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

Posted on 4/2/26 at 7:01 pm to
Posted by ChatGPT of LA
Member since Mar 2023
6361 posts
Posted on 4/2/26 at 7:01 pm to
Medicaid is a fricking scam. Listen to me. Ive been a national distributor of med products and dealt with billing for many years.
Its a scam

I have a close friend that makes good money thru his llc's. When he goes thru marketplace, it puts his kids on medicaid. He has to jump thru hoops to take them off and put on his personal plan. He's probably doing 200k per year(unofficially)
Now just imagine the fraud at even lower levels. And hospitals are 100% in on it
Posted by Dragula
Laguna Seca
Member since Jun 2020
6816 posts
Posted on 4/2/26 at 7:03 pm to
NB4 "It's also because Doctors and Nurses are paid too much..."
Posted by Defenseiskey
Houston, TX
Member since Nov 2010
2163 posts
Posted on 4/2/26 at 7:44 pm to
quote:

If Cuban thinks rural hospitals are the problem, wait til he looks at all other hospitals.


He's right though. Rural hospitals have a much larger concentration of Medicare and Medicaid patients. It's common knowledge.
Posted by BlackenedOut
The Big Sleazy
Member since Feb 2011
6060 posts
Posted on 4/2/26 at 7:47 pm to
You think the bloat and waste in hospitals is limited only to hospitals with high % of Medicare/Medicaid patients?

Hell in Louisiana that’s every hospital.
Posted by StansberryRules
Member since Aug 2024
5212 posts
Posted on 4/2/26 at 7:48 pm to
US Hospitals are the least efficient, least cost effective organizations on the planet.

They will waste infinity dollars on "administration" if you allow them to.
Posted by Defenseiskey
Houston, TX
Member since Nov 2010
2163 posts
Posted on 4/2/26 at 7:50 pm to
quote:

You think the bloat and waste in hospitals is limited only to hospitals with high % of Medicare/Medicaid patients?



No, never said that. Just saying that statistically urban and suburban hospitals generally have a wider variety of payers.

I know it doesn't fit the narrative on here of big city=bad and liberal but it's a statistical fact across the country.
Posted by NIH
Member since Aug 2008
122892 posts
Posted on 4/2/26 at 7:51 pm to
I think you meant MBA consultants
Posted by Poker_hog
Member since Mar 2019
3650 posts
Posted on 4/2/26 at 7:59 pm to
He’s not wrong. Most of these hospitals are run by RNs with MBAs from shite schools. They answer to boards of community members that at best are ignorant or at worse getting soft kickbacks from the county hospital.

The administrators at these hospitals will burn money to stay in control and keep their loyalists in power.
Posted by Marshhen
Port Eads
Member since Nov 2018
1044 posts
Posted on 4/2/26 at 7:59 pm to
quote:

They are heavily regulated


Maybe we should start there to lower costs without spending any money
Posted by baldona
Florida
Member since Feb 2016
24215 posts
Posted on 4/2/26 at 8:02 pm to
quote:

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.


Then close them down. I’m not sorry that Medicare and Medicaid patients have to travel for free care. Why do we care?

Allow some private equity to open the emergency centers and then drive them by ambulance if need be to the bigger cities.

There’s very very few places that are less than 2 hours from a reasonably sized hospital. Its cheaper to operate and bill ambulance services than employee a bunch of hospital staff for nothing.
Posted by Poker_hog
Member since Mar 2019
3650 posts
Posted on 4/2/26 at 8:09 pm to
quote:

MBA consultants


They are part of the racket. Admin pays a consultant firm. They come in and do bull shite survey and the generate a fancy report that agrees with everything the person paying them a six figure commission wants.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/2/26 at 8:09 pm to
quote:

I had 20 minutes of lithotripsy done not too long ago, hospital charged $20,000.

I can charge $1million/visit. I'm only going to get what insurance allows. What did yours allow on that bill and did you pay your balance? Many don't. Why isn't he buying every damn one if it's that easy? Because it's not. Especially one that is underwater. Not enough margin to make it worth the risk. Medicaid pay shite, Medicare pays shite. Many, many people don't pay shite. They can't negotiate certain prices either as you have to use medicare approved vendors. He's a dumbfrick.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/2/26 at 8:12 pm to
quote:

hen drive them by ambulance if need be to the bigger cities.

Seriously? How much do you think a full service ambulance costs? With paramedics, drivers, fuel equipment? How many you need to shuttle hundreds of people several hours away? How much will it cost to add on the big city hospitals to accommodate the transfers? Do you think medicaid and medicare pay them anymore? What about the no-pays? That would just bankrupt the big hospitals.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/2/26 at 8:14 pm to
quote:

He’s not wrong. Most of these hospitals are run by RNs with MBAs from shite schools. They answer to boards of community members that at best are ignorant or at worse getting soft kickbacks from the county hospital.

The administrators at these hospitals will burn money to stay in control and keep their loyalists in power.

Truth, but re-imbursement has been frozen in time while overhead has been climbing faster than consumer inflation. Can't unfrick what's been fricked and bankrupted.
Posted by Midtiger farm
Member since Nov 2014
6170 posts
Posted on 4/2/26 at 8:15 pm to
Cuban is wrong on lots of things but health insurance/medical/pharma industry he is spot on
Posted by BurlesonCountyAg
Member since Jan 2014
4916 posts
Posted on 4/2/26 at 8:24 pm to
So hospitals are only viable when taxpayer dollars are streaming in?
Posted by Jim Rockford
Member since May 2011
105316 posts
Posted on 4/2/26 at 8:24 pm to
quote:

 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?


In my area there are two rural hospitals about 20 miles apart, and both located about the same distance from the nearest major urban hospital. One is doing well, the other doing poorly. The one doing well is located just far enough from the major urban hospital that it qualifies for all kinds of federal and state subsidies as serving an underserved area. The one doing poorly is located slightly closer and doesn't qualify for any help. The difference is no more than a couple of miles as the crow flies.

The hospital doing well recently poached a doctor from the other hospital by offering him an absurd amount of money and paying off all the debt related to his private practice.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27793 posts
Posted on 4/2/26 at 8:28 pm to
quote:

had 20 minutes of lithotripsy done not too long ago, hospital charged $20,000.


Did u cut a check for that or was that the “bill” the insurance and or hospital claimed they negotiated??

This is the problem. One of many. There is NO fee for service. Not one that makes any sense or is transparent. It’s to the point that no one can tell you what their time or services are worth. They can quote a bloated number. Or the adjusted number which really just makes it worth their time.

I have a 25 (damn!) year career in nursing. I’ve seen it flip 3 times.

Also, and physician that you see that’s part of a large group. Houston is UTPhysicians. They are everywhere. From podiatry to heart surgery to transplant. Those physicians are essentially now employees. It has taken over emergency medicine and is now getting surgeons.

I just hope I’m old enough to retire before it collapses.
Posted by SmackoverHawg
Member since Oct 2011
31608 posts
Posted on 4/2/26 at 8:30 pm to
quote:

Maybe we should start there to lower costs without spending any money

that's the answer.
Posted by LSU alum wannabe
Katy, TX
Member since Jan 2004
27793 posts
Posted on 4/2/26 at 8:31 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.


Sounds a bit state run…. Comrade. lol

Totally makes sense but……..?
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