ECP NetHappenings Not Healthcare

U.S. $4.6 TRILLION on healthcare

@DutchRojas Not #healthcare
Ever wonder why independent physicians are fighting to stay afloat while health systems are swimming in cash?
It’s not because they deliver better care, it’s because they’ve stacked the deck in their favor.

Health systems have engineered a system of subsidies, tax breaks, and hidden fees that funnel billions into their pockets while independent physicians get squeezed.

They don’t just get paid more for the same work, they collect government handouts, dodge taxes, and manipulate the rules to eliminate competition.

Want to see how deep it goes?

Direct Government Payments & Subsidies:

•Disproportionate Share Hospital (DSH) Payments
•Graduate Medical Education (GME) Payments
•340B Drug Pricing Program
•Medicare & Medicaid Facility Fee Differentials
•Indirect Medical Education (IME) Payments
•Upper Payment Limit (UPL) Funds
•Critical Access Hospital (CAH) Payments
•Hospital Quality Payment Programs

Tax Advantages:

•Property Tax Exemptions
•Sales Tax Exemptions
•Income Tax Exemptions
•Tax-Free Donations & Endowments
•Municipal Bond Issuances
•Government-Supported Loan Forgiveness Programs

Financial Advantages & Market Manipulation:

•Site-of-Service Differentials
•Facility Fees
•Certificate of Need (CON) Protections
•Exclusive Payer Contracting
•Cost-Plus Reimbursement
•Preferred Network Inclusion
•Hospital-Employed Physician Subsidies
•Self-Referral Loopholes

Hidden Revenues & Kickbacks:

•Commercial Insurance Markups
•PBM Rebates
•Medical Device Markups
•Hospital-Based Coding Upcharges
•Emergency Department (ED) Visit Upcoding
•Outpatient to Inpatient Status Manipulation
•Research Grants & NIH Funding
•Hospital-Owned Specialty Pharmacy Profits
•Hidden Administrative Charges

Strategic Market Power & Anti-Competitive Behavior:

•Monopoly Pricing Power
•Group Purchasing Organizations (GPO) Kickbacks
•Vertical Integration
•Cross-Subsidization Strategies
•Land Banking & Real Estate Tax Loopholes
•Political Lobbying & Influence
•Hidden Executive Bonuses Tied to Market Consolidation
•Charity Care Manipulation
•Debt Collection Privileges

The playing field isn’t just uneven, it’s built to ensure large health systems win and independents lose.

They call it healthcare, but it’s really a financial empire. Independent physicians fight to survive while health systems collect subsidies, dodge taxes, and manipulate markets to eliminate competition. The game isn’t just rigged, it was designed this way.

ECP NetHappenings Health Insurance

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HEALTH INSURANCE

In case y’all don’t know, AARP is a scam non-profit who shills for one of the worst health insurance companies in America, United Healthcare.
Walgreens is reportedly in talks to sell to Sycamore Partners — a private equity firm with a track record of pushing the companies into bankruptcy.

Insurers’ denial rates are a critical measure of how reliably they pay for customers’ care. But they remain mostly secret to the public.
Federal and state regulators have done little to change that.
https://www.propublica.org/article/how-often-do-health-insurers-deny-patients-claims

Corrupt Health Care System
A group of protesters in NYC gathered earlier today outside the Hilton Hotel where UnitedHealthcare CEO Brian Thompson was shot & marched along the route the shooter used to escape. Protesters chanted “Deny, defend, depose! Fuck the CEOs!” & “Free Luigi!” along the way.
United Healthcare is doubling down on the cruel and sadistic policies. These inhumane shitstains have learned absolutely nothing. The United States spends $4.6 TRILLION on healthcare—more accurately, sick care—four times what we allocate to our military. This has become a true national security issue.
Most Americans believe health insurance profits and coverage denials share responsibility for the killing of UnitedHealthcare’s CEO — but not as much as the person who pulled the trigger, according to a survey from NORC at the University of Chicago.

The US proposes rules to make healthcare data more secure
Proposed Health and Human Services rules call for encryption, multifactor authentication, and more to protect patient data.
https://www.theverge.com/2024/12/28/24330878/the-us-proposes-rules-to-make-healthcare-data-more-secure

What is the CPI Health Insurance Index
Introduction to the CPI Health Insurance Index:
The CPI Health Insurance Index is a component of the Consumer Price Index (CPI) that measures the change in prices of health insurance over time. It is designed to track the movement of health insurance premiums and provide insight into the inflation rate of health insurance costs.
Improvements to the CPI Health Insurance Index
Introduction
https://www.bls.gov/cpi/additional-resources/improvements-cpi-health-insurance-index.htm

“New building codes” again what’s worse some new building codes or just not having a hospital. So if you won’t give up your land we will take your infrastructure and health.
#BREAKING: The only long-term acute care hospital in #WNC has announced it will be DEMOLISHED. Asheville Speciality Hospital: it provided treatment for traumatic brain injuries, strokes and spinal cord injuries, as well as respiratory, cardiac and wound care.
A hospital spokesperson cited the, “new building codes” combined with “deterioration from Hurricane Helene” has left them no choice but to demolish the building.
“Patients who would have previously been admitted to the now-shuttered hospital will instead go to other long-term acute care, skilled nursing or inpatient rehabilitation facilities…”
State & Fed won’t help & want to buy or condemn the land. Within a few years Pentagon, Blackrock Sen Thom Tillis & a new corrupt Dem Gov will say they REVITALIZED the area & it will be owned by them not the people. Sen Thom Tillis only shows up for photo ops
https://x.com/matt_vanswol/status/1870843302771413089/photo/1

Important wake up call:
#H5N1 BirdFlu just sequenced by @CDCgov from severe Louisiana patient
Most important, the H5 virus mutated inside the single patient to gain an ability to bind human receptors in the upper respiratory tract
It takes just one…
https://www.cdc.gov/bird-flu/spotlights/h5n1-response-12232024.html

Whooping cough cases in the US are the highest they’ve been in a decade
https://edition.cnn.com/2024/12/25/health/whooping-cough-cases-surging-united-states/index.html

Federal Judge Sharon Prost and the Federal Appeals Court just stopped pharmaceutical companies from being able to block generic drug companies and keep their prices high through a monopoly.

FTC Chair Lina Khan shows Lesley Stahl an asthma inhaler that costs dollars in Europe but hundreds in the U.S. She says drugmakers register patents on inhaler parts like the cap-strap to keep low-cost generics off the market. https://cbsn.ws/3zuONT2

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