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5 star reviews for my #CX podcast @socialimpactcx!
“The best CX intro available” ⭐️⭐️⭐️⭐️⭐️
“Best in CX” ⭐️⭐️⭐️⭐️⭐️
“Insightful and encouraging!” ⭐️⭐️⭐️⭐️⭐️
Listen to SocialImpactCX on iTunes apple.co/2qpD0xQ or YouTube bit.ly/2qqOCRY
“The best CX intro available” ⭐️⭐️⭐️⭐️⭐️
“Best in CX” ⭐️⭐️⭐️⭐️⭐️
“Insightful and encouraging!” ⭐️⭐️⭐️⭐️⭐️
Listen to SocialImpactCX on iTunes apple.co/2qpD0xQ or YouTube bit.ly/2qqOCRY
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John Corrigan retweeted
For care that FQHCs can’t handle, it’s time to standardize what non profit hospitals are required to do.
They are all required to offer Financial Assistance Plans to patients. As part of this alternative to reinstating the PTC, it’s time to require them to standardize those plans in a manner that supports those who lost the PTCs.
1st is pricing that is set at 150% of Medicare. Along with other pricing considerations for Jcode and hospital administered meds and standardized pricing for extended hospital stays. .
2nd is a financing plan that is also standardized. Make it the same for every hospital so that it is easy for everyone to understand and to know what to expect.
3. The patient financial thresholds should be standardized as well. It shouldn’t be different by hospital.
Notice I have not mentioned insurance premiums at all.
I don’t know the exact dollars that would be spent if the PTC was reinstated. So it’s hard to set numbers for everything right here. Plus there is a lot I’m sure the CBO would want to say.
Hopefully there is a way we can make premiums paid directly to the treasury.
Rather than having pre authorizations, we can use trad Medicare standards and that infrastructure to audit for fraud and abuse
Bottom line for all of this. We don’t need the big insurance companies any more. We can use FQHCs and clinics and others that are qualified and want to opt in to the same pricing (I should have included them in the previous tweet )
We can finally get value for the taxpayer subsidies that Non Profit Hospitals get. And BTW, if it were up to me, I would require them to publish every single contract they sign. It’s our money subsidizing them. Nothing they have contractually is proprietary. That’s a lie the big carriers force on the entire industry
As always, I know this is far from perfect. So all comments are welcome
They are all required to offer Financial Assistance Plans to patients. As part of this alternative to reinstating the PTC, it’s time to require them to standardize those plans in a manner that supports those who lost the PTCs.
1st is pricing that is set at 150% of Medicare. Along with other pricing considerations for Jcode and hospital administered meds and standardized pricing for extended hospital stays. .
2nd is a financing plan that is also standardized. Make it the same for every hospital so that it is easy for everyone to understand and to know what to expect.
3. The patient financial thresholds should be standardized as well. It shouldn’t be different by hospital.
Notice I have not mentioned insurance premiums at all.
I don’t know the exact dollars that would be spent if the PTC was reinstated. So it’s hard to set numbers for everything right here. Plus there is a lot I’m sure the CBO would want to say.
Hopefully there is a way we can make premiums paid directly to the treasury.
Rather than having pre authorizations, we can use trad Medicare standards and that infrastructure to audit for fraud and abuse
Bottom line for all of this. We don’t need the big insurance companies any more. We can use FQHCs and clinics and others that are qualified and want to opt in to the same pricing (I should have included them in the previous tweet )
We can finally get value for the taxpayer subsidies that Non Profit Hospitals get. And BTW, if it were up to me, I would require them to publish every single contract they sign. It’s our money subsidizing them. Nothing they have contractually is proprietary. That’s a lie the big carriers force on the entire industry
As always, I know this is far from perfect. So all comments are welcome
Dr @hakeemjeffries here is what I would explore and test as an alternative to reinstating the PTC
1. Allow those who lost PTC, as a starting point for this test, to go to any FQHC or look alike, for $0. Support the facility with funding for more doctors/nurses and extended hours to cover the cost of more patients and zero direct revenue from them based on a formula and reporting
2. All FQHCS are eligible for 340b pricing. Fund 340b inventory for them, starting w those w their own pharmacy , with a line of credit at wholesalers , while requiring them to bill CMS or Treasury (legislation would be needed here ) their cost plus 10 pct for associated overhead. There would be $0 OOP to patient.
To get a prescription, the patient must be an ongoing patient of a doctor at the FQHC. YOU CANT JUST ASK FOR A PRESCRIPTION. The relationship must be ongoing. This prevents people from just using them for free meds.
3. FQHCS and look alikes are limited in the types of care they can offer. I would look closely at expanding their offerings. I would also look at expanding what communities they can be part of.
