Funny events in anti-woke world

[Phoenixmgs]

No, because they still spent the $800k on care. The rebates are a separate stream of revenue, not subject to 80/20. Like how if the same umbrella owns the insurer and PBM there's an incentive for the insurer to use that PBM and for the PBM to overcharge the insurer because the PBM isn't subject to 80/20.

The whole point in both cases is to have money that's actually profit but isn't on the 20 side of the 80/20 rule.

I understand that, but IF that's what they can do, their profits would be far larger.

 

[Silvanus]

I don't think that's how that works. If they got $1 million from premiums, $800,000 of it would have to go toward medical expenses. So if they got back $100 every time for Drug_X, that would still be part of their pool of money to spend on medical expenses. And if they were doing this, their profit margins would be freaking ridiculous. Also, why play the PBM game if they can just do that?

Why 'play the PBM game'? Because they have their own PBMs as well, scraping money from other insurance companies.

When you say "part of their pool of money for medical expenses"-- why? The 80/20 applies to money directly from premiums only, as far as I know. Add some extra steps, and its released from that obligation, like laundering.

I understand that, but IF that's what they can do, their profits would be far larger.

Let's see your maths on that.

 

[TheMysteriousGX]

Now that the online right picked up a "big" audience, they're trying to shift the grift



I get the feeling they're gearing up to fight GTA 6. Which, in fairness, will probably net them a fair amount of ad revenue if their audience doesn't abandon them

 

[XsjadoBlayde]

The supreme court and all these pentagon mules keep claiming the threat is from china always china relentlessly while the highest power made sure abortion rights were thrown to the evangelical fashwolves, the chevron doctrine torn up for corporations to get away with fuck knows how much more pollution, corruption and worker abuse/rights removal, concerned citizens were gaslit and sent state authorities to stamp out protests of ongoing genocide while firing news reporter's and actors who dared speak out too, slow walking court cases for trumps obvious crimes he all but publicly boasted about till after election, banning the few avenues of media they couldn't control narrative around the ongoing genocide they trying to censor.... Executed completely outside of the miniscule window allowed for voters democratic voice to be heard/drowned out, - actively against majority voter sentiment each time, how much of that was china? Kuntbugger none's the answer, the threat is those calcified bastards lingering atop the spire, the danger is from within as clearly as the last few years continues proving

Is probably some mix of capitalism and Palestine thread, couldn't decide so is here instead (ooh accidental rhymo!)

 

[The Rogue Wolf]

The supreme court and all these pentagon mules keep claiming the threat is from china always china relentlessly while the highest power made sure abortion rights were thrown to the evangelical fashwolves, the chevron doctrine torn up for corporations to get away with fuck knows how much more pollution, corruption and worker abuse/rights removal, concerned citizens were gaslit and sent state authorities to stamp out protests of ongoing genocide while firing news reporter's and actors who dared speak out too, slow walking court cases for trumps obvious crimes he all but publicly boasted about till after election, banning the few avenues of media they couldn't control narrative around the ongoing genocide they trying to censor.... Executed completely outside of the miniscule window allowed for voters democratic voice to be heard/drowned out, - actively against majority voter sentiment each time, how much of that was china? Kuntbugger none's the answer, the threat is those calcified bastards lingering atop the spire, the danger is from within as clearly as the last few years continues proving

Is probably some mix of capitalism and Palestine thread, couldn't decide so is here instead (ooh accidental rhymo!)

Nothing to see here, people. Your data will be safely in the hands of the government far more capable of "disappearing" you should you prove troublesome.

 

[Thaluikhain]

Nothing to see here, people. Your data will be safely in the hands of the government far more capable of "disappearing" you should you prove troublesome.

Well, excepting for all the people abandoning tiktok and jumping to another Chinese owned social media thingy. Which, ok.

 

[meiam]

So apparently if you try to log into tik tok now, it flat out mention that Trump will be rescuing the app. So Biden/dem just gave him that on a golden platter, even though he started the ban, he'll be able to come out as its savior, and net himself a tons of positive coverage for plenty of people who don't get news outside of tik tok.

Crazy how hard dem work at making sure the GOP become popular, always finding a new creative way to shoot themselves in the feet. Once Trump tariff start destroying the economy, it'll be truly impressive to see the dem find a way to make sure they don't capitalize from that.

 

[Phoenixmgs]

Why 'play the PBM game'? Because they have their own PBMs as well, scraping money from other insurance companies.

When you say "part of their pool of money for medical expenses"-- why? The 80/20 applies to money directly from premiums only, as far as I know. Add some extra steps, and its released from that obligation, like laundering.



Let's see your maths on that.

