Professor/researcher #RUHEAL, health care ethics, analytics and criminological theory, Director, HEAL certificate #RooseveltUniversity, HC Fraud Investigator
Seattle, WA and Chicago, IL
Joined August 2013
- Tweets442
- Following213
- Followers113
- Likes160
Dr. Susan Hayes retweeted
🏆 Boston University's Cyber Terrier Team dominates the Haunted Hacker Challenge at Endicott College! Students had a blast thanks to Dr. Kyungseok Choo, U.S. Homeland Security Reps, and our awesome CIC partners - Meghan Martinez, Dr. Hannarae Lee, Dr. Sinchul Back, and Mike Toro
Dr. Susan Hayes retweeted
PCMA,
Do you have ANY information you have NOT paid to skew your clients' direction?? 🙄
Truthrx.org/Education
@SenFinance @SenateHELP @RepJamesComer @SenSchumer @SpeakerMcCarthy @RepJeffries #TwitteRx #MedTwitter #PatientsBeforeProfits
ALT PBMs are scared of transparency
A new report finds a potential result of disclosure requirements could increase federal government costs by $134 billion over 10 years. pcmanet.org/disclosure-requi…
Dr. Susan Hayes retweeted
“These are massive, vertically integrated, multilayered companies. Unless they're putting every single card on the table within every one of those layers, it's not transparent. It's just evasion.” - @A_Ciaccia
modernhealthcare.com/insuran… @ntepper90 @FTC @DaveYostOH @BBGIntelligence
Dr. Susan Hayes retweeted
Interesting developments on the legal front: OptumRx loses bid to force pharmacists to arbitrate claims @MarkCuker @joycecutler news.bloomberglaw.com/health…
Ever wonder what the difference is between healthcare fraud, waste and abuse? Waste is a growing concern. Read my new article in Benefits Quarterly: piconsulting.org/wp-content/… Thank you for the publication, #IFEBP #Fraud
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And how does ESI feel about that?? Total transparency, maybe Santa is real and still hanging out.
Blues plans launch Synergie to cut costs for the priciest drugs @ntepper90 @ElevanceHealth @BCBSAssociation @WayneWinegarden @A_Ciaccia @DavidDobie @Hschlissberg modernhealthcare.com/insuran…
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Congratulations Arkansas pharmacist. You deserve the best!
It's almost time to throw open the doors to the new Arkansas Pharmacists Association headquarters! Join us for the ribbon cutting at 417 S Victory St in Little Rock at 11 am on Wednesday, or join the fun virtually by watching the live stream of the ceremony on our Facebook page.
I said the big three were dinosaurs 15 years ago. Yet they roam the earth with super big footprints crushing all in their way - pharmacies, their own clients and worse, patients.
"For those PBMs clinging to the ways of the past, the future is likely to be a painful and inevitable (if longer term) decline."
Thoughtful insights from @sethbjoseph on the state of the PBM industry and the opportunities that exist for a better way forbes.com/sites/sethjoseph/…
So what are you saying about us, Scott?
New story on NPR: It turns out that chimpanzees and gorillas can form lasting friendships ift.tt/UMD9IVQ
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Dr. Susan Hayes retweeted
After years of inconsistent pharmacy reimbursement practices, hundreds of millions of dollars in excess drug spending, and pharmacy closures in underserved communities, it’s a new era at @OhioMedicaid, and other states are taking notice. @tituswu100 dispatch.com/story/news/heal…
Dr. Susan Hayes retweeted
Big day tomorrow as @OhioMedicaid buries its long-plagued PBM-controlled prescription drug program for good and begins anew with a revolutionary model that is intended to maximize transparency, access, affordability, and value. managedcare.medicaid.ohio.go…
Not keeping controlled substance logs and not having a PIC…are those just “bookkeeping errors” that we are supposed to not audit?
Nine Walgreens pharmacies in Iowa hit with fines, licensing sanctions - Iowa Capital Dispatch iowacapitaldispatch.com/2022…
justice.gov/usao-sdny/pr/for… For all of those many clients who have told me that "fraud can't happen in my plan" read this article. No one is exempt from healthcare fraud. #healthcarefraud #FWA
youtube.com/watch?v=9XPoOfN5…
If you are in HR or a broker and take Fraud, Waste and Abuse lightly or think that your PBM or insurance carrier is doing a great job, think again and then call me. #hr #insurance #fwa This is the best 6 minutes you will spend to save your job.
Republicans are even the party of no to corporations who will have to shoulder higher drug costs while Medicare Part D benefits from negotiating with pharma.
Republicans are the party of no. No to fighting climate change, no to lowering energy and health care costs, no to cracking down on freeloading corporations and wealthy tax cheats, no to capping the price of insulin. We can’t let them claw their way back into power.
Dr. Susan Hayes retweeted
In the wake of the Senate parliamentarian pulling out proposed commercial employer protections from the likely balloon squeezing effect that Medicare drug price negotiations could have on plan sponsors, @PBGHealth issues statement of concerns pbgh.org/pbgh-statement-on-t…
beckerspayer.com/payer/they-… For many years I stood alone fighting the #PBMs (and the #FTC) while my firm was blackballed by them for having the nerve to ask for transparent dealings. Thank you #prescryptive and others who now stand by me.
wesh.com/article/florida-abo… Maybe some sanity in Florida? Why isn't anyone talking about HIPAA? #HIPAA #righttoprivacy
1776, anyone? A musket in every house, women and blacks owned by white male land owners, witch burning, no vaccines, abortions by poisonous herbs. America has lost its mind. #GunControlNow cnn.com/politics/live-news/r…
justice.gov/usao-sdfl/pr/man… There should be a special place in Dante's Devine Comedy for adulterating HIV meds.