4. The FQHC would continue to offer the same pricing and services to non PTC eligible patients
4. For those who don’t know, FQHCS are non profit. More importantly, they are required to have 51 % of their board of directors be actual patients of the facility.
They don’t have a profit motive. As best I have seen, their interests align with patients from a care and cost perspective.
This isn’t perfect. But it’s far better than giving the big insurance companies free profits and allowing them to play doctor and deny care.
ruralhealthinfo.org/topics/federal…
All thoughts are welcome.
See my next tweet on what can be considered for care that goes beyond what FQHCs can offer
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John Corrigan retweeted
People are angry because they pay $28,000 a year for something they can't price, can't compare and can't understand. Then the pharmacy charges them less if they pay cash than it does if they use the insurance they paid $28,000 for. Broken is an understatement.
Over $28,000 a year for family health insurance premiums, up from $6,000 in 1999.
And that’s before deductibles, copays, and surprise bills.
The system is fundamentally broken.
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John Corrigan retweeted
“We've had a couple of patients who've gotten high hospital bills, and we said, they're a 340B hospital, why don't you ask them about their 340B charity care program? And one of them did, and their bill went away.”
Terry Wilcox, Chief Patient Advocate of Patients Rising, shared the 2026 State of the Patient Summit on Capitol Hill.
It raises an important question: How many patients are paying medical bills they might qualify for assistance with simply because no one told them what help was available?
The exchange was part of a larger discussion about the 340B drug discount program, including whether hospitals are doing enough to ensure the patients they serve benefit from it.
Hear the conversation from the Summit in the latest episode of the State of the Patient podcast: hubs.ly/Q04Cf5cl0
Terry Wilcox, Chief Patient Advocate of Patients Rising, shared the 2026 State of the Patient Summit on Capitol Hill.
It raises an important question: How many patients are paying medical bills they might qualify for assistance with simply because no one told them what help was available?
The exchange was part of a larger discussion about the 340B drug discount program, including whether hospitals are doing enough to ensure the patients they serve benefit from it.
Hear the conversation from the Summit in the latest episode of the State of the Patient podcast: hubs.ly/Q04Cf5cl0
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John Corrigan retweeted
Companies are collecting then selling data from mobile devices when people visit hospitals, dialysis clinics, or abortion clinics. Michael Scaturro reports on this crack in medical privacy.
kffhealthnews.org/health-industr…
kffhealthnews.org/health-industr…
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John Corrigan retweeted
Over $28,000 a year for family health insurance premiums, up from $6,000 in 1999.
And that’s before deductibles, copays, and surprise bills.
The system is fundamentally broken.
And that’s before deductibles, copays, and surprise bills.
The system is fundamentally broken.
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John Corrigan retweeted
AI must make healthcare cheaper.
The Blue Cross Blue Shield Association estimates that more complex hospital coding added $942 million to Blue plan spending over two years, with no matching change in the care patients received. Hospitals disputed the analysis, saying patients are older and sicker and AI is capturing real complexity. But insurers are responding with AI of their own to review and challenge more claims. It's a pointless arms race.
So a growing share of bills now pass through two sets of AI: one coding the claim up, one pushing it back down. We (patients, employers, and taxpayers) pay for both, and none of it makes anyone healthier.
We cannot accept that.
@DrOzCMS has called technology a "deflationary force" for healthcare. He has also said AI may be inflationary in the short term, because it makes today's billing systems more effective. He's right, of course, but how short can we make that "short term"?
We'll know that AI in healthcare works when people pay less for better care. Better documentation should mean bills reflect care delivered, not diagnoses discovered. And when AI does the work, the price must fall.
That's how we priced @Doctronic:
1. Our AI is free
2. AI prescription renewals are free (in states that permit it)
3. A licensed physician prescription renewal is $19
4. A licensed physician video visit for most other needs is $39
Our $39 charge is less than half what Medicare pays for a routine office visit. But the biggest savings won't come from cheaper visits. The biggest savings will come from care that no longer requires waiting, driving, or any bill at all.
The Blue Cross Blue Shield Association estimates that more complex hospital coding added $942 million to Blue plan spending over two years, with no matching change in the care patients received. Hospitals disputed the analysis, saying patients are older and sicker and AI is capturing real complexity. But insurers are responding with AI of their own to review and challenge more claims. It's a pointless arms race.
So a growing share of bills now pass through two sets of AI: one coding the claim up, one pushing it back down. We (patients, employers, and taxpayers) pay for both, and none of it makes anyone healthier.
We cannot accept that.
@DrOzCMS has called technology a "deflationary force" for healthcare. He has also said AI may be inflationary in the short term, because it makes today's billing systems more effective. He's right, of course, but how short can we make that "short term"?
