Husband, father, Iraq veteran, and emergency physician. Founder/CEO, Lightspeed Testing, providing no cost COVID testing to the people of Monterey County.
Monterey, California
Joined November 2010
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. @supervisoraskew @SupervisorAlejo @SupervisorLopez @MaryLAdams @PhillipsForSupe We need (a lot) more testing. Voluntary PCR is great but not enough. Workplace and community-based rapid testing, and lots of it, can help us stop the fourth surge.
1) payor mix - billionaires in Pebble Beach on Medicare; poor farmworkers on Medi-Cal. Neither insurer pays full cost of care
2) staff costs in a very high COL area keep going up, govt reimbursemts aren't enough to keep doors open > costs shift to commercially insured
I know I'm a broken record, but no one has yet addressed the elephants in the room:
payer mix + VHCOL + not enough physicians to keep people out of the hospital
"we have higher hospital costs but much more affordable professional costs"
Note: "people tend to be healthier" in her slide refers to Covered CA patients - not all patients. Sicker patients are often covered by Medi-Cal/Medicare, not Covered CA. Again, would be nice to see that data for all payers, not just commercial.
Would be useful to see utilization rates by insurer. I would wager that utilization by the commercially insured has dropped, but not necessarily Medi-Cal utilization.
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He mentioned Medi-Cal only in passing. But when Medi-Cal/Medicare pay less than the cost of care, AND continue to cut rates, AND your community is VHCOL and 75% government payers...
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but actual PROFESSIONAL (e.g. doctor) prices were way under the state median, only 13% above national median.
When you go to the ER, you're not asking to see a hospital administrator...
.@AmericanAir stuck at the gate at MCO because of a “big company-wide Internet outage” blocking departure. But not a peep about it anywhere??
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Soooooo…. After reserving the hotel with a rooftop pool - a year in advance! - with no previous notification of this closure and “private party”, Cory Burns decides to shake my family down for $400?
And then has the gall to send me viewing locations “as a courtesy”?
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“As a courtesy see below for information on Eclipse viewing locations in Dallas. We appreciate your business!
CORY BURNS
TRANSIENT SALES EXECUTIVE
RENAISSANCE DALLAS HOTEL”
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We are currently selling tickets to this event which includes exclusive viewing access from our rooftop pool deck along with protective eyewear and a commemorative glass with complimentary cocktail/mocktail. Tickets will be $100.00 per person and SPACE IS LIMITED!!”
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Here’s the email I got:
“Hello!
We are delighted to be your hotel of choice during the Solar Eclipse. Our rooftop pool will be closed from 10AM-2PM on Monday April 8, 2024, for a private event.
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I’ve been a Marriott elite member for 17 years and am a lifetime Gold Elite. This is the most atrocious disrespect of your customers that I’ve ever seen.
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.@Marriott really furious that the @RenDallasHotel decided to close their rooftop pool to REGISTERED guests for the eclipse, only 5 days beforehand. I had that reservation for almost a year. Atrocious customer service and lousy recognition of your elite members!!!
Sameer Bakhda retweeted
VOLESKY CONVERTS ANOTHER PENALTY AND WE ARE ON TOP!!!!!
#DEFENDTHE831 || #MBvCOS