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The Chosen One’s demand to drop interest rates

Anecdotally, my wife works on an ortho floor at a downtown hospital. Their docs are world renowned. They won't take insurance. Straight up pay as you go, cash. They have billionaires, former Presidents, royalty, etc. flying in from all over the world to have their procedures done by these guys. I'm guessing they set their own prices.
FWIW, several Canadian provinces have sought to prohibit private contracted medical services. The efforts have run into problems in their courts.

But the fact that they’ve even sought to do this is very instructive.

https://nationalpost.com/news/canad...-no-other-universal-system-bans-it-like-we-do
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OT High School BBall Thread

IU North, I Saw a great game last night at Chesterton. Crown Point 50, Chesterton 49.
That score surprised me. Chesterton has a really good ring player though, did he play well? 6-4 shooter, very active. Chesterton is a great overall program. Kind of like Penn beating St Joe last night. Those types of teams are ALWAYS dangerous because the program itself is so deep and solid. Even when they’re “down”.

I still think CP is state title level this year.

That Smith kid for Purdue…

And Zach Edey averaging 9 & 7 on 60% shooting in 20 mpg as a rookie will be an NBA bust.
I recall very clearly that it was posted here that Edey "...has no future in the NBA." and that once he was gone Smith's numbers would decline. Plus, Purdue would regress to a mid-level B1G team. None of those has proven to be true.

Pete Hegseth Secretary of Defense

You know Duffy and his wife were on "Real World" (different seasons) back in the day, right?

Wife was the Mex-American chick from PHX that hooked up with Puck once in San Fran season.

I think Duffy was Boston real world? 😄

I'll have to go back and check. The 90's ruled so hard. 😄👍
Never heard that on Fox Weekend! lol
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The Chosen One’s demand to drop interest rates

No. You continually stop short.

@Spartans9312 asked in the thread, how is fertilizer priced to farmers? How?

Well, buyers and sellers are constantly interacting with each other in pursuing the best way to satisfy their needs/wants - which the other can provide. The seller is interested in getting the highest price for their supply, as their need is profit. The buyer is interested in paying the lowest price to satisfy their needs/wants.

All buyers and sellers have options - alternative ways to allocate their finite resources to best serve their needs/wants. The options may exist within the same marketplace, or they may exist elsewhere.

The equilibrium price is where buyers and sellers are agreeing to make the trade, given these alternatives.

Numerous external forces constantly impact where this will be. Scarcity of supply, things like taxes and subsidies, product advancements and substitutes, inflation/deflation, consumer tastes, adjacent market conditions, weather, extraordinary events (like wildfires in CA causing rents to spike).

Price signals also affect activity among buyers and sellers. Higher prices encourage additional supply, but may temper demand (depending on elasticities). Lower prices encourage more demand, but may temper supply - as suppliers may find other allocations of their resources more gainful.

All of these factors are highly dynamic and are, to one degree or another, sympathetic with each other.

That’s prices, in a nutshell.
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Pete Hegseth Secretary of Defense

Lines her up sideways now
You know Duffy and his wife were on "Real World" (different seasons) back in the day, right?

Wife was the Mex-American chick from PHX that hooked up with Puck once in San Fran season.

I think Duffy was Boston real world? 😄

I'll have to go back and check. The 90's ruled so hard. 😄👍

College football valuations

Related to this general topic.........I saw the results of a study by a guy named Tony Altimore being referred to on an OSU site. He estimated the # of fans for each power 5 (at that time) league. The study dated to '22. What was of interest to OSU fans was that OSU was listed as having the most fans of any program nation-wide, and by a lot. Here were the top 16:

--OSU 11.26M; ND 8.21M; TX 7.82M; PSU 6.36M; Mich 6.26M; Florida 5.89M; ORE 5.54M; Bama 5.34M; Wisconsin 4.57M; USC 4.46M; LSU 4.02; Georgia 3.99M; A&M 3.87M; Syracuse 3.34M; Auburn 3.27M; TN 3.27M.

These results were frequently cited on the internet, and I tried to find the actual study to read it, but never could. Nor could I find much as to how he came up with his #s. Obviously, the # for Syracuse seems rather odd, but otherwise I thought it might be generally valid. The guy is apparently well thought of....... Anyway, I looked and looked for the rest of the BT #s, and eventually found them. They were not pretty for IU:

--MSU 3.1; NEB 2.6; Iowa 2.4; UCLA 2.3; MD 1.9; Illinois 1.4; MN 1.3; Rutgers 1.2; Purdue 1.0; NW .8; IU .6.

Now, this was 2 years ago, so much has changed. But one thing is clear......how much Cig has had and will have to overcome.
Note than when you look at fanbase numbers, it’s pretty easy to see why several of these teams are at the top of the list:
1. State population
2.Competing universities within the state.

A large number of non-alums living in a state or growing up in a particular state are fans of the university because it is the only major university in the state. Ohio State is a perfect example. The entire state throws its support behind the school. Yes, there is the University of Cincinnati but they mainly get alum and localized support. Penn State is largely in the same boat with Pitt being the only other player getting largely local support. Wisconsin? There is no in-state competition.

The Chosen One’s demand to drop interest rates

But again, you are assuming a reimbursement schedule dictates pricing. I’m arguing there is a distinction between reimbursement (net payments by CMS) and pricing (gross billings by a provider).

Medicare and Medicaid are often the lowest payor. Third party insurance (commercial) tends to reimburse providers at higher rates, which is part of the reason they are preferred. Either way, providers are not simply going to submit pricing at reimbursement levels. It’s set materially higher so that it ensures procedures receive maximum reimbursement based on payor.

