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Mark Cuban is fed up with rural and urban hospitals crying poor/claiming insolvency

Posted on 4/2/26 at 6:19 pm
Posted by HailHailtoMichigan!
Mission Viejo, CA
Member since Mar 2012
73939 posts
Posted on 4/2/26 at 6:19 pm
NBC news ran this article today

quote:

More than 400 hospitals across the U.S. are at high risk of closing or cutting services because of the Medicaid cuts in President Trump’s “big, beautiful bill,” according to an analysis from the progressive watchdog group Public Citizen.


LINK


Mark Cuban says the hospitals are bsing. I agree with him. Every year in Louisiana, certain hospitals cry poor.

His statement:
quote:



Why aren’t any of these at risk hospitals publishing their full accounting so everyone can see where they spend their money ?

All but one group of hospitals that I have looked at potentially investing in, spend so much on consultants and fees that it’s no wonder they are at risk

Plus, I have NEVER seen an industry that is worse than hospitals when it comes to buying medications and items like implants, screws, other devices. They overpay for everything.

And then when you show them how to save money, their “supply chain” employees resist any change.

They are so set in their ways, it’s a shock more don’t go out of business.

Prove me wrong.


Posted by Lonnie Utah
Utah!
Member since Jul 2012
34155 posts
Posted on 4/2/26 at 6:20 pm to
quote:

Plus, I have NEVER seen an industry that is worse than hospitals when it comes to buying medications and items like implants, screws, other devices. They overpay for everything.


He can thank the lawyers.
Posted by Cosmo
glassman's guest house
Member since Oct 2003
130901 posts
Posted on 4/2/26 at 6:21 pm to
Most rural hospitals are compeltely dependent on Medicaid and medicare

People with good jobs and insurance live in larger cities as a general rule
Posted by CollegeFBRules
Member since Oct 2008
25595 posts
Posted on 4/2/26 at 6:22 pm to
I’ll never believe anyone in the medical sector is suffering from anything other than bloat in every way imaginable.

I had 20 minutes of lithotripsy done not too long ago, hospital charged $20,000.
Posted by tigerinthebueche
Member since Oct 2010
37968 posts
Posted on 4/2/26 at 6:25 pm to
In other news, Mark Cuban starts pivoting to the right to be more palatable to voters in ‘28.

He’s a libtard just like every other libtard. frick him, even if his comments on this subject are correct.
Posted by CatfishJohn
Member since Jun 2020
19759 posts
Posted on 4/2/26 at 6:27 pm to
quote:

I’ll never believe anyone in the medical sector is suffering from anything other than bloat in every way imaginable.



Medical sector is a bit vague
Posted by LSUBFA83
Member since May 2012
4169 posts
Posted on 4/2/26 at 6:30 pm to
quote:

He’s a libtard just like every other libtard. frick him, even if his comments on this subject are correct.


Even a broken clock is right twice a day.
Posted by CollegeFBRules
Member since Oct 2008
25595 posts
Posted on 4/2/26 at 6:34 pm to
I know.

The whole thing. Allllll of them.
Posted by Hetfield
Dallas
Member since Jun 2013
9638 posts
Posted on 4/2/26 at 6:34 pm to
Rural hospitals & hospitals all over the country have been decimated by illegal aliens as you can't deny them care. Cuban has openly supported Democrats whose party supports open borders so they can flood the country with illegals who will have kids who will be American citizens who will vote overwhelmingly Democrat & the end game is amnesty for all illegals.

He is smart enough to know this. Is he being blackmailed by the Left to support their causes? It is a legit theory.
This post was edited on 4/2/26 at 7:01 pm
Posted by Boston911
Lafayette
Member since Dec 2013
2435 posts
Posted on 4/2/26 at 6:36 pm to
I can tell you from the EMS perspective, MCare/Caid cuts can determine who stays in business and who does not
Posted by Mid Iowa Tiger
Undisclosed Secure Location
Member since Feb 2008
24561 posts
Posted on 4/2/26 at 6:37 pm to
While he’s generally correct, rural hospitals face a different set of challenges. CAHa (Critical Access Hospitals) do face pretty serious financial issues. They are heavily regulated and generally have extremely low census counts. In hospitals census counts are the number of asses in beds over night.

For CAHs census counts can average less than 2 in a 50 bed location, yet there are regulations on staffing as though they are fuller. The problem is, what do you do? Close a bunch of them? That makes financial sense but then be prepared for a nightly death toll because of lack of access.

