Mark: ever thought of expanding CostPlus to provide health insurance? There are good models out there, like SCAN health and others.
10.12.2025 17:28
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Mark: ever thought of expanding CostPlus to provide health insurance? There are good models out there, like SCAN health and others.
Private/Commercial insurance companies now cover a majority of Medicare and Medicaid beneficiaries is most markets. It’s the most significant shift in health care. Major stressor.
@mcuban.bsky.social: any interest in expanding your success with Cost Plus Drugs into Cost Plus Medigap Insurance? The market is ripe for disruption.
The problem with that plan is that Medicare Advantage and MediGap costs are soaring too.
3 patients this week have shared that they are giving up health insurance in January due to skyrocketing premiums. One 62 yo (with no serious illnesses) said that the cheapest she could find was $1800/month. Her plan: roll the dice without insurance until she's Medicare eligible.
📰 @nytimes.com celebrates life & work Dr Bartlett: Robert H Bartlett, father of innovative life-support system, dies at 86. He developed extracorporeal membrane oxygenation, or #ECMO, a treatment that can sustain patients whose hearts and lungs are failing, for days, weeks or longer
🖇️ bit.ly/4qKFt3b
Same in our home state of Michigan. 25% of Michigan residents are enrolled in Medicare; in rural communities it's as high as 40 - 45%. Every $1 of Medicaid spending in rural communities generates $3 - $4 of economic activity from keeping people at work, and providing good paying health care jobs.
This point needs to be made far and wide, and outside the scientific media.
NIH cuts = financial ruin not just for Universities, but for everyone.
Michigan Medicine is opening the new Ypsilanti Health Center in downtown Ypsilanti on June 2nd, and the hall is packed with people excited for today's ribbon cutting.
This project enhances health care access, improves services for mental health care, and brings more jobs and activity to downtown.
Kudos to our UM Family Medicine team, lead by Katy Gold and Greg Shumer, for ongoing evaluation of our primary care transformation. Nuanced insights to help us understand how our patients want to receive care from our physician-led teams. @umichmedicalschool.bsky.social @um-ihpi.bsky.social
Medicaid covers 168,000 seniors in Michigan.
Michigan nursing homes receive >$3 billion in Medicaid funding.
Cuts to Medicaid? Wrong for Michigan seniors. #nomedicaidcuts #momsky
This is a true breakthrough, particularly for the thousands of people who do not currently receive traditional cervical cancer screening (i.e. 'pap smear') due to mobility limitations, lack of transportation, prior medical and/or sexual trauma, geographic remoteness, or preference.
US FDA approves first at-home test for cervical cancer screening reut.rs/3GZu50G
The other relevant pull quote: "if a coach like Tomlin, who is known for reaching problematic players, couldn’t get through to Pickens in three years, he was never going to.".
Good luck, Cowboys!
NIH guts its first and largest study centered on women | Science
We should all mourn the loss of our best source of health data for more than half of Americans.
Question: the WHI budget is under $10M/year. Opportunity for philanthropy to step in, even in the short run? Donors out there?
www.annfammed.org/content/23/2...
#PrimaryCare patients prefer their PCP for routine & chronic care, willing to wait weeks—except for urgent issues (only 7.2% would wait) As health systems prioritize speed over continuity, this study suggests patient preferences favor trust over convenience #FMsky
Insightful work by our team at University of Michigan Family Medicine, quantifying the value of trust over transaction. Relationships matter, and we intend to demonstrate it in as many ways as we can.
In Michigan -
NIH FUNDING:
$991 M
JOBS SUPPORTED:
11,965
ECONOMIC ACTIVITY SUPPORTED:
$2.42B
www.unitedformedicalresearch.org/nih-in-your-...
📢 Our latest Michigan Collaborative for Type 2 Diabetes Annual Report is here! 🎉 Kudos to our incredible design team who crafted our data into a compelling, visually engaging story. 🙌
Full report here: mct2d-annual-report-2024.shorthandstories.com/2024-mct2d-a...
#medsky #T2D #CQI #quality
Study after study shows we're behind in growing #PrimaryCare. It's honestly really simple: pay people specifically to become PCPs and then pay practicing PCPs better.
"US Primary Care Workforce Growth: A Decade of Limited Progress, and Projected Needs Through 2040"
link.springer.com/article/10.1...
This original research study highlights patients who saw their own family physician for after-hours care were 10% less likely to visit the ER within a week, suggesting that continuity of care may improve outcomes, reduce ER visits & lower health care costs.
www.annfammed.org/content/22/6...
Two absolutely stunning performances this weekend! Technical brilliance, profound artistry, and deeply moving experiences. We are so blessed and grateful to have the best orchestra in the world visit us again in Ann Arbor, and we're already looking forward to your return!
Keeping it simple—acute subungual hematoma. Immediate magic, in the office.
Thank you, subscribed!
Day 1 on Bluesky for me!
Hoping to find some of my family medicine and palliative care friends and colleagues here.
We have so much more great work to do, together.