Bru McCoy Injury

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Dumb, so dumb

Per an actual MD


I'm not sure why y'all keep chasing this rabbit down the hole but I'll respond...

There is generally reimbursement for "administration" that is separate from drug cost. This fee is paid to pharmacies and others that dispense or administer the drug. You can look these fees up. CDC has some info. Not sure why this MD is getting .43. Does not sound correct. This has nothing to do with the table I've seen where Providers were given significant incentives to give a series of vaccines.

Extremely off topic.
 
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I'm not sure why y'all keep chasing this rabbit down the hole but I'll respond...

There is generally reimbursement for "administration" that is separate from drug cost. This fee is paid to pharmacies and others that dispense or administer the drug. You can look these fees up. CDC has some info. Not sure why this MD is getting .43. Does not sound correct. This has nothing to do with the table I've seen where Providers were given significant incentives to give a series of vaccines.

Extremely off topic.
Again, WHY would an insurance company give incentives to a doctor to bill them?

What insurance EVER pays people to file claims?
 
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Again, WHY would an insurance company give incentives to a doctor to bill them?

What insurance EVER pays people to file claims?
I have no idea what you're talking about. Like I said earlier, the objective of insurance companies is to mitigate the risk of financial loss. I assume payers have data that shows sufficient financial value in paying out an incentive to providers to complete a series of vaccinations for a patient.

There was some off-topic discussion earlier in this thread by some folks related to "kickbacks" for administering drugs. That's where I came in.

Again, this is so off topic to this thread. I'd suggest if you want to go more, take this to another Forum and tag me. I'll play.
 
I have no idea what you're talking about. Like I said earlier, the objective of insurance companies is to mitigate the risk of financial loss. I assume payers have data that shows sufficient financial value in paying out an incentive to providers to complete a series of vaccinations for a patient.

There was some off-topic discussion earlier in this thread by some folks related to "kickbacks" for administering drugs. That's where I came in.

Again, this is so off topic to this thread. I'd suggest if you want to go more, take this to another Forum and tag me. I'll play.
Of course you have no idea. You don't believe in vaccines. The reason there might be incentives is because it's cheaper to vaccinate for diseases than to treat them and, as you say, insurance companies know this and reduce their risk.

My insurance gives incentives for me to exercise and meet certain goals. Why? Because if I'm healthier it reduces their risk.

Your problem is you think it's a conspiracy but it's simple risk reduction because vaccines actually work.

It's the BUSINESS of insurance to use the best, most reliable data to lower their risks. They recommend vaccines like they recommend exercise because that's what the data suggests will decrease their risk.
 
Again, WHY would an insurance company give incentives to a doctor to bill them?

What insurance EVER pays people to file claims?
Primary Care Physicians usually sign a contract with insurance plans to be reimbursed at a certain level, but a part of that is withheld unless certain parameters are met, such as vaccination status, control of chronic medical disorders etc. Some might consider that an incentive to perform the tests and procedures to attain the goal in order to receive their withheld funds. Bottom line is that the pharmaceutical industry along with insurance companies are what is driving the health care ship to its disastrous condition at this juncture. Business types have taken over Medicine and the practioners are now just considered as necessary evils by those in charge. It's no wonder the older and seasoned physicians are leaving their practices . Have I mentioned Lawyers and their impact on health care cost? Needless to say my retirement came at a good time, but I worry because I am now a consumer and that's scary.
 
Primary Care Physicians usually sign a contract with insurance plans to be reimbursed at a certain level, but a part of that is withheld unless certain parameters are met, such as vaccination status, control of chronic medical disorders etc. Some might consider that an incentive to perform the tests and procedures to attain the goal in order to receive their withheld funds. Bottom line is that the pharmaceutical industry along with insurance companies are what is driving the health care ship to its disastrous condition at this juncture. Business types have taken over Medicine and the practioners are now just considered as necessary evils by those in charge. It's no wonder the older and seasoned physicians are leaving their practices . Have I mentioned Lawyers and their impact on health care cost? Needless to say my retirement came at a good time, but I worry because I am now a consumer and that's scary.
What "frosts my pumpkin" (as my PawPaw used to say) is that people think insurance companies and physicians/providers are in the same business.

Insurance companies, as I'm sure you know, are cost/risk management professionals, "bean counters," and are terrible at assessing and addressing the needs of individual patients.

There's nothing wrong with the cost/risk management as a business, but it's not healthcare, not patient oriented, and not giving patients outcomes that match the massive amount spent on healthcare in America.

If you've read the fellow I'm responding to, he's citing RFK,Jr, Joe Rogan, and Dana White as "backup" for his position. This is where we are in America. People are listening to everyone except people who are healthcare professionals. I don't ask RFK, Jr, Rogan, or White for advice on my car, my home repair, etc.... but sure..... healthcare, that they know, 🙄

More to the point, I'm extremely aware of contracts and parameters and why an insurer has a financial interest in vaccinations, routine exams, chronic condition maintenance, etc. I'm also very aware that it's not a "conspiracy" for insurance companies to have contracts that compensate physicians for those things.

As for the mess, situations like large entities like CVS beginning to usurp a pharmacy benefit manager like Caremark then an insurer like Aetna is very sketchy for me. An insurer like Aetna needs a PBM like Caremark to work in its interest in negotiating with pharmacies like CVS to keep drug costs lower. When they are the same company, what could possibly go wrong for providers and consumers?

