mwerd

7 ms·

1.
by mwerd 2y ago
second this. if you stay out of leadership I think it's a lot easier to have a healthy relationship with work. you set your boundaries and stick to them. highly improbable anyone will know any different.
2.
by mwerd 2y ago
I quit a high pay/low cost of living job to move to a high pay high cost of living job when I was young. The skills, connections, experience I got were great but eventually it was clear I wasn't on a path for long term happiness i
3.
by mwerd 2y ago
It doesn't really matter how you do it as much as how you talk about it. Like most aspects of a healthy relationship, communication is key. State law is really important if the relationship fails and you need to split commingled assets
4.
by mwerd 3y ago
I spent a week touring Rome and didn't see a single public bathroom. Every society makes its choices and some of those seem weird when you look on the other side of the fence. The US is unique, sure, but so are other countries.
5.
by mwerd 3y ago
beautiful. congratulations on this, it's really wonderful.
6.
by mwerd 3y ago
That's a point of view that would change quickly if you were in one of those management positions. You get to a point where it's impossible to do the work anymore. There's too much of it. You have to develop teams, processes,
7.
by mwerd 3y ago
Nuanced but important distinction: these are ICD-10 diagnosis codes. They are only loosely related to what is billed and would not show up in the pricing data referenced by the OP.
8.
by mwerd 3y ago
There are resources such as https://collegecost.ed.gov/net-price to help with the information. College prices are about as real as hospital prices. Sure, some outliers literally pay that much, but the vast majority receive
9.
by mwerd 3y ago
You have to look at net price not sticker price. faulty analysis. better data here https://usafacts.org/articles/college-tuition-has-increased-...
10.
by mwerd 3y ago
Let's hope the single payer isn't Medicare then, because you would have a lot fewer hospitals. Here's the money quote straight from the horse's mouth "In 2021, Medicare’s payments to hospitals continued to be below
11.
by mwerd 4y ago
Yes. Unemployment below natural level and inflation still high single digits. They will raise rates. They have no choice. It's literally their dual mandate to do it.
12.
by mwerd 4y ago
Let's hope not, that would be a disaster. Inflation is far more pernicious than regional bank instability. The fed is acting appropriately in response to a spendthrift Congress, and in the process, stressing the system. There's no
13.
by mwerd 4y ago
citations needed. China and other manufacturing behemoths are producing dramatically more than they were before the pandemic and we are importing and buying all of those foreign goods. https://fred.stlouisfed.org/graph/
14.
by mwerd 4y ago
Don’t doxx yourself but can you link to an example, public case? One you weren’t involved in maybe?
15.
by mwerd 4y ago
I would point to a few key reasons for the complexity. 1) Value based care - It used to be simpler with a model called fee for service. Get paid for what you provide. Insurers, Medicare in particular, aggressively drove the industry away fr
16.
by mwerd 4y ago
Agreed. Insurance, Medicare in particular, is the root of these issues, from my biased insider's perspective. Doctors don't want to deal with insurance any more than consumers do...
17.
by mwerd 4y ago
Well in the u.s. the decision about severity has to be supported by medical documentation from a licensed provider. That medical documentation has to be converted to billing codes and put on a Medicare designed claim form. Payers, primarily
18.
by mwerd 4y ago
Sure, that makes sense. We should also acknowledge that it costs money to deliver and we live in a resource constrained world.
19.
by mwerd 4y ago
I wouldn't say a surgery could be considered routine until it's complete. That's hindsight bias. Most hospitals can provide an estimate for these types of surgeries now, it's built into Epic, the most common electronic m
20.
by mwerd 4y ago
I can't imagine the stress of having a loved one, especially a child, in a life threatening state. Adding byzantine medical documentation, coding, billing, and collections on top is certainly insult to injury. As a patient and consumer
21.
by mwerd 4y ago
Israel, where NSO group is headquartered, surely.
22.
by mwerd 4y ago
Paid a hell of a premium for the pleasure
23.
by mwerd 4y ago
Must be fairly recent then...cause 10 years ago it was poor quality care by untrained staff. https://www.mhtf.org/2017/06/23/quality-of-routine-labor-and...
24.
by mwerd 5y ago
No, the question was what in crypto isn't a scam. Whitelisted counterparties borrowing and lending to each other without having to trust a third party to intermediate, such as fedwire, swift, or dtcc, is clearly not a scam. It's a
25.
by mwerd 5y ago
How about AAVE and their Arc product specifically? https://www.fireblocks.com/blog/permissioned-defi-goes-live-... You've got a fully compliant (in terms of anti money laundering), whitelisted counterparties only,
26.
by mwerd 5y ago
theres still billions in fraud, waste, and abuse. I don't think the increased documentatiom addressed the problem you describe and created many new problems of its own.
27.
by mwerd 5y ago
Snooze. What is charged in healthcare is a distraction. This is likely a supply that would be used in an inpatient setting and will be completely written off as a "contractual discount and allowance" after the insurer pays the neg
28.
by mwerd 5y ago
Get rid of onerous documentation requirements. There - you cut 10%-20% of hospital administration costs, and you haven't changed how much doctors are being paid per hour, but you have increased their productivity, so they can see more
29.
by mwerd 5y ago
Authors point about trustless commitments, ignoring the semantic arguments posed in the comments, is important. Not mentioned but I would argue as equally or of greater importance is interoperability. If you lose trust in the commitment you
30.
by mwerd 5y ago
Not my area of expertise but I would bet that would get you a substantial fine from Medicare for misrepresenting your cost of care, or at least be prevented by Medicare cost reporting https://www.cms.gov/Research-Statistics-

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