Domain: tiger-web1.srvr.media3.us User Profile: SmackoverHawg | TigerDroppings.com
Favorite team:Arkansas 
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Registered on:10/24/2011
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The wRVU credit received for many routine procedures also INCREASED, (by 25%+ in Primary Care, Psych, and Surg Oncology) meaning that providers compensated on a production basis (wRVUs) are now earning massive bonuses.

Which ones? All mine got cut big time. Seriously, all I've seen is cuts across the board.
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They did this for several year... something like 85% of premiums taken in were supposed to be spent on direct patient care. If they DIDN'T spend that, they they sent a check to everyone as a percentage of premiums paid to make up the shortfall of say.. 81% spent vs the mandated 85%. I believe they quit doing so a couple years back.

They send it on to their PBM's and other entities they own.
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At the risk of writing a book, I can tell you that this has already happened & was a brutally difficult adjustment for most medical groups. Even top quartile performing hospitals have been running a negative profit margin the last few years according to MGMA & the HFMA.

What happened is that the CMS table reimbursement decreased several years in a row under Biden. The wRVU credit received for many routine procedures also INCREASED, (by 25%+ in Primary Care, Psych, and Surg Oncology) meaning that providers compensated on a production basis (wRVUs) are now earning massive bonuses.

While compensation plans have tried to adjust, there's not much incentive for physicians to sign new, crappie employment agreements. And health systems, already dealing with constant physician shortages, don't really have the cards to say "sign the new contract or else"

Provider salaries dwarf admin staff, there is simply not as much fat to cut as you're thinking. Hospitals are small potatoes in the overall Healthcare industry.

Insurance & pharma companies are who you're looking for

100% correct. I get less than I did in 2005. Every hospital I deal with is in financial distress. Most every clinic I know of is strapped and losing employees to other industries. We've been cut to the bone. I refuse to take anymore cuts. I'll simply go cash only.