In other words, if a CPT code on CMS rate schedule is 5,000, but UHG reimburses 7,500, the provider needs to bill that to both at 10,000 and will know their expected net payment (reimbursement). Why? Because another payor could be over 7,500 and/or consumer co-pays could allow for a reimbursement above UHG’s rate.
Anecdotally, my wife works on an ortho floor at a downtown hospital. Their docs are world renowned. They won't take insurance. Straight up pay as you go, cash. They have billionaires, former Presidents, royalty, etc. flying in from all over the world to have their procedures done by these guys. I'm guessing they set their own prices.

Jan 20 2025 price of gas


Read where one of the 10 active locations are.

Here's a hint... Auburn, Indiana
Now it becomes clear…

The Chosen One’s demand to drop interest rates

I address this above. Look at the charts. The reimbursement rates for private are based on public. And year over year the problem is getting worse. That's because private reimbursements are increasing at an increasing rate relative to public.

There is no argument against that. Look at the chart. Read the raw data.
How you drill down on the pricing is left to smart people like you and JDB but he’s exactly right on how that price is set. No one is billing less that best reimbursement.

It’s why we should eliminate these third parties except for high ticket items….like hospital stays and surgeries and the like. The overall cost to the consumer will plummet

College football valuations

Interesting. OSU has always had an ideal position to create a big fanbase. First off, they're in a 2M population city with no NFL team right in the middle of a pretty big state, which is perfect for them. They're also the only CFB team (no rival, sorry UC) in their state, which is rare, allowing them to pull in a ton of fans from Cleveland and Cincy (those are NFL cities, but bad franchises) and the other smaller, but still decent sized places like Dayton, Akron, Toledo, etc.

Us? That number looks right honestly. We've got our alumni base and Bloomington locals. That's about it. We've just got to play the cards we've got. Step One is getting our alumni and locals engaged, which the AD and Cig made a lot of progress on last year. I don't sense much CFB allegiance in Indy, I think IU could make some inroads there, especially with the Colts struggling. Maybe we can get our non-alumni bball fans interested too, I don't know, I don't totally understand the mindset of that group when it comes to non-bball sports.

Fortunately, fanbase size is just part of it of what it takes to be good. Big picture our athletic dept revenue is around #30 right now and I bet our FB NIL is similar. If we can get those numbers to top-20, which I think we can do, we'll have the resources to be a sustainable, good football program. It's tough though, our competition is pushing hard to get bigger and better as well.
Tell me you don’t know anything about football in Ohio without telling me. OSU has always had a large fanbase. They didn’t just create it. It’s grown from generations. Football is truly a religion in Ohio. OSU’s popularity has NOTHING to do with the play of the Browns or Bungles. Your Colts wish they had a fanbase as loyal as the Browns!! As for Cincinnati? OSU isn’t as popular there as you’d think. I’d guess maybe 40%. My point is they support both. My Dad is a longtime Browns season ticket holder (4 seats) 2 hour drive and our entire family has always fought who goes with my parents. There’s nothing like tailgating in the Muni lot!! The Colts argument is one I’ve just never comprehended. If you’re a IU fan and a Colts, why can’t you be a fan of both? Bars/restaurants should be ecstatic if both are successful. I know they are packed in Columbus both Saturday and Sunday’s.

Columbus is home to Cardinal Health, Nationwide, JP Morgan and Huntington Bank just to name a few. (Yes, I work for one of them) With the addition of Intel in a few years, the area which is already seen significant growth will close to double as what it was 20 years ago. OSU as a university not just the football program has benefited. Intel is significant with number of high paying and sought after jobs and pledges that they have already made with OSU.

The Chosen One’s demand to drop interest rates

But again, you are assuming a reimbursement schedule dictates pricing. I’m arguing there is a distinction between reimbursement (net payments by CMS) and pricing (gross billings by a provider).

Medicare and Medicaid are often the lowest payor. Third party insurance (commercial) tends to reimburse providers at higher rates, which is part of the reason they are preferred. Either way, providers are not simply going to submit pricing at reimbursement levels. It’s set materially higher so that it ensures procedures receive maximum reimbursement based on payor.

In other words, if a CPT code on CMS rate schedule is 5,000, but UHG reimburses 7,500, the provider needs to bill that to both at 10,000 and will know their expected net payment (reimbursement). Why? Because another payor could be over 7,500 and/or consumer co-pays could allow for a reimbursement above UHG’s rate.
This is how pricing occurs…it is set by the highest reimbursement rate
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Trump fires 17 independent inspectors general

I haven’t been happier in a long time. Mostly because I haven’t been this hopeful in a while. Liberal tears, such as yours, only add to my enjoyment. Great times we live in. Enjoy the losing!
See, dbm? Here’s a guy who has almost overcome his BDS with repeated red meat injections from his Daddy.
Happy days are ahead for you. Just keep taking it all in.
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Chris Collins

Have you ever driven north from Northwestern up Sheridan Road? There’s no ride like in all of Indiana, let alone Bloomington.
I suppose it depends what you like.

Not sure there’s much that compares to the beauty of southern Indiana in the fall when all the leaves are changing. If you’re turned on by punishing winters, access to crime ridden Chicago, high taxes, and overpriced real estate, then the North Shore for you.

Trump fires 17 independent inspectors general

You know that's not true (direct me to one of my far-left posts; pro tip - don't waste too much time looking because you won't find one) but you're another one who hates me because I'm anti-Trump, and "shit lib" is your favorite insult.

As an aside, why are you MAGAs seemingly still in a perpetual state of anger/rage. Breaking news: your guy won.
I haven’t been this happy about the direction of our country in a long time . Mostly because I haven’t been this hopeful. Liberal tears, such as yours, only add to my enjoyment. Great times we live in. Enjoy the losing!
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