I don't have to tell you the battle is, at this point, lost for providers and consumers. As we see alternatives appear like "cash only" practices, "Direct to Consumer" health groups, etc the quality of care can only recede even further because the funding for specialized care won't be there with those models. I don't see a successful healthcare model, sadly, that appeals to my intensely capitalist mindset. It quickly dissolves into politics and "what healthcare is and means to a country" as a meta question.

I'm retired too. I'll chase grandkids, not windmills.
 
Was asked if Bru will still get the money from his NIL deals... I have no idea about this. Any of y'all know anything about it?
 
Anyone aware of a NIL shirt or something like that we can purchase to support this kid. I know Hyatt had the 5 TDs but Bama would not have happened without his huge catch at the end.
Maybe a local brew house could do a thing... maybe on game days... "Have a brew for Bru". Could make tshirts as well. I think it's a great idea... no clue how it would come to be.
 
I'm familiar and some close friends in the Mobile, AL were very satisfied with that type of arrangement until the need for specialists proved quite expensive.

For instance, the injury Bru just sustained will not be successfully covered via that situation unless an orthopedic surgeon is involved, which they generally aren't. Getting the MRI done, the OR booked, the surgeon and surgery team booked, etc will not be cheap.

If you're going to pay $100/month + a catastrophic, high deductible premium also, I'm unsure you're going to save too much money.

And before you say Bru's injury is a sports injury, I've seen the post-op x-rays of a similar break to Bru's, including plenty of screws and a plate or two, from a person getting pulled off a curb while walking a large dog.

I like alternatives to "normal insurance" but if you lead an active life or your kids lead an active life, it's a risk-benefit dance and the older you get, the riskier a cardiac or vascular event becomes.
That’s where plans like Medi-Share or something similar come in handy (essentially a community health plan you pay into and money is distributed where needed)
 
What "frosts my pumpkin" (as my PawPaw used to say) is that people think insurance companies and physicians/providers are in the same business.

Insurance companies, as I'm sure you know, are cost/risk management professionals, "bean counters," and are terrible at assessing and addressing the needs of individual patients.

There's nothing wrong with the cost/risk management as a business, but it's not healthcare, not patient oriented, and not giving patients outcomes that match the massive amount spent on healthcare in America.

If you've read the fellow I'm responding to, he's citing RFK,Jr, Joe Rogan, and Dana White as "backup" for his position. This is where we are in America. People are listening to everyone except people who are healthcare professionals. I don't ask RFK, Jr, Rogan, or White for advice on my car, my home repair, etc.... but sure..... healthcare, that they know, 🙄

More to the point, I'm extremely aware of contracts and parameters and why an insurer has a financial interest in vaccinations, routine exams, chronic condition maintenance, etc. I'm also very aware that it's not a "conspiracy" for insurance companies to have contracts that compensate physicians for those things.

As for the mess, situations like large entities like CVS beginning to usurp a pharmacy benefit manager like Caremark then an insurer like Aetna is very sketchy for me. An insurer like Aetna needs a PBM like Caremark to work in its interest in negotiating with pharmacies like CVS to keep drug costs lower. When they are the same company, what could possibly go wrong for providers and consumers?

I don't have to tell you the battle is, at this point, lost for providers and consumers. As we see alternatives appear like "cash only" practices, "Direct to Consumer" health groups, etc the quality of care can only recede even further because the funding for specialized care won't be there with those models. I don't see a successful healthcare model, sadly, that appeals to my intensely capitalist mindset. It quickly dissolves into politics and "what healthcare is and means to a country" as a meta question.

I'm retired too. I'll chase grandkids, not windmills.
Just read the 1st chapter of The Resl Anthony Fauci. Just one little very well documented Chapter. Much iof the data used comes straight from CDC.

The pharmaceutical industry is more about profit than health and Fauci drove the model.
 
That’s where plans like Medi-Share or something similar come in handy (essentially a community health plan you pay into and money is distributed where needed)
I looked into Medi-Share when I started my business. Contacted a friend who I knew was on the plan. It went under and left them high and dry.

I don't know how it works since they still advertise but i moved on. Maybe by state?

Man I miss the old days of insurance.
 
This book is extremely well documented. Facts are facts. He gives a QR code for anyone to provide feedback and contest his findings. The data is compelling.

What finding in the book do you disagree with?
Ignore him. He is our resident looney from the political forum
 
I looked into Medi-Share when I started my business. Contacted a friend who I knew was on the plan. It went under and left them high and dry.

I don't know how it works since they still advertise but i moved on. Maybe by state?

Man I miss the old days of insurance.
Insurance does not have anyone’s best interests at heart except insurance company CEOs
 
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I don't know why no one is talking about Jack Jancek as Bru's replacement. Every year this guy balls out during the spring game and he has shown more at WR than anyone else on the roster, Thorton included. If we play Jack I wouldn't be surprised to see him produce ever more than Bru did. Bru is probably the better blocker, but Jack has show a TON as a receiver in the spring games. It's mind boggling that we have a weapon like that just sitting on the bench.
 
No one can really replace Bru as a quality receiver and incredible blocker. Jancek may get a chance. Heck Walker Merrill was much better than Thornton. Thornton needs a redshirt year to adjust to SEC football. Anyway Bru McCoy set a standard for physical wide receivers that we may not see again. Wishing him a complete recovery.
 
No one can really replace Bru as a quality receiver and incredible blocker. Jancek may get a chance. Heck Walker Merrill was much better than Thornton. Thornton needs a redshirt year to adjust to SEC football. Anyway Bru McCoy set a standard for physical wide receivers that we may not see again. Wishing him a complete recovery.
He reminded me of Juan Jennings but Jennings had a little more dog in him. That could be good or bad.
 
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