you only need four to live.
Let me know when you actually want to review a medical itemized invoice and I’ll show you where to cut.
For starters my daughter was billed for a ventilator but was never on one. Let’s cut that!
For starters my daughter was billed for a ventilator but was never on one. Let’s cut that!
August 25, 2025 at 4:45 AM
Let me know when you actually want to review a medical itemized invoice and I’ll show you where to cut.
For starters my daughter was billed for a ventilator but was never on one. Let’s cut that!
For starters my daughter was billed for a ventilator but was never on one. Let’s cut that!
Doctors say that and I want the proof because hospitals profit margins are very close to Medicare reimbursement but hospitals charge commercial health insurance 250% above face value.
August 25, 2025 at 4:43 AM
Doctors say that and I want the proof because hospitals profit margins are very close to Medicare reimbursement but hospitals charge commercial health insurance 250% above face value.
Your be surprised how many people don’t have Internet and/or can’t use a computer.
July 22, 2025 at 10:17 PM
Your be surprised how many people don’t have Internet and/or can’t use a computer.
You can get a list of hospitals that are funded with Medicaid payments, to figure out which will close. There are many hospitals that are 100% Medicaid funded and most are rural.
July 3, 2025 at 7:38 PM
You can get a list of hospitals that are funded with Medicaid payments, to figure out which will close. There are many hospitals that are 100% Medicaid funded and most are rural.
If not done properly, inflation, reduce t-bill interest rates. So part of the reason we got out of the last recession was our interest rate was higher so it could be lowered to incentivize investing.
June 28, 2025 at 12:48 AM
If not done properly, inflation, reduce t-bill interest rates. So part of the reason we got out of the last recession was our interest rate was higher so it could be lowered to incentivize investing.
Marching out of formation is a clear sign no one wants to be there
June 15, 2025 at 4:59 PM
Marching out of formation is a clear sign no one wants to be there
Marching out of formation is a clear passive aggressive sign no one wants to be there
June 15, 2025 at 4:59 PM
Marching out of formation is a clear passive aggressive sign no one wants to be there
I’d have the undergrad reach out to potential PhD advisors and see their thoughts. Just email professors using their academic email.
Professors love responding. I can’t think of a time when a professor hasn’t responded.
Professors love responding. I can’t think of a time when a professor hasn’t responded.
May 13, 2025 at 6:07 AM
I’d have the undergrad reach out to potential PhD advisors and see their thoughts. Just email professors using their academic email.
Professors love responding. I can’t think of a time when a professor hasn’t responded.
Professors love responding. I can’t think of a time when a professor hasn’t responded.
Solar and a Japanese Toto toilet
April 27, 2025 at 6:33 AM
Solar and a Japanese Toto toilet