Medicare

“I think this means that things like the federal deficit due to entitlement programs are actually solvable, that we're going to have Medicare is going to be less of a drag, and the seniors are gonna get better care.”

“It was basically that .8% of the US budget is spent on kidney dialysis, which was basically three times NASA. So all these people need dialysis. It's like, I think Medicare spends over fifty billion dollars annually on dialysis and other related treatments, wh…”

“Interestingly in the U S here, when you're over the age of 70, you have about 20 medications.”

“The chance of a Medicaid patient who doesn't pay for their health care because they don't have the means to do it, the chance of them canceling their doctor's appointment is twice that of a Medicare patient.”

“It's less than 50%. Less than 50%. But most people don't do it.”

“All you need to penetrate Medicare and Medicaid is a beneficiary number. They can buy those, and you're off to the races.”

“If you're on Medicare, you don't get free dental, you don't get free vision. You do if you're an illegal immigrant in California.”

“So, the result is Ozempic and Munjara are on Medicaid and Medicare. For a hundred and 49 dollars instead of not on it.”

“One of the drug companies, Merck, said they're gonna just give us their number one drug in the world. They're gonna give it to Medicaid and Medicare for zero.”

“No one has ever looked at, if you're getting Medicaid and Medicare, how much money do you make? No one's ever compared the two.”

“We have eight, I think we have eight or nine years here, but there will be a, I think a fiscal car crash, so to say, where social security, Medicare the debt, you know, the interest, what interest hit over a trillion this year.”

“The payer that pays the most for diseases of aged population is Medicare which kicks in after 65. Before then we have a multi-payer system where patients Tend to rotate their insurance every few years. And so there's really not much incentive for someone to co…”

“Medicare refused to cover GLP-I ones for obesity care.”

“What we found was, is that in hospice, end of life, where 60% of your lifetime costs are spent, Medicare rules, and most rules in most insurance companies require you to say, I can no longer seek curative services, and I have to give up hope.”

“The modified barium swallow study is the most Medicare reimbursed procedure that exists in the country.”

“Entitlements are the vast majority of the federal government's budget, and so, you know, if you want to go look at efficiencies, you're gonna have way more juice to squeeze, like, you know, improving Medicare than, like, you know, you can cut out all the DEI p…”

“Of that set of payers, Medicare and Medicaid are the big gorillas because they're covering the elderly population who are consuming the vast majority of care and the vast majority of complicated care and expensive care in the country.”

“All of the creativity, all the capital is going into largely Medicare and employer. And Medicaid is actually the biggest, and frankly, I think the most readily addressed challenge in, in US healthcare. And there was very little happening to take that on.”

“40% of all acute care or 39% of all acute care in Medicaid is avoidable. That's like three times what it is in Medicare, three times what it is in commercial.”

“It's the third largest cost center for Medicare.”

“It will definitely change how we kind of value companies depending on the area they're focused on and how they get paid. And if the government is going to be stepping back and we're relying more on private services, then we'd be more concerned around Medicare …”

“The only places that matter if you're going to get to two trillion is defense, social security, and Medicaid, and Medicare. That's the only places that matter. Like, the discretionary part of the budget is so small that it just doesn't matter. You could zero i…”

“We've said we're not going to touch Social Security. Medicare and Medicaid. That was the president who said that.”

“No matter what Elon Musk or anybody else says you simply cannot cut Medicare, Medicaid, Social Security defense spending or thing.”

“And you go, well, look, there's a whole bunch of money that's spent on these last three to six months of life. Let's reduce the spending on that and say that is not a public, you know, a public expense. And let's increase, like, for example, preventative and o…”

“Now, again, you know, unfortunately, I would predict that they're not going to do that because it's a political third rail and it requires, you know, Courage and other things to go into it.”

“The employer market is larger than Medicare. It's larger than ACA combined. It's just the biggest market.”

“So when one of those critical access hospitals performs a procedure, Medicare will reimburse them for the cost of performing that procedure. They'll also do that when they purchase a new system.”

