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Collectives are Cracking

9oh4Cane said:
No win situation? Would anyone even know who Ruiz is or any of his companies/brands without mouthing off on social media? He’s become one of the most notorious people in one of the biggest forms of entertainment in the county
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Regarding “picking fights”, as mentioned in the post I responded to.
 
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JD08 said:
It's not just due to that, but it helps. Medicare is moving its reimbursement model from fee for service to fee for value. That means smaller players are more impacted than larger ones just by the volume of patients. Another factor is the move to outpatient. A lot of smaller hospitals didn't have the infrastructure for that or had to compete against established players. The push for electronic health records has raised IT costs for a lot of systems. They end up having to align with a big player and piggyback (eventually merging) or suffer with a scaled down version of software and limited access to things like reporting.

I don't really see it as a malicious intent of the ACA, but it's a byproduct that has smaller systems joining larger nonprofits. In Florida, 2 or 3 joined Cleveland Clinic, and at least one joined Baptist. I know HCA or Tenet picked up some too. One of the systems that joined Cleveland used to have a policy that if you were a member of the community, you'd get full treatment regardless of cost. A person living in poverty who got cancer would get the same treatment as a millionaire and the bill would be covered by charitable donations.
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JD08 said:
Up until 2010 or so, Shriner's Hospital didn't even bill insurance because they wanted complete control over treatment. The biggest disaster since ACA has been the demise of the community nonprofit hospital. Fortunately, ones like St Jude and Shriners have been able to stay independent.
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It has sadly just become unaffordable. We'll see more and more consolidation in coming years just to survive. I predict eventually US healthcare will become Ford vs Chevy vs Toyota type of landscape.
 
Empirical Cane said:
It has sadly just become unaffordable. We'll see more and more consolidation in coming years just to survive. I predict eventually US healthcare will become Ford vs Chevy vs Toyota type of landscape.
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It's a shame, because the model that gave great care to so many is going to end up far too corporate.
 
JD08 said:
It's a shame, because the model that gave great care to so many is going to end up far too corporate.
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I think there will be a role for the world class centers....CHOP, Memphis Childrens, maybe Shriners.

That's it. Everything else that budgetbhas to balance eventually.

As a tangent, I think the ACO model is in the right direction, but how do you hold the facility responsible when the patient refuses to take ownership for their own choices???

Brave new world coming....
 
Empirical Cane said:
I think there will be a role for the world class centers....CHOP, Memphis Childrens, maybe Shriners.

That's it. Everything else that budgetbhas to balance eventually.

As a tangent, I think the ACO model is in the right direction, but how do you hold the facility responsible when the patient refuses to take ownership for their own choices???

Brave new world coming....
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One place I was at had a chronic disease pilot program. They had ~80 patients who came in monthly for basic lab work and med review. Being a community nonprofit, it was funded by the hospital at no cost to the patient. The outcomes improved for almost everyone who made the effort to take part. The ones that skipped months or dropped and came back, not so much. What it showed was by not having the patient go to a separate lab for a blood draw, then off to the pharmacy for refills made them a bit more likely to do what they needed to for their health.
 
JD08 said:
One place I was at had a chronic disease pilot program. They had ~80 patients who came in monthly for basic lab work and med review. Being a community nonprofit, it was funded by the hospital at no cost to the patient. The outcomes improved for almost everyone who made the effort to take part. The ones that skipped months or dropped and came back, not so much. What it showed was by not having the patient go to a separate lab for a blood draw, then off to the pharmacy for refills made them a bit more likely to do what they needed to for their health.
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The sad reality is that a large proportion of the patient population is not interested or motivated to do what’s needed for their health. If a medical treatment takes more than simply popping a pill, they’re not going to do it.
 
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JD08 said:
One place I was at had a chronic disease pilot program. They had ~80 patients who came in monthly for basic lab work and med review. Being a community nonprofit, it was funded by the hospital at no cost to the patient. The outcomes improved for almost everyone who made the effort to take part. The ones that skipped months or dropped and came back, not so much. What it showed was by not having the patient go to a separate lab for a blood draw, then off to the pharmacy for refills made them a bit more likely to do what they needed to for their health.
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Must herd the sheep. 100%.