We'll know that AI in healthcare works when people pay less for better care. Better documentation should mean bills reflect care delivered, not diagnoses discovered. And when AI does the work, the price must fall.
That's how we priced @Doctronic:
1. Our AI is free
2. AI prescription renewals are free (in states that permit it)
3. A licensed physician prescription renewal is $19
4. A licensed physician video visit for most other needs is $39
Our $39 charge is less than half what Medicare pays for a routine office visit. But the biggest savings won't come from cheaper visits. The biggest savings will come from care that no longer requires waiting, driving, or any bill at all.
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John Corrigan retweeted
To an insurance company, a denial is just another number on a spreadsheet.
To the patient, it means pain, bills and waiting for care their doctor says they need.
So who should make medical decisions—your doctor or an insurance company protecting its profits?
To the patient, it means pain, bills and waiting for care their doctor says they need.
So who should make medical decisions—your doctor or an insurance company protecting its profits?
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John Corrigan retweeted
.@AFergusonFTC nails why patients need actual, upfront prices in healthcare:
“When patients aren’t told in advance the price of healthcare, they are unable to compare prices like they do in every other market — and like in every other market, patients in the healthcare markets ce of the services they’re being offered before they receive care.”
“When patients aren’t told in advance the price of healthcare, they are unable to compare prices like they do in every other market — and like in every other market, patients in the healthcare markets ce of the services they’re being offered before they receive care.”
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John Corrigan retweeted
A hospital can be “nonprofit” and still behave like the most ruthless business in town.
One of my clients is a nun who desperately needs a joint replacement, so we offered to pay cash. Upfront.
The hospital is demanding $80,000.
Medicare would pay $16,000.
Ironically, she has lify for the hospital’s financial assistance policy where federal law would limit what the hospital could charge her.
But because she has a health plan that wants to pay a fair price, the hospital is demanding five times Medicare instead.
“Nonprofit” is a tax designation. Not a commitment to charity.
Read the whole dirty story at the link in comments.
One of my clients is a nun who desperately needs a joint replacement, so we offered to pay cash. Upfront.
The hospital is demanding $80,000.
Medicare would pay $16,000.
Ironically, she has lify for the hospital’s financial assistance policy where federal law would limit what the hospital could charge her.
But because she has a health plan that wants to pay a fair price, the hospital is demanding five times Medicare instead.
“Nonprofit” is a tax designation. Not a commitment to charity.
Read the whole dirty story at the link in comments.
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John Corrigan retweeted
Employer: "We offer top-tier health insurance! Your monthly premium is only $220."
You: "Great. So if I break my wrist, insurance covers the medical bill?"
Employer: "No. You have a $6,500 individual deductible."
You: "So I pay $2,640 a year in premiums, plus $6,500 out of pocket before insurance pays $1?"
Employer: "Correct. But once you hit $6,500, we cover 80% until you hit your $9,100 out-of-pocket maximum."
You: "So I have to spend $11,740 of my own post-tax money in a single year before I get 100% coverage?"
Employer: "Yes, but it’s pre-tax payroll deductions!"
You: "My take-home pay is $4,200 a month. A single ER visit wipes out nearly 3 full months of my entire net income."
Employer: "That’s why we offer a Health Savings Account so you can save for it!"
You aren't receiving a healthcare benefit.
You are paying monthly access fees for the privilege of self-insuring against medical debt while your corporate employer claims tax write-offs for "providing coverage."
You: "Great. So if I break my wrist, insurance covers the medical bill?"
Employer: "No. You have a $6,500 individual deductible."
You: "So I pay $2,640 a year in premiums, plus $6,500 out of pocket before insurance pays $1?"
Employer: "Correct. But once you hit $6,500, we cover 80% until you hit your $9,100 out-of-pocket maximum."
You: "So I have to spend $11,740 of my own post-tax money in a single year before I get 100% coverage?"
Employer: "Yes, but it’s pre-tax payroll deductions!"
You: "My take-home pay is $4,200 a month. A single ER visit wipes out nearly 3 full months of my entire net income."
Employer: "That’s why we offer a Health Savings Account so you can save for it!"
You aren't receiving a healthcare benefit.
You are paying monthly access fees for the privilege of self-insuring against medical debt while your corporate employer claims tax write-offs for "providing coverage."
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John Corrigan retweeted
Mark Cuban has spent years digging into America’s health care system. His verdict: opaque, convoluted and dominated by companies focused on getting bigger.
Patients don’t need bigger health care conglomerates. They need affordable care they can actually access.
Patients don’t need bigger health care conglomerates. They need affordable care they can actually access.
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John Corrigan retweeted
Organized medicine is putting the interests of doctors ahead of the interests of patients.