“When you head to the US, it's 50 markets because, you know, well, Medicare is federal. It's administered different in every state and Medicaid is different in every state.”

“If you're say on Medicare, currently the rule of the federal government is they won't pay. For these medications. You have to get diabetes before you can get the drug.”

“And that company is pouring tens of millions of dollars into lobbying to pass this bill that will make Medicare pay for it for every American who's obese. That could be 74% of people are now eligible. I think it's 1500 dollars a week. The cost of that will be …”

“Now the typical network price negotiated by the big insurance companies is 275%, 250 to 275% of Medicare, Medicare rates. Price we're negotiating right now, 80 to a hundred percent of Medicare.”

“Between Medicare and the VA, which are single-payer systems, 25% of Americans right now are covered by a single-payer system”

“I would say it's a red line for me to touch Social Security or Medicaid or Medicare.”

“Medicare reimburses anyway between 140 to 200 dollars per patient per month for you as a physician, and we help that process as well. We make the claims, we get the reimbursement for you as a physician.”

“So we are processing close to 303 150 K per month of claims.”

“In Medicare, there are close to forty million patients with chronic conditions that can be prescribed this solution.”

“My personal opinion is I don't think that this will have a huge effect. I think this is an excellent part of the bill. I think that the government should have authority to go and negotiate.”

“The way the drug industry is now, the process that takes a drug, once it's been manufactured, put aside all their R&D and the development of the trials, Once that drug manufacturer starts making a drug, the process it has to go through to get to the patients i…”

“Basically every major piece of social legislation, Medicare, Medicaid, Social Security, minimum wage laws, they were passed without the CBO.”

“It's a shit show. You know, you don't need, you know, all these, building all these new buildings and buying all this real estate, and there's no, you know, lying about your cost to do something. Oh, our Medicare, you know, we provide Medicare. We lose eight, …”

“Telemedicine, I've been a huge supporter of, and I was for some of the using of The regulatory barriers that didn't allow Medicare doctors to get paid for telemedicine. I think those changes were good. They should be permanent. I think telemedicine is a potent…”

“The way it works, the business model, is that our customers are providers, our healthcare providers, and they are offering it under, I will call, an umbrella of RPM, remote patient monitoring services, which is reimbursed by Medicare and all major healthcare p…”

“Most big social programs in America, like Social Security, Medicare and Medicaid, as is true in other countries, typically start off smaller than they probably should in terms of overall need. That's why I call this starter house, and then you build from it, b…”

“I think what's going to happen is you're, I think you're going to continue to see deregulation in areas that are benign and non-controversial. So I think the SEC the FCC, I think all of these places you'll see movement. I think you'll probably actually see a l…”

“And I think that trades over because Medicare is going to go cashflow negative in the next few years.”

“Medicare puts that somewhere around 85% of providers are using this tech.”

“Well, if you come into the Kaiser Permanente system, you will see that, ah, commercial days are something like a 150 per thousand, and Medicare is now down to 700.”

“So we did not do very well As a country in the rollout of the ACA but we're going to have a bigger challenge eventually when we take on the rollout of revised Medicare program.”

“And it turned out that between 25 and 42% of Medicare patients of all Medicare patients, 25 to 42% will have one of those 26 things done to them in any given year.”

“The last year of life, we know that 25% of Medicare spending is in the last year of life, and most of that's in the last few months. So that's not 25% of all spending. Medicare is just after 65. That's about half of spending occurs after age 60. Half of all yo…”

“We're the third most searched source of information in physical therapy after Medicare.”

“Ironically, it is to the point where the government run part of healthcare, in this case, actually Medicare, tends to be on the cost side, at least, more efficient than the commercial part of healthcare.”

“The bad news is that people are going to have to start reaching in their pocket to pay for things much more than they ever envisioned in the past. And the good news is as a result of that, they're starting to be viewed for the first time since Medicare was pas…”

“Medicare announced recently that their goal is to have 80% of payments in risk models by 2018 and that they're moving forward with new types of payment models like bundle payments”