Andrew @ASmithson1987

Joined August 2023

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Andrew @ASmithson1987

6 hours ago

@SenWarren Supply and demand is a really hard concept.

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WATCH: Rahm Emanuel on what he would do to cut the cost of housing in Chicago. “I would say OK, I’m gonna put all our zoning laws, all our building laws, and all our permitting/planning laws, and I’m gonna measure them up against Dallas, Houston and Phoenix. You tell me what we have and why they don’t have it. And if you can’t justify it, get it the hell out of here.”

Austin Berg @Austin__Berg

a year ago

Took a shot at an Abundance agenda for Chicago. Housing, transit, energy, pull funding and more. What’d I miss? Go deeper in this week’s edition of The Last Ward ⬇️

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Andrew @ASmithson1987

8 hours ago

@SenSanders You’ve been in the ruling class for 20 years. Literally the nursing home room where there’s a class of 100 people that make the rules. Vote for term limits.

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Andrew @ASmithson1987

a day ago

@DrNeilStone That would be horrible for science and great for the lawyers. Worst for the patients probably.

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Andrew @ASmithson1987

a day ago

They were taken from Amazon. Instead of refunds the funds should go to paying down the American debt instead of silent corporate owners of places like Hyatt. You got your cake and ate it too. Again. If Illinois could rid you like your siblings. Oh what an opportunity it’s that could be.

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Andrew @ASmithson1987

2 days ago

Remember when you were calling for refunds and people kept telling you that the tariffs were paid by the corporations, so the corporations would get the refunds. And that there was no way to itemize and rebate that back to the individual consumers. But you called for refunds anyways? All a grift to send money to your campaign backers or complete ignorance. Hard to read that any other way.

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Andrew @ASmithson1987

3 days ago

@ImpactForward lmgtfy.com/?q=bagel+spot+…

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Andrew @ASmithson1987

4 days ago

@shaguncrypto Is this for a starter home in East St. Louis? Or is this 2019?

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Andrew @ASmithson1987

4 days ago

As a doctor you’re pushing logic that this vaccine combo is necessary for infants and children to protect the elderly and the time of the mother. You don’t talk the benefits compared to the risk of the child. That omission is where the hesitancy is coming from. Physicians’ degree doesn’t carry the authority after the damage done by Fauci and the pandemic response. You need to explain the science if you want to bring people to your side. Otherwise, you’d be better suited keeping quiet than driving more hesitancy.

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FinTwit Recap @FintwitRecap

6 days ago

@mcuban @ASmithson1987 The insurance industry has cracks but selling stock isn’t solving any problem. If CostPlus offers better value let the product talk for itself

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Andrew @ASmithson1987

6 days ago

@ProjectLincoln That’s medicine. The problem is the schools.

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Andrew @ASmithson1987

6 days ago

@DrNeilStone Maybe stop posting or practicing medicine? Bad at both right now.

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Andrew @ASmithson1987

6 days ago

@ThatCouchMoney @mcuban Somebody can follow the money beyond the political lines….

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Andrew @ASmithson1987

6 days ago

@DrNeilStone Except for the data that says it does.

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Andrew @ASmithson1987

6 days ago

@CoterieSolutio1 @mcuban I help providers and insurers better work together to improve health and save money for those that use the healthcare system. I’m not biased to one side or the other. I just call balls and strikes and make the best of a broken system,

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Andrew @ASmithson1987

6 days ago

@CoterieSolutio1 @mcuban trynytyhealth.com/about

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Andrew @ASmithson1987

6 days ago

@PantherSurf @mcuban You’re mistaking them for the providers. Insurers cover the cost of care. Providers provide the care. Insurers cannot deny you care. Only doctors can do that.

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Andrew @ASmithson1987

6 days ago

@kurtknapp @mcuban They love paying more. If we got rid of them the owners of hospitals and pharma companies idea would definitely accept less.

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Andrew @ASmithson1987

6 days ago

Most denials that get overturned were denied because of data errors in the submission. That’s not on the insurer. The process needs to be better but still not malicious. It’s a process intended to control costs and safety. When it functions well it does that. The ERISA exclusion for everything outside of ASO plans prevents the deny and hope they don’t appeal practice (very much a huge problem in disability insurance - but largely mitigated in health insurance) of the HMOs of the 90s. They make payments based on the contractual terms. If they are late paying and not being penalized then the person that signed the contract should get fired. I’ve never seen a contract without payment timelines defined and I’ve been doing this for a lot longer. If the payor isn’t abiding by the contract then you should take action per the contracted terms. This isn’t different from any other industry. Claim edits end up in claw backs. That’s the reckoning per the contractual terms. Cash payments are lower than insurer payments because the provider is unlikely to get anywhere near cost from a cash paying patient. Any cash is better than none. Lastly, RCM is a hospital expense. One that doesn’t need to take up 10% of revenue. It’s accounting and can be largely automated. At least 2/3s of those jobs are obsolete. Again all the costs are attributing to the providers. How do the carriers carry the burden. Why doesn’t cost plus run a similar margin to the carriers. Will you accept a 2-6% mark up instead of 15%? Will you start to look at the economies of this industry critically?