Brigham Buhler
๐ค SpeakerAppearances Over Time
Podcast Appearances
What people don't realize is 80% of your health plan in America, 80% of American's health plan is covered by their employer. Most people are getting their health plan through their employer. So at the end of the year, these big insurance companies meet with your employer and say, Bobby Sue was on this opioid all year long. It cost us $100 a month. That's $1,200 a year.
What people don't realize is 80% of your health plan in America, 80% of American's health plan is covered by their employer. Most people are getting their health plan through their employer. So at the end of the year, these big insurance companies meet with your employer and say, Bobby Sue was on this opioid all year long. It cost us $100 a month. That's $1,200 a year.
What people don't realize is 80% of your health plan in America, 80% of American's health plan is covered by their employer. Most people are getting their health plan through their employer. So at the end of the year, these big insurance companies meet with your employer and say, Bobby Sue was on this opioid all year long. It cost us $100 a month. That's $1,200 a year.
We've got to raise your co-pays, your deductibles, and your out-of-pocket expenses because it's really running up our costs. But in reality, they never paid that. Then where this gets more sick and twisted A lot of people don't understand this. Medicare and Medicaid after Obamacare has all been outsourced to the big insurance companies.
We've got to raise your co-pays, your deductibles, and your out-of-pocket expenses because it's really running up our costs. But in reality, they never paid that. Then where this gets more sick and twisted A lot of people don't understand this. Medicare and Medicaid after Obamacare has all been outsourced to the big insurance companies.
We've got to raise your co-pays, your deductibles, and your out-of-pocket expenses because it's really running up our costs. But in reality, they never paid that. Then where this gets more sick and twisted A lot of people don't understand this. Medicare and Medicaid after Obamacare has all been outsourced to the big insurance companies.
So 60% of UnitedHealthcare's profits are coming from Medicare and Medicaid. And how do they negotiate the Medicare and Medicaid prices? They negotiate it by looking at the average wholesale price in America and saying, we want a discount.
So 60% of UnitedHealthcare's profits are coming from Medicare and Medicaid. And how do they negotiate the Medicare and Medicaid prices? They negotiate it by looking at the average wholesale price in America and saying, we want a discount.
So 60% of UnitedHealthcare's profits are coming from Medicare and Medicaid. And how do they negotiate the Medicare and Medicaid prices? They negotiate it by looking at the average wholesale price in America and saying, we want a discount.
that average wholesale price is a price because they set the market but they didn't pay that price does that mean is this making sense so just follow the dollars okay 100 a month they didn't pay the hundred they paid 50. they tell the employer they paid the hundred at the end of the year that employer is going to get hit with the cost going into the following year all of those co-pays deductibles all that goes up then you the patient get hit and so when they decide
that average wholesale price is a price because they set the market but they didn't pay that price does that mean is this making sense so just follow the dollars okay 100 a month they didn't pay the hundred they paid 50. they tell the employer they paid the hundred at the end of the year that employer is going to get hit with the cost going into the following year all of those co-pays deductibles all that goes up then you the patient get hit and so when they decide
that average wholesale price is a price because they set the market but they didn't pay that price does that mean is this making sense so just follow the dollars okay 100 a month they didn't pay the hundred they paid 50. they tell the employer they paid the hundred at the end of the year that employer is going to get hit with the cost going into the following year all of those co-pays deductibles all that goes up then you the patient get hit and so when they decide
what drugs to put on a formulary, what drugs they're going to cover. It has nothing to do with the efficacy and what is best for the patient. It has everything to do with who gave them the biggest rebate. And they incentivize you to go to those drugs by lowering your copay and deductible on those drugs. So with opioids, they made it very easy to get an opioid because it was getting a rebate.
what drugs to put on a formulary, what drugs they're going to cover. It has nothing to do with the efficacy and what is best for the patient. It has everything to do with who gave them the biggest rebate. And they incentivize you to go to those drugs by lowering your copay and deductible on those drugs. So with opioids, they made it very easy to get an opioid because it was getting a rebate.
what drugs to put on a formulary, what drugs they're going to cover. It has nothing to do with the efficacy and what is best for the patient. It has everything to do with who gave them the biggest rebate. And they incentivize you to go to those drugs by lowering your copay and deductible on those drugs. So with opioids, they made it very easy to get an opioid because it was getting a rebate.
But they made it very difficult to get a non-addictive product like a pain cream. And then eventually they just said, we won't cover pain creams at all. You're going to have to take an opioid. Then to go even deeper, that's just the prescription. And this is what happened to your brother. This is 100% what happened to my brother and what happened to millions and millions of Americans.
But they made it very difficult to get a non-addictive product like a pain cream. And then eventually they just said, we won't cover pain creams at all. You're going to have to take an opioid. Then to go even deeper, that's just the prescription. And this is what happened to your brother. This is 100% what happened to my brother and what happened to millions and millions of Americans.
But they made it very difficult to get a non-addictive product like a pain cream. And then eventually they just said, we won't cover pain creams at all. You're going to have to take an opioid. Then to go even deeper, that's just the prescription. And this is what happened to your brother. This is 100% what happened to my brother and what happened to millions and millions of Americans.
And it's still happening to this day. And so I'll paint a picture for you. Imagine being a young kid with a spine issue. And you're in pain. And this particular spine issue causes the sensation of burning and fire shooting into your hands, your feet, your extremities.
And it's still happening to this day. And so I'll paint a picture for you. Imagine being a young kid with a spine issue. And you're in pain. And this particular spine issue causes the sensation of burning and fire shooting into your hands, your feet, your extremities.