Anthony DiGiorgio, DO, MHA
@DrDiGiorgio
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Neurosurgery and Health Policy. Views my own. Co-Host: https://t.co/463ppf416f Author: https://t.co/yCG1hZyvF9
San Francisco, CA
Joined January 2013
If I never had to touch an EHR again, never had to answer a coding query, never had to re-order a CT scan just because the patient wanted a different site, never had to answer to adminstators about how my clinic is run... I'd happily take a significant pay cut.
Medicare rules inflate costs. Healthcare providers would gladly accept lower cash payments rather than jump through the hoops required for "higher" Medicare reimbursements. They are not allowed to do this.
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Semiconductor self-sufficiency, AI adoption across industries and tech indigenization are all part of China’s latest five-year plan.
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Minnesota's premiums are among the highest in the nation. Today I'm releasing the list of the 25 nonprofit health systems that control American healthcare. Combined revenue: $527 billion. Tax exemptions: $37 billion. Tax paid: $0. Total Subsidies: $125 billion per year.
Everyone keeps asking why premiums in Minnesota explode every year. Here’s the answer, in less than one minute. Competition is illegal by design. Watch this....
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This. While we can be optimistic about Epic’s demise, reality is it operates in a completely different environment than facebook, google etc - billing drives money, not data, and regulations Epic lobbied for raise the barrier for entry too high for competition.
When electronic medical records were imposed on doctors, one of the big promises was that we would have all this data to help treat disease. Instead we got data about how to bill for patient care. Hospital systems coalesced around Epic because it is primarily a billing
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As a Direct Primary Care Family Physician I do the same thing without screwing Medicare and the American taxpayer. 1. And I do it better. I have 30 to 60 minutes with every patient. I will spend up to 2 hours with a Medicare patient today who has been in the hospital for two
@LighthouseDPC @Terrilox @DrDiGiorgio @grok And you do the same thing for your DPC subscribers. We do it for our Medicare patients. The difference is your business model has the patient paying you. Ours has Medicare paying for it.
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Brillian rant by @LighthouseDPC on how Medicare prices distort markets.
@gkfahnbulleh @Terrilox @DrDiGiorgio 1. The Doctor doesn’t get $150. The Doctor gets 25% of that $150.$37.50. 75% of the $150 goes to our Lordships. 2. Wrong. A 99215 is a 40 plus minutes a visit. 3. This is basic CEO math: A 99213 is 20-29 minutes and pays $90. You make more money seeing 2 99213s than 1 99215 and
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Great historical perspective on how the ACA warped the idea of exchanges.
@InternetCPA @realdocspeaks No. The Heritage Foundation view was that the exchanges would be clearing houses where beneficiaries could choose among a variety of plans using their own funds and/or their subsidy. The ACA distorted the intended market concept by limiting choice, weird regulation of plan
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Louis the XVI eagerly volunteered for his haircut.
@DrDiGiorgio "When electronic medical records were imposed on doctors" Not imposed - doctors eagerly volunteered to use them.
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Order Early & We’ll Deliver Fresh: Stand Out This Season with Freshly Baked Branding!
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Medicare is the single biggest cost driver for healthcare costs. Not just through the endless maze of compliance costs but in the way it nullifies free market mechanisms in pricing. The “market cost” becomes what Medicare reimburses. Medicare for all (aka universal healthcare)
This is such an important point. People don’t realize that the reason for high administrative costs in healthcare isn’t private insurance. It’s Medicare. That’s right. The endless bureaucratic needling all adds up. Just the Medicare approved electronic medical records costs
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"It always amazes me how Epic has a corner on the market, but puts so little into development." This is actually the opposite of amazing. Incentives are powerful, in presence or absence.
Epic won't let a surgeon move a case on the schedule without cancelling the booking and rebooking the entire case.
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We taste over 5,000 wines a year. Only 4% make the cut. You almost picked one of them. Not some mass-market label. Not a bottle you’ll find on grocery shelves. This is the kind of wine you remember. And you were one click away. Join the 4%.
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@DrDiGiorgio makes an essential point: We talk endlessly about “access,” but we don’t measure it, not wait times, not demand, not anything meaningful. Eight months to see a cardiologist in one of the most resource-rich regions in the country, the Bay Area, and the system
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Epic won't let a surgeon move a case on the schedule without cancelling the booking and rebooking the entire case.
@DrDiGiorgio I’m in IT, and I have many colleagues in healthcare IT… Their opinion of epic is that it’s <pejorative redacted>. If you think the front end is bad, the backend is a nightmare. Most places keep it because it’s too much to switch, so they put up with hating it. It always amazes
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@DrDiGiorgio I’m in IT, and I have many colleagues in healthcare IT… Their opinion of epic is that it’s <pejorative redacted>. If you think the front end is bad, the backend is a nightmare. Most places keep it because it’s too much to switch, so they put up with hating it. It always amazes
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Tell that to all the doctors dropping Medicare... what do you think @AtlasMD and @LighthouseDPC?
@DrDiGiorgio THIS IS A LIE!!! Talk to any PCP and ask them if they would rather take a single Medicare payment plan than the 68 private plans/payers they have to administer. This is just a flat out lie!
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The BBQ Principle isn’t a system, It’s the floor everything else stands on. Group debates don’t change the order, they just add noise on top of it. Everyone still has to notice something before they argue about it, panels, forums, crosstalk, it’s all interpretation piled on the
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Remember, there are people who view basic economic facts as "sadistic and evil." Supply and demand apply to healthcare just as much as any other industry. Price setting causes shortages, as we see with primary care. Wishing it were otherwise doesn't change the reality.
@DrDiGiorgio It is. Once again. If your car doesn't work you don't die. Treating healthcare like it's a car or a loaf of bread is straight up sadistic & evil. This mental illness of making rich people more healthy than poor people is one of the main reasons Capitalism needs to be destroyed.
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