The Drinking Gourd
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thedrinkinggourd.bsky.social
The Drinking Gourd
@thedrinkinggourd.bsky.social
From Minnesota.
Reposted by The Drinking Gourd
Yeah, Newsweek had that as the headline today but buried in the article was "However, a whole bunch of other polls show Sherrill at +5-+7 in the lead"
October 17, 2025 at 2:15 PM
Reposted by The Drinking Gourd
As always. It’s just an approach. Feel free to rip it apart and let me know your thoughts
January 12, 2025 at 11:03 PM
Reposted by The Drinking Gourd
And if private companies want to compete on an unsubsidized basis because they feel like they can do better than the government , have at it. That’s capitalism.

Right now the ins industry has perfected gaming the ACA. So much has changed from 2010. It’s time to solve problems. No politic
January 12, 2025 at 11:03 PM
Reposted by The Drinking Gourd
The big question is how many people’s care can we completely cover for less than we are paying insurance companies under the ACA ?
January 12, 2025 at 11:02 PM
Reposted by The Drinking Gourd
Admin costs drop like a rock. And it may be that Medicare could act as the TPA, reducing costs even further But open it up to competition.
January 12, 2025 at 11:02 PM
Reposted by The Drinking Gourd
CMS can aggregate a network of providers. There is so much money at stake, it’s hard for providers to say no.

They can also negotiate a cash price, that is a percent of Medicare. Most ACA plans are around 140%. They can do that or better because it’s paid quickly.
January 12, 2025 at 11:02 PM
Reposted by The Drinking Gourd
The TPAs get paid on a per claim basis. They dont make more for denying claims. They don’t make more for doing anything. They get paid for every transaction they process. Their incentive is to be cost effective and treat patients fairly.
January 12, 2025 at 11:01 PM
Reposted by The Drinking Gourd
CMS works with Third Party Adminstrators (TPA), to process claims according to the ACA standards. They can work with the TPAs to create a variety of plans. The premiums would be the same as after the Premium Tax Credits and paid to the IRS
January 12, 2025 at 11:01 PM
Reposted by The Drinking Gourd
1. Instead of of pretending insurance companies are taking on insurance risk, the federal government takes on the role of insurer and guarantor of patient OOP.
All providers get paid. People who can’t afford their deductible or coinsurance are covered by the Feds
January 12, 2025 at 11:00 PM