Used to get so frustrated at beneficiaries who would get Diabetes meds, leave clinic, drive through at Krispy Kreme...

🙅‍♂️🤷‍♂️🤦
 
I long for the day this headline is flashed across the news landscape, "MSPR on behalf of players, wins massive lawsuit against Gaytor collective."
 
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SFbayCane said:
I continue to believe this all ends with Google, Microsoft, Apple, and the rest of the globohomo megacorps becoming the sponsors of college football programs.
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I said the same thing 3 years in a long write up about how UM should take a few large market schools, go to the AAC and get full sponsorship from a tech giant with its own streaming platform. Some people still had to use youtubeTV, Hulu, etc to watch games because the ACC sucks so bad. It’s crazy.

Get a mega deal with Google or Apple and do something revolutionary; We need to disrupt everything.
 
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Empirical Cane said:
It has sadly just become unaffordable. We'll see more and more consolidation in coming years just to survive. I predict eventually US healthcare will become Ford vs Chevy vs Toyota type of landscape.
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What is going to be telling is the next 2 years. The administration absolutely does not want more consolidation. My former employer did a number of deals since 2015. The last one before I left was the first time everyone was anxious about getting flagged for anti-trust. Now that we are done with the covid payments from both governments and insurers, every hospital's margins are getting squeezed, regardless of size, but the smaller ones are really feeling it. At some point the administration is going to have to decide what is worse - consolidation in a market or a healthcare desert from an acute care hospital perspective. It is also why you see a lot of hospital systems moving into outpatient, home health, and urgent care.
 
AtlAtty said:
Some of you still don’t understand Ruiz.
First, he is very smart and has hired former NCAA compliance people to make sure everything he does with NIL is untouchable. that alone gives him a green light to say what he wants because he can back it up.

Second, he has an end game well beyond NIL. Part one of the end game is his sports agency. You don’t think players with whom he has NIL deals will have interest in working with him in the NFL, at least in terms of their marketing which has no cap on the percentage the agent can charge the player unlike contract negotiations which have a 4% cap (or close to this)?

Third, as he becomes more and more ensconced (Seinfeld term) in the UM program and culture, he strengthens his arguments for an on-site football stadium. This guy has a plan on top of a plan on top of a plan. The last thing any UM fan should worry about is whether Ruiz is doing it right.
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THIS x10000000.

I really think some of the lingering opinions around here about Ruiz are based upon two things.

A) Some of us have Shapiro based PTSD and are conflating that era of NCAA rules and that clown tossing around laughably small amounts of cash with the current era of CFB and Ruiz's real wealth.

B) Some of us are just stubborn and for some reason want our initial opinions about Ruiz to be validated so we can score "I told you so!" points here- even though we're now in year TWO of the guy substantially helping the athletics department across the board. How many of you predicted that at best it was one year "attention grab" for the guy?

Bottom line- Ruiz isn't acting as some rogue operator here as UM and an inept AD and administration just shrug their shoulders and want to live in the moment. Disirregardless of our actual oversight too, anybody remotely coherent can clearly see that even in this "wild west" of a NIL landscape that the collective model of doing business on this front is pretty much the ONE way to get in trouble, f*ck kids, and get the school in trouble. It's like in even the most unregulated of settings that these clowns chose to go down the path of the one model that doesn't jive with the minimal regulations.

As far as you guys worried about Ruiz poking some "powerful" bear, I REALLY hope it's not someone involved with the Gator Collective because that would be as soft-shouldered as some of you that incessantly slurp Sabag or probably ordered Colorado jerseys as Christmas gifts for your kids this year.
 
wspcane said:
What is going to be telling is the next 2 years. The administration absolutely does not want more consolidation. My former employer did a number of deals since 2015. The last one before I left was the first time everyone was anxious about getting flagged for anti-trust. Now that we are done with the covid payments from both governments and insurers, every hospital's margins are getting squeezed, regardless of size, but the smaller ones are really feeling it. At some point the administration is going to have to decide what is worse - consolidation in a market or a healthcare desert from an acute care hospital perspective. It is also why you see a lot of hospital systems moving into outpatient, home health, and urgent care.
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Very astute. You know your bidness...

@JD08 is also very plugged in...
 
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