Mark Cuban
π€ SpeakerAppearances Over Time
Podcast Appearances
And those insurance companies and those PBMs are also responsible for determining what claims, what... what to authorize and what to deny, right? So for a drug, it may be, all right, this is an expensive drug, but before they'll say they'll pay for the drug that your doctor wants to prescribe for you, you have to try these three other drugs in what's called step-up therapy, right?
And those insurance companies and those PBMs are also responsible for determining what claims, what... what to authorize and what to deny, right? So for a drug, it may be, all right, this is an expensive drug, but before they'll say they'll pay for the drug that your doctor wants to prescribe for you, you have to try these three other drugs in what's called step-up therapy, right?
And those insurance companies and those PBMs are also responsible for determining what claims, what... what to authorize and what to deny, right? So for a drug, it may be, all right, this is an expensive drug, but before they'll say they'll pay for the drug that your doctor wants to prescribe for you, you have to try these three other drugs in what's called step-up therapy, right?
To see if these other cheaper drugs work, or they're not even necessarily cheaper, they may be being pushed because they're getting a higher rebate. And so I'm like, that's insane. I want my employees to get the medication that the doctors say is best. And so I didn't realize those were the intricacies of where my healthcare dollars went.
To see if these other cheaper drugs work, or they're not even necessarily cheaper, they may be being pushed because they're getting a higher rebate. And so I'm like, that's insane. I want my employees to get the medication that the doctors say is best. And so I didn't realize those were the intricacies of where my healthcare dollars went.
To see if these other cheaper drugs work, or they're not even necessarily cheaper, they may be being pushed because they're getting a higher rebate. And so I'm like, that's insane. I want my employees to get the medication that the doctors say is best. And so I didn't realize those were the intricacies of where my healthcare dollars went.
There's not a single CEO who does because that's not a core competency that they need. And the CFOs, that's not their core competency. And the HR people, they contribute and they understand it some because they're dealing with the claims, but they spend most of their time prescription drug related time or healthcare related times, trying to get pre-authorizations approved.
There's not a single CEO who does because that's not a core competency that they need. And the CFOs, that's not their core competency. And the HR people, they contribute and they understand it some because they're dealing with the claims, but they spend most of their time prescription drug related time or healthcare related times, trying to get pre-authorizations approved.
There's not a single CEO who does because that's not a core competency that they need. And the CFOs, that's not their core competency. And the HR people, they contribute and they understand it some because they're dealing with the claims, but they spend most of their time prescription drug related time or healthcare related times, trying to get pre-authorizations approved.
So, you know, your kid breaks their arm or you get sick and you go to the doctor and before the doctor will do a surgery or do whatever, they have to go to the insurance company and get pre-authorized. And then they always say no, right? And then you have to go back and somebody has to argue for you.
So, you know, your kid breaks their arm or you get sick and you go to the doctor and before the doctor will do a surgery or do whatever, they have to go to the insurance company and get pre-authorized. And then they always say no, right? And then you have to go back and somebody has to argue for you.
So, you know, your kid breaks their arm or you get sick and you go to the doctor and before the doctor will do a surgery or do whatever, they have to go to the insurance company and get pre-authorized. And then they always say no, right? And then you have to go back and somebody has to argue for you.
And that just eats up employee time because I'm sick or my kid's sick and you're wasting my time, eats up HR time. The CEOs don't know any of this, right? So what I'm saying is, one, the smartest thing to do is to get a healthcare CEO at every company with over, let's say, 500 employees that focuses on all these things. You'd save a shitload of money.
And that just eats up employee time because I'm sick or my kid's sick and you're wasting my time, eats up HR time. The CEOs don't know any of this, right? So what I'm saying is, one, the smartest thing to do is to get a healthcare CEO at every company with over, let's say, 500 employees that focuses on all these things. You'd save a shitload of money.
And that just eats up employee time because I'm sick or my kid's sick and you're wasting my time, eats up HR time. The CEOs don't know any of this, right? So what I'm saying is, one, the smartest thing to do is to get a healthcare CEO at every company with over, let's say, 500 employees that focuses on all these things. You'd save a shitload of money.
And two, healthcare is your second largest line item expense after payroll. And in some companies, it's hundreds, billions of dollars, right? And you don't understand it, and you're letting these guys rip you off. And it's because these big CEOs don't understand it and are getting ripped off that they're The industry is the way it is because that allows the opacity to continue.
And two, healthcare is your second largest line item expense after payroll. And in some companies, it's hundreds, billions of dollars, right? And you don't understand it, and you're letting these guys rip you off. And it's because these big CEOs don't understand it and are getting ripped off that they're The industry is the way it is because that allows the opacity to continue.
And two, healthcare is your second largest line item expense after payroll. And in some companies, it's hundreds, billions of dollars, right? And you don't understand it, and you're letting these guys rip you off. And it's because these big CEOs don't understand it and are getting ripped off that they're The industry is the way it is because that allows the opacity to continue.
That's fascinating.
That's fascinating.