manas8u.bsky.social
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we are gutting out competitive advantages and the stakeholders of our democracy don't care? what the fuck is wrong with america's elites?
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Medforth Global Healthcare Education
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If the # of codes that turn out to be nothingburgers is not > say 0, then some potential code patients/situations are being missed.
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Thank you Aaron for this much needed reflection! From my perspective, there is opportunity for valuable qualitative research on the reasons of "know (MedPAC)-Do(CMS actions)" gap. Also given the $, this area might lend itself to "adversarial testing/gaming/redteam-blueteam" before policy making.
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2. Not only does risk adjustment policy have a large budgetary impact, it is a uniquely complex policy issue. Simple fixes may be insufficient for optimizing a policy meant to achieve many different goals.
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1. Optimizing risk adjustment policy (and plan payment policy more generally) merits a large and sustained investment by researchers and policymakers.
MedPAC thinks flaws in risk adjustment cause $50B in excess payments in Medicare Advantage annually.
That's more than the entire NIH budget!
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There would be more but part of this is
1)Youtube allows sampling of teachers/videos to find the style that works best for students
(2)Animation and narration that can supersede textbooks
(3)Khan is the baseline/covers basics/procedures for most/all courses
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Reading the abstract.
Does the FFS payments need to meet the acturial standard (which capitation does)? If not, that could be another reason for the difference between cost of these.
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Similar story and heartbreaking subject but with more depth and nuance. www.bloomberg.com/features/202...
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Physical retail of past was a function of unique labor, capital, commercial real estate and drug innovation and while important for some people, it is not a right.
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There are so many interesting anecdotes and references to CMS data but this stands out given the Zeitgeist.
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Would you consider them as adjunct to help NPs / PAs in sorting through wide differentials?
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LoL
(Time to move?)