I don't know exactly how they can "play" with the money and funnel it around with accordance to that 80/20 rule. I don't know if getting rebate money back is free money essentially. I'm not sure if their owned PBM can then essentially pocket the rebate money when they use them and then it exists outside of the 80/20 landscape because it's in the PBM's pocket vs their own. I'd assume the latter is a legal workaround and the former isn't. Also, UnitedHealth Group (which includes their PBM btw) profit margin is only about 6%. If they can do all this stuff with the money, I'd expect the profit margin to be way higher.

If someone knows exactly how the money works in a simple example like ozempic is initially $1,000 and then there's a $700 rebate so in actuality it costs $300. What exactly can they do with that $700 in regards to the 80/20 rule? And if that money is completely uncoupled from the 80/20 rule and considered spent money for medical purposes, how is their profit only 6%? The logic isn't making sense if that money is completely "free" in a sense.

So apparently if you try to log into tik tok now, it flat out mention that Trump will be rescuing the app. So Biden/dem just gave him that on a golden platter, even though he started the ban, he'll be able to come out as its savior, and net himself a tons of positive coverage for plenty of people who don't get news outside of tik tok.

Crazy how hard dem work at making sure the GOP become popular, always finding a new creative way to shoot themselves in the feet. Once Trump tariff start destroying the economy, it'll be truly impressive to see the dem find a way to make sure they don't capitalize from that.

Neither party wants full control because then they would actually have to deliver on their promises. With the other party having enough power to block such things, the party can then use the Scooby Doo defense, "if it wasn't for those meddling kids..." Why do you think democrats say "we need a strong republican party"?

 

[tstorm823]

If someone knows exactly how the money works in a simple example like ozempic is initially $1,000 and then there's a $700 rebate so in actuality it costs $300. What exactly can they do with that $700 in regards to the 80/20 rule? And if that money is completely uncoupled from the 80/20 rule and considered spent money for medical purposes, how is their profit only 6%? The logic isn't making sense if that money is completely "free" in a sense.

The $700 is passed along in a full circle: the pbms and insurers pay the pharmacies who pay the distributors who pay the manufacturers who then rebate the money back to the pbms, a complete circuit where nobody makes anything. But the "higher cost" being paid means they make more money on "thin margins", (6% of 1000 is actually 20% of the actual 300) while also making it economically unviable to work around the insurance system.

 

[Cicada 5]

 

[The Rogue Wolf]

View attachment 12659

There are no facts anymore. I say a thing, and it must be true, because I am very loud and very angry.

 

[Agema]

There are no facts anymore. I say a thing, and it must be true, because I am very loud and very angry.

Reality is often difficult and annoying, and gets in the way of the nice, smooth progress of the world that exists in one's own mind. Reality is thus all too often rubbish.

Reality will eventually catch up with many erroneous beliefs, but thankfully that can take a very long time, and sometimes even when it occurs as long as it doesn't directly impose sufficient adverse consequences, belief may still be more attractive than reality.

 

[Hades]

Now that the online right picked up a "big" audience, they're trying to shift the grift



I get the feeling they're gearing up to fight GTA 6. Which, in fairness, will probably net them a fair amount of ad revenue if their audience doesn't abandon them

And once GTA 6 does well they’ll claim it’s always been anti Woke and that they’ve ALWAYS been rooting for it.

 

[Casual Shinji]

There are no facts anymore.

It's sad how fucking real this is now. Global brainwashing courtesy of twitter and facebook.

 

[BrawlMan]

Sony Bubble Burst

​

 

[Agema]

It's sad how fucking real this is now. Global brainwashing courtesy of twitter and facebook.

<shrugs> If it has particularly adverse consequences, society will eventually deal with it. Even if that has to be the new society, because the old one collapsed.

Freedoms are great, but freedoms require responsibilities. Freedoms exercised without sufficient responsibility will ultimately cease to be freedoms.

 

[Casual Shinji]

<shrugs> If it has particularly adverse consequences, society will eventually deal with it. Even if that has to be the new society, because the old one collapsed.

Freedoms are great, but freedoms require responsibilities. Freedoms exercised without sufficient responsibility will ultimately cease to be freedoms.

Well sure. The Earth will evenually deal with the adverse consequences of human society too once humanity is extinct. But I'm still gonna have to live through it and (in the case of the current American spite take-over of the globe) probably not live long enough to see things get better.

 

[Hades]

Starting today the USA is the funny event in anti woke world. For four years straight.

 

[BrawlMan]

Snoop Dogg Rumored To Perform At Crypto Ball 'In Honor Of Trump Inauguration'

Snoop Dogg is reportedly performing at the high-priced soiree, a celebration of Donald Trump's upcoming presidency.

www.blackenterprise.com

To anyone surprised by this, remember that whether Snoop Dogg likes orange is irrelevant in the face of its loyalty to green.

In case you're wondering what a crypto ball is, to keep in the spirit of things, I asked an AI

​

 

[TheMysteriousGX]

So does anybody buy this excuse? I mean, anybody who isn't already in shoulder deep