brian's avatar

brian

@briminey.bsky.social

106 followers 563 following 330 posts

thinking person appreciator

brian's avatar brian @briminey.bsky.social
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you are simply incorrect and being rude about it is some real twitter shit... www.investopedia.com/ask/answers/....

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brian's avatar brian @briminey.bsky.social
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I'm not trying to be argumentative but helping these smaller plans stay afloat is literally what I do for a living.

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brian's avatar brian @briminey.bsky.social
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This graph is premiums minus cost of claims. Admin expenses, taxes, etc. are not included. If they were this would not be labeled gross margins, it would be labeled net margins. Gross margins are revenue minus COGS, which is not at all the same as net.

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brian's avatar brian @briminey.bsky.social
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it literally says it

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brian's avatar brian @briminey.bsky.social
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And just to be clear, I am NOT sticking up for United... but the regional, smaller plans, that aren't eating independent practices alive, are working on the thinnest of margins.

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brian's avatar brian @briminey.bsky.social
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Most definitely do struggle to break even. Gross margins are not the same as net profits. Seniors/acute care recipients have extremely high administrative costs relative to the rest of the population. This graph, seemingly intentionally, lumps those costs in as though it's profit.

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brian's avatar brian @briminey.bsky.social
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coding based on what fee-for-service diagnoses look like within a given timeframe, which is fully controlled by providers and Medicare. It's not perfect, obviously, but these articles appear a few times a year to wind people up. Most MA plans struggle to break even.

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brian's avatar brian @briminey.bsky.social
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The article starts with a description of that, but then it describes a normal medical record review process and puts them on the same level, which they're not. There are protections in place for fraudulent coding (RADV audits) and CMS adds a normalization factor to account for overly aggressive 1/

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brian's avatar brian @briminey.bsky.social
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If I am an amputee and the wound is healed, I'm at a higher risk for vascular issues. There's no treatment for "amputee status" but my medical costs are predictably higher year over year.

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brian's avatar brian @briminey.bsky.social
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These articles are misguided for clicks. The model is risk-based, so if you have certain conditions your cost for care is higher. If you have a history of alcoholism it creates a risk and a likely higher cost of care. There's no medical treatment for a history of alcoholism.

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Reposted by brian

Hi, it’s Abby. Yep.'s avatar Hi, it’s Abby. Yep. @abbycohenwl.bsky.social
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Grimm Bro: I'm imagining a wolf stalking & eating a girl — Grimm Bro2: Write that down to read to children

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brian's avatar brian @briminey.bsky.social
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I did this for a few years until my family got all weird about it

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brian's avatar brian @briminey.bsky.social
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just fyi we may need some notes about how to become an american expat living in canada real soon

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brian's avatar brian @briminey.bsky.social
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My father believes this with all of his stent-filled heart

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Johnny Normality (Feral Mode)'s avatar Johnny Normality (Feral Mode) @probgobl.in
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Concierge: I trust that the room was to your liking. Me: It was fine, other than the... uh... **sotto voce** black crystal obelisk that melts bones. Black Crystal Obelisk that Melts Bones: **hums in tone that melts bones**

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brian's avatar brian @briminey.bsky.social
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lookin good sir lookin normal as hell

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brian's avatar brian @briminey.bsky.social
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Agreed, I have some Sennheiser monitors and the 600 and 660s2 have been sitting in my Amazon list for a bit. Haven't ventured into the open back market yet but it's always good to get feedback and opinions "in the wild" like this. Very much appreciated!

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brian's avatar brian @briminey.bsky.social
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I've been staring at some fiio products for a while now but haven't pulled the trigger... yet. What's your rec for headphones?

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brian's avatar brian @briminey.bsky.social
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Coopervision MyDay Daily are the only lenses that don't destroy me.

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brian's avatar brian @briminey.bsky.social
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Now if we can redo that graphic with Musk's salary included we might actually have something

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brian's avatar brian @briminey.bsky.social
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This got out of hand, initially when you said median and I said I didn't see anything about median I should have phrased differently. I thought perhaps there was something else being referred to. Then I thought I was getting piled on. Didn't intent to invoke any wrath or sound entitled. Apologies.

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brian's avatar brian @briminey.bsky.social
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Yes, because average=mean and middle=median and it's ok to be wrong even if you put an lmao at the end of it

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brian's avatar brian @briminey.bsky.social
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Agreed, but that-- the post says average, not median. It doesn't say what census.gov uses, it just uses the word average.

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brian's avatar brian @briminey.bsky.social
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So it definitely is not. Median is the center value across an array of values sorted smallest to largest. Average is the sum of all values divided by the number of values. Saying median is a form of average is saying they're the same thing because you learned them in math class.

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brian's avatar brian @briminey.bsky.social
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The graphic refers to average, not median. You're right, medians don't work like that, but the data wasn't saying they did.

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brian's avatar brian @briminey.bsky.social
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If you're not gonna have some custom css for people that want to utilize their 22:5 monitors you could at least have a plug-in that automatically posts to brag about the 5k resolution.

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brian's avatar brian @briminey.bsky.social
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I don't see anything about medians in this

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brian's avatar brian @briminey.bsky.social
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Totally fair, I may have herniated myself on that lift.

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brian's avatar brian @briminey.bsky.social
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Imagine if it was something innocent like some dude named Eugene invented the supplement and all of a sudden his family is on a list.

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brian's avatar brian @briminey.bsky.social
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I think he probably, and I'm doing some heavy lifting for him here, is trying to say that it was a series of other failures to stop Hitler sooner that resulted in d-day having to happen in the first place. His ability to recognize that and still support Trump is beyond galling.

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Reposted by brian

Sweetie π's avatar Sweetie π @sixfeetofcandy.bsky.social
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Ambien: hello eating and shopping I won’t remember Melatonin: hello shadow people are you here to kill me

6 replies 32 reposts 87 likes

brian's avatar brian @briminey.bsky.social
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One day please publish a tome of the insane, blathering letters you receive.

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brian's avatar brian @briminey.bsky.social
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1) Amazing 2) Did you do the drip water on her arm test?

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brian's avatar brian @briminey.bsky.social
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Chick-fil-A Sunday discourse is easily resolved by the fact that the food isn't good in the first place.

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brian's avatar brian @briminey.bsky.social
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This is extremely excellent and you should be listening to it right now

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brian's avatar brian @briminey.bsky.social
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It's dumb and you're already there when they sing it. It's almost over by the time they get around to it. I learned how to play it on the accordion just bc it's so ridiculous.

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brian's avatar brian @briminey.bsky.social
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50/50 this is satire and that says it all

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brian's avatar brian @briminey.bsky.social
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I think your right and that takes it to a whole new level of sickening

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