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Nice Planet XII: It's Cruel to be Kind!

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  • #766
    Re: Nice Planet XII: It's Cruel to be Kind!

    Originally posted by SJHovey View Post
    It's even worse than that.

    You're going to see some class action lawsuits working there way through the system relating to insurance scams pulled by all the major players pertaining to drug purchases. The scam works this way.

    You buy health insurance and you have a co-pay for when you go to fill a prescription. Let's say it's $10 or $20.

    The pharmacy has a price they charge for the drug. It includes the cost to them, plus a fee.

    Through companies, called Pharmacy Benefits Managers, the transaction is processed. The pharmacy is required by it's contracts to collect the entirety of the co-pay from the customer. The difference between the cost of the drug and the co-pay is then paid by the health insurer to the pharmacy.

    Except, in a great many transactions the charge by the pharmacy is less than the co-pay. Customers don't realize it. After all, a bottle of pills certainly doesn't cost less than $10 or $20 does it?

    The difference, referred to by various terms, including "clawback", is just kept by the health insurer, the Pharmacy Benefits Manager, or split between them. Keep in mind that most of the major Pharmacy Benefits Managers are owned by the insurance companies themselves.

    Probably amounts to billions of dollars, and the outcome of these lawsuits, which are just gearing up, will be interesting to see.
    For the PBM I work for (privately owned) I don't think that's true and people never pay more than the cost of the drug itself (that might include drug cost, fee, and tax but you get the idea). That might not be true for all of our clients though.

    Comment

    • #767
      Re: Nice Planet XII: It's Cruel to be Kind!

      Originally posted by ScoobyDoo View Post
      Russian-born Georgian-American
      The point still stands...it isnt like Russians dont know what Nazis are
      "It's as if the Drumpf Administration is made up of the worst and unfunny parts of the Cleveland Browns, Washington Generals, and the alien Mon-Stars from Space Jam."
      -aparch

      "Scenes in "Empire Strikes Back" that take place on the tundra planet Hoth were shot on the present-day site of Ralph Engelstad Arena."
      -INCH

      Of course I'm a fan of the Vikings. A sick and demented Masochist of a fan, but a fan none the less.
      -ScoobyDoo 12/17/2007

      Comment

      • #768
        Re: Nice Planet XII: It's Cruel to be Kind!

        Originally posted by Handyman View Post
        Who the hell names their kid Nazi?
        The parents of a woman who could destroy you, me, and anyone we have ever met in chess.

        I guess they just did nazi that coming.
        Cornell University
        National Champion 1967, 1970
        ECAC Champion 1967, 1968, 1969, 1970, 1973, 1980, 1986, 1996, 1997, 2003, 2005, 2010
        Ivy League Champion 1966, 1967, 1968, 1969, 1970, 1971, 1972, 1973, 1977, 1978, 1983, 1984, 1985, 1996, 1997, 2002, 2003, 2004, 2005, 2012, 2014, 2018, 2019, 2020

        Comment

        • #769
          Re: Nice Planet XII: It's Cruel to be Kind!

          I can't breast feed my child; it's not vegan! http://www.foxnews.com/health/2016/1...h-old-son.html

          Comment

          • #770
            Re: Nice Planet XII: It's Cruel to be Kind!

            Originally posted by joecct View Post
            Who picked Qatar for the World Cup?
            Who picked to go to college at Clarkson?

            Comment

            • #771
              Originally posted by FlagDUDE08 View Post
              Who picked to go to college at Clarkson?
              Me -> 44 years ago when Tuition, Room & Board were under $5,000 a year. It was a bit over $6K when I graduated in 1977. Cost of attendance is now over $60K.

              Potsdam is a nice town/village. A bit isolated, but either you like it or you hate it. I thoroughly enjoyed my 5 years there and am looking forward to my 40th reunion next summer.
              CCT '77 & '78
              4 kids
              5 grandsons (BCA 7/09, CJA 5/14, JDL 8/14, JFL 6/16, PJL 7/18)
              1 granddaughter (EML 4/18)

              ”Any society that would give up a little liberty to gain a little security will deserve neither and lose both.”
              - Benjamin Franklin

              Banned from the St. Lawrence University Facebook page - March 2016 (But I got better).

              I want to live forever. So far, so good.

              Comment

              • #772
                Re: Nice Planet XII: It's Cruel to be Kind!

                America is Dead.

                http://www.nytimes.com/2016/10/10/ny...smtyp=cur&_r=0
                **NOTE: The misleading post above was brought to you by Reynold's Wrap and American Steeples, makers of Crosses.

                Originally Posted by dropthatpuck-Scooby's a lost cause.
                Originally Posted by First Time, Long Time-Always knew you were nothing but a troll.

