The price and cost of American health care and coverage is intolerable. Luckily a growing number of states are doing something bold—rewarding patients with “deductible credit” when they pay a cash price below what their insurance company pays. Why does it matter? Because

Another big hurdle is simply awareness and streamlining the process for patients. We need more savvy lawmakers, providers, health plans, entrepreneurs and advocates for affordable healthcare like @mcuban with @costplusdrugs to help patients take advantage of this!

While this policy is a good stepping stone for placing agency back into the hands of patients; a big limitation of the existing policies is that the applicability for prescription drugs is too broad and needs to be better honed so patients can have a better idea how take

For context the base policy is: “If an insured patient pays for a ‘medically necessary’ and ‘covered’ service or medication out-of-pocket and that amount paid is below the patient’s health insurance company’s ‘average negotiated rate’ then the insurer shall apply that

Yes, they can. Destroy you financially while simultaneously claiming they are performing charity and deserving of tax exempt status. I plan on fixing that soon.

Between HR1 and ACA subsidies potentially ending, there will be Americans without health coverage as they attempt to transition onto another form of coverage. Now more than ever America needs to provide oversight on NPH Charity Care performance and disclosure. Now more than ever

The tragedy is that most Americans don’t know that Charity Care/financial assistance even exists and there have a series of emerging evidence suggesting NPHs are: 1. Suing patients that apply for Charity Care. 2. Not disclosing Charity care programs to patients and letting

NPHs don’t pay taxes—somewhere north of $27 billion of exempted taxes a year. NPHs don’t pay taxes because state and federal governments expect them to take their tax spared revenue and reinvest it back into their communities through “Charity Care/financial assistance.”

Looking forward to expanding this in 2027. Helping patients be consumers is the only way we lower costs IME.

Thanks to @TomOliverson passing HB 2002 in Texas, patients are able to apply cash payment for a service to their deductible. Strong advocates like: @josharchambault @taliff5 @CharlesTXPolicy @InstituteCicero @CSexton25 Should also be commended for their multi-state work

Aww yes… what a noble “community benefit” and way to justify your multi-million dollar tax exemptions by bidding for naming rights of a stadium and securing luxury box seats for your c-suite to enjoy games.

America’s biggest hospitals are all nonprofits. Nonprofits! Yeah, the CEO makes $12 million, but it’s a humble $12 million. For the mission, right? Last week in Houston, I was in a nonprofit health system with valet parking, a sushi bar, and more marble than the Vatican.

A health system CEO makes $12 million. The surgeon who saved your life makes $450K. But don’t worry, your state funded academic non profit gift shop just got a cappuccino machine. This is nonprofit cosplay.

Nonprofit is the most profitable business model ever invented. Just ask AARP! A thread 🧵…

Schroedinger's hospital! It's both urban and rural simultaneously.

🧵THREAD: Nonprofit hospitals are supposed to be the first line of defense against medical debt. But the evidence suggests they’re often the ones pushing patients into medical debt.

Last week I got invited by the Texas Senate Committee on Health and Human Services to testify on how Texas can combat its worsening physician shortage. A couple solutions states are currently considering: 1. Let foreign licensed doctors prove their medical merit on an

🧵THREAD: Texas says it has some of the stringent charity care laws in the country. But a $5 million state report shows key protections are failing and some hospitals don’t have the data. Let’s unpack it👇

Shoutout to @TomOliverson for standing tall and pushing for policy that would protect charity care eligible patients from wrongfully getting sent to collections. Kudos to @Nickstrong901 and @TPPF for highlighting a critical policy dialogue. Check it out https://t.co/2WdxijBTnp

I got featured in a @CBSNews Texas investigative report digging into non-profit hospitals’ charity care performances and how ambiguous laws stand to leave patients with wrongful medical debt. Check out the full article and video here: https://t.co/FUtkCqEmEa