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Derek Thompson

๐Ÿ‘ค Speaker
4978 total appearances

Appearances Over Time

Podcast Appearances

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Tim, the term that we've used today is upcoding, and contained in that term suggests the idea that there is an optimal code that we should use for people, and that Medicare uses the right code, and Medicare Advantage upcodes, therefore uses the wrong code.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Tim, the term that we've used today is upcoding, and contained in that term suggests the idea that there is an optimal code that we should use for people, and that Medicare uses the right code, and Medicare Advantage upcodes, therefore uses the wrong code.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Is it possible, actually, that Medicare is undercoding, or that historically we've been undercoding, and that in a way, what we're talking about as waste is actually a lot of doctors and insurance companies recognizing the true illness of patients rather than exaggerating their illness.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Is it possible, actually, that Medicare is undercoding, or that historically we've been undercoding, and that in a way, what we're talking about as waste is actually a lot of doctors and insurance companies recognizing the true illness of patients rather than exaggerating their illness.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Is it possible, actually, that Medicare is undercoding, or that historically we've been undercoding, and that in a way, what we're talking about as waste is actually a lot of doctors and insurance companies recognizing the true illness of patients rather than exaggerating their illness.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Mike, I'm thinking about this as like blame pie. In the little play that we did where I was the pre-diabetic 80-year-old patient, it seemed like the insurance company got the biggest slice of the blame pie. In some cases, maybe it's the doctors who have the bigger slice of the blame pie. They're the ones doing the upcoding. But I was reading some journalistic reports of diagnostic codes.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Mike, I'm thinking about this as like blame pie. In the little play that we did where I was the pre-diabetic 80-year-old patient, it seemed like the insurance company got the biggest slice of the blame pie. In some cases, maybe it's the doctors who have the bigger slice of the blame pie. They're the ones doing the upcoding. But I was reading some journalistic reports of diagnostic codes.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Mike, I'm thinking about this as like blame pie. In the little play that we did where I was the pre-diabetic 80-year-old patient, it seemed like the insurance company got the biggest slice of the blame pie. In some cases, maybe it's the doctors who have the bigger slice of the blame pie. They're the ones doing the upcoding. But I was reading some journalistic reports of diagnostic codes.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

And I saw that many doctors say that they are advertised software programs that promise to make them more money. And those software programs essentially do the upcoding of the patients themselves, right? The software developers are like, we promise that we'll make you a physician more money. How do we make you more money?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

And I saw that many doctors say that they are advertised software programs that promise to make them more money. And those software programs essentially do the upcoding of the patients themselves, right? The software developers are like, we promise that we'll make you a physician more money. How do we make you more money?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

And I saw that many doctors say that they are advertised software programs that promise to make them more money. And those software programs essentially do the upcoding of the patients themselves, right? The software developers are like, we promise that we'll make you a physician more money. How do we make you more money?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

We essentially take every pre-diabetic and we code them as type two diabetic and voila, you end up getting a larger payment to your clinic. How big of the blame pie here should go to the software that these companies are using?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

We essentially take every pre-diabetic and we code them as type two diabetic and voila, you end up getting a larger payment to your clinic. How big of the blame pie here should go to the software that these companies are using?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

We essentially take every pre-diabetic and we code them as type two diabetic and voila, you end up getting a larger payment to your clinic. How big of the blame pie here should go to the software that these companies are using?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

This is the problem with you economists. I keep wanting to cut up the blame pie with economists when I talk about healthcare. And they always say that we don't believe in moral systems. Well, I believe in moral systems. So pretend you're me and give me an approximation for the blame size pie percentage.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

This is the problem with you economists. I keep wanting to cut up the blame pie with economists when I talk about healthcare. And they always say that we don't believe in moral systems. Well, I believe in moral systems. So pretend you're me and give me an approximation for the blame size pie percentage.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

This is the problem with you economists. I keep wanting to cut up the blame pie with economists when I talk about healthcare. And they always say that we don't believe in moral systems. Well, I believe in moral systems. So pretend you're me and give me an approximation for the blame size pie percentage.

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Tim, you and Michael first started looking at upcoding about 10 years ago. How much more prevalent has this practice got in the last 10 years?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Tim, you and Michael first started looking at upcoding about 10 years ago. How much more prevalent has this practice got in the last 10 years?

Plain English with Derek Thompson
The Trump-Musk Doctrine: F-ck Around and Find Out

Tim, you and Michael first started looking at upcoding about 10 years ago. How much more prevalent has this practice got in the last 10 years?