                Comment

                • #773
                  Originally posted by ScoobyDoo View Post
                  America is Dead.

                  http://www.nytimes.com/2016/10/10/ny...smtyp=cur&_r=0
                  Memories of the Yellow Peril are still around.
                  https://en.m.wikipedia.org/wiki/Yellow_Peril
                  CCT '77 & '78
                  4 kids
                  5 grandsons (BCA 7/09, CJA 5/14, JDL 8/14, JFL 6/16, PJL 7/18)
                  1 granddaughter (EML 4/18)

                  ”Any society that would give up a little liberty to gain a little security will deserve neither and lose both.”
                  - Benjamin Franklin

                  Banned from the St. Lawrence University Facebook page - March 2016 (But I got better).

                  I want to live forever. So far, so good.

                  Comment

                  • #774
                    Re: Nice Planet XII: It's Cruel to be Kind!

                    Originally posted by ScoobyDoo View Post
                    Who in the hell picks Iran for their championships?

                    http://www.nytimes.com/2016/10/08/sp...smtyp=cur&_r=0

                    Nazi Paikidze-Barnes, a United States women’s chess champion, has said that she will boycott next year’s world championship in Iran because religious law would require her to wear a hijab.
                    Who the < bleep > names their kid "Nazi"?
                    The preceding post may contain trigger words and is not safe-space approved. <-- Virtue signaling.

                    North Dakota Hockey:

                    Comment

                    • #775
                      Re: Nice Planet XII: It's Cruel to be Kind!

                      Originally posted by ScoobyDoo View Post
                      America is Dead.

                      http://www.nytimes.com/2016/10/10/ny...smtyp=cur&_r=0
                      You had on a nice rain coat. Your iPhone was a 6 Plus.
                      People notice that stuff?
                      The preceding post may contain trigger words and is not safe-space approved. <-- Virtue signaling.

                      North Dakota Hockey:

                      Comment

                      • #776
                        Re: Nice Planet XII: It's Cruel to be Kind!

                        Originally posted by The Sicatoka View Post
                        Who the < bleep > names their kid "Nazi"?
                        It is curious. I searched the Internet for that as a girls name and I can't find it in any names database anywhere. Maybe it's a shorter version of her real name.
                        **NOTE: The misleading post above was brought to you by Reynold's Wrap and American Steeples, makers of Crosses.

                        Originally Posted by dropthatpuck-Scooby's a lost cause.
                        Originally Posted by First Time, Long Time-Always knew you were nothing but a troll.

                        Comment

                        • #777
                          Originally posted by ScoobyDoo View Post
                          It is curious. I searched the Internet for that as a girls name and I can't find it in any names database anywhere. Maybe it's a shorter version of her real name.
                          Her real name is "National Socialist Workers Party?"

                          Comment

                          • #778
                            Re: Nice Planet XII: It's Cruel to be Kind!

                            Originally posted by goldy_331 View Post
                            Her real name is "National Socialist Workers Party?"
                            sigh
                            **NOTE: The misleading post above was brought to you by Reynold's Wrap and American Steeples, makers of Crosses.

                            Originally Posted by dropthatpuck-Scooby's a lost cause.
                            Originally Posted by First Time, Long Time-Always knew you were nothing but a troll.

                            Comment

                            • #779
                              Re: Nice Planet XII: It's Cruel to be Kind!

                              Originally posted by Kepler View Post
                              The parents of a woman who could destroy you, me, and anyone we have ever met in chess.

                              I guess they just did nazi that coming.
                              **golf clap**
                              "It's as if the Drumpf Administration is made up of the worst and unfunny parts of the Cleveland Browns, Washington Generals, and the alien Mon-Stars from Space Jam."
                              -aparch

                              "Scenes in "Empire Strikes Back" that take place on the tundra planet Hoth were shot on the present-day site of Ralph Engelstad Arena."
                              -INCH

                              Of course I'm a fan of the Vikings. A sick and demented Masochist of a fan, but a fan none the less.
                              -ScoobyDoo 12/17/2007

                              Comment

                              • #780
                                Re: Nice Planet XII: It's Cruel to be Kind!

                                Refuses to Sell Cigarettes to Someone...Gets Scalded with Hot Coffee
                                "It's as if the Drumpf Administration is made up of the worst and unfunny parts of the Cleveland Browns, Washington Generals, and the alien Mon-Stars from Space Jam."
                                -aparch

                                "Scenes in "Empire Strikes Back" that take place on the tundra planet Hoth were shot on the present-day site of Ralph Engelstad Arena."
                                -INCH

                                Of course I'm a fan of the Vikings. A sick and demented Masochist of a fan, but a fan none the less.
                                -ScoobyDoo 12/17/2007

                                Comment

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