My thought is instead of CAHs make them a triage type unit where they stabilize and ship patients via air ambulances to larger cities.

I owned a medical software company (EHR) focused on CAHs for a few years until I sold it to private equity. I learned a shite ton in those few years.
Posted by jbgleason
Bailed out of BTR to God's Country
Member since Mar 2012
20061 posts
Posted on 4/2/26 at 6:38 pm to
quote:

In other news, Mark Cuban starts pivoting to the right to be more palatable to voters in ‘28.


He does this all the time. Stick with me on this theory. I think the guy is a business savant. As evidenced by his success and views on business matters. But I don’t think he’s too bright on other stuff. Hence the dumb shite that comes out of his mouth on social issues.

Posted by Defenseiskey
Houston, TX
Member since Nov 2010
2096 posts
Posted on 4/2/26 at 6:39 pm to
I could see rural hospitals being affected. Most of their patients are either 65 and older or on Medicaid. Most of those urban hospitals raked it in during Covid, though. Didn't Oschner have over $10 billion in cash at one point?
Posted by greenbean
USAF Retired - 31 years
Member since Feb 2019
6311 posts
Posted on 4/2/26 at 6:45 pm to
in a very sparsely populated area of MS (Greenwood/Grenada/Winona), there are 3 hospitals all within 25 miles of each other. Greenwood is constantly on verge of closing (any maybe Winona?), but Grenada is doing well. Why not close Greenwood and Winona and put more resources in Grenada so it can serve the other two communities?
Posted by Tarps99
Lafourche Parish
Member since Apr 2017
12378 posts
Posted on 4/2/26 at 6:49 pm to
quote:

My thought is instead of CAHs make them a triage type unit where they stabilize and ship patients via air ambulances to larger cities.


If this were done, this would be Acadian Airmed.



Posted by BlackenedOut
The Big Sleazy
Member since Feb 2011
6050 posts
Posted on 4/2/26 at 6:51 pm to
If Cuban thinks rural hospitals are the problem, wait til he looks at all other hospitals.
Posted by Auburn80
Backwater, TN
Member since Nov 2017
9927 posts
Posted on 4/2/26 at 6:53 pm to
quote:

Most rural hospitals are completely dependent on Medicaid and medicare People with good jobs and insurance live in larger cities as a general rule


While this is generally true it also depends on where you are located in the city. Nobody is going to build a hospital in north Baton Rouge or the west side of Birmingham. They are being built in rich suburbs. The big disparity in healthcare is between the rich and poor areas. This will lead us to national healthcare quicker than other issues.
Posted by rintintin
Life is Life
Member since Nov 2008
17041 posts
Posted on 4/2/26 at 6:55 pm to
As someone in this space there's certainly truth to some of things he's saying, but he's also being a bit obtuse.

The reality is, the vast majority of hospitals only make money on commercial patients. And even with commercial only make money on certain procedures. Rural hospitals have terrible payer mixes that make them more vulnerable to this.

That being said, there are specific Gov't programs for rural hospitals to help with this. But it still makes it very difficult for them to offer a wide array of services because they simply don't have the volume to be profitable. But if they don't offer those services then they're the bad guy because they aren't providing the necessary care to the population.

That being said, he's certainly right about some of those things he mentioned.

quote:

spend so much on consultants and fees


True, and why I have a job

quote:

They are so set in their ways, it’s a shock more don’t go out of business.


So true and why I left the operations side of healthcare. They are some of the most difficult workers to instill any type of change.
This post was edited on 4/2/26 at 6:56 pm
Posted by rltiger
Metairie
Member since Oct 2004
2352 posts
Posted on 4/2/26 at 6:58 pm to
quote:

Most rural hospitals are compeltely dependent on Medicaid and medicare


They have to spend it all and run a deficit to bitch and moan how they are underfunded. It’s not about efficiency, it’s about spending to get more.

The system is broken.
Posted by Auburn80
Backwater, TN
Member since Nov 2017
9927 posts
Posted on 4/2/26 at 6:59 pm to
quote:

I’ll never believe anyone in the medical sector is suffering from anything other than bloat in every way imaginable. I had 20 minutes of lithotripsy done not too long ago, hospital charged $20,000.


Government regulations and insurance companies create a lot of the bloat. Insurance companies will look for any technicality to not pay a claim, so hospitals have to hire staff to make sure every T is crossed. Plus, hospitals are the one place where charges don’t matter. Only the contracts with insurance companies matter. Hospitals jack up the charges to make sure they don’t get caught in a lower of cost or charges situation.
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