It's not a good look. Wasn't in the 1400s. Won't be when the future looks back at 2026.
Scribes didn't like the printing press.
De Strata begged the Doge of Venice to shut the presses re full of errors and forgeries, and easy access to immoral texts would endanger the reading public.
Trithemius said hand-copying had spiritual value no press could match, and anyone who thought otherwise was just lazy.
Medicine should at least come up with new arguments.
It's not a good look. Wasn't in the 1400s. Won't be when the future looks back at 2026.
Scribes didn't like the printing press.
De Strata begged the Doge of Venice to shut the presses re full of errors and forgeries, and easy access to immoral texts would endanger the reading public.
Trithemius said hand-copying had spiritual value no press could match, and anyone who thought otherwise was just lazy.
Medicine should at least come up with new arguments.
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As a patient it seems that AI manifests in healthcare via automation that denies access to care, makes care more expensive & improves the profits/margins of both for profit & nonprofit players in big healthcare. Why should patients trust AI when their data is so easily abused?
And some will also be lost as people will die while under going work up for incidentolama.
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As a patient it’s inexplicable that PBMs & GPOs have this exemption. Fraud is fraud. Profiteering is profiteering. Abusing patients for margin is sick and should be illegal. Abusers should be cut off from ANYTHING touching Fed $$ w/execs sent to prison & patient reparations paid.
The PBMs and their cousins, the GPOs, have an exemption from a Medicare fraud and abuse statute.
That is the Anti-Kickback Statute. Either the law is good and should apply to everyone, or it sucks and should be repealed.
Full episode here: youtu.be/lPsNHC5P-h0?si… ojas @HeathVeuleman @Laffincrow @noahkaufmanmd @BrandiChane
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John Corrigan retweeted
Are physicians really the reason healthcare is so expensive? Doctor salaries are only one piece of the cost, while hospitals, administrators, and middlemen make up other parts of the system.
#Healthcare #MedicalCare #PatientCare #HealthcareCosts
This video is for educational T medical advice.
#Healthcare #MedicalCare #PatientCare #HealthcareCosts
This video is for educational T medical advice.
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John Corrigan retweeted
$trillions wasted in healthcare , but yeah let’s focus on the the little blue slice of the pie
Perfect Sunday read - at least for a nerd like me: Evidence suggests millions of operations performed each year are unnecessary. Especially back & joints.
economist.com/leaders/2026/0…
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As a patient I want healthcare AI to easily show primary positive benefit to the patient population or be prepared for patients to regard AI as a danger to overall well being. AI should first bring value to patients and their clinicians, not first & foremost to admin profiteers.
Accountability via @TheStalwart.
All the AI hype promised healthcare savings— but the AI "efficiency pitch" just hit a $2.3 billion snag. Where does this end up in five years? 4 key insights:
1⃣📈 AI-Enabled Coding Tied to $2.3 Billion in Costs: BCBSA researchers estimate roughly $663 million in extra inpatient spending and at least $1.67 billion in outpatient spending nationwide are linked to more aggressive, AI-enabled coding.
2⃣🩸 Diagnoses Tripled Without More Treatment: At hospitals with the fastest coding growth, the share of maternity patients coded with acute posthemorrhagic anemia jumped from about 4% to over 12% in under three years, while transfusion rates stayed flat.
3⃣💰 One Diagnosis, $22 Million in One Year: Increased coding of a single condition added $22 million to maternity related hospital costs in just one year across the facilities studied.
4⃣🏥 Coding Intensity Drives a Fifth of Cost Growth: Per member costs rose 9% between 2023 and 2024 in the study population, and coding intensity alone is estimated to account for about 20% of that increase.
#HealthTech #Upcoding
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John Corrigan retweeted
I guess I’m confused
BCBS and others have used AI and machines to deny care under prior authorization for years. No concern on their end
Doctors or hospitals use AI to catch up and BCBS says this is inappropriate and driving up healthcare costs.
What’s good for the goose…
BCBS and others have used AI and machines to deny care under prior authorization for years. No concern on their end
Doctors or hospitals use AI to catch up and BCBS says this is inappropriate and driving up healthcare costs.
What’s good for the goose…
The Blue Cross/Blue Shield Association says that AI is already driving *up* healthcare costs, as hospitals use the technology to find instances where they can bill more for the same level of care. bcbs.com/about-us/assoc…
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John Corrigan retweeted
premier care does not work when the physicians get 15 minutes for a complicated appointment.
We set the PCP’s up for failure and are shocked when it occurs.
We need to set the PCP’s and patients up for success. Success is called DPC.
We set the PCP’s up for failure and are shocked when it occurs.
We need to set the PCP’s and patients up for success. Success is called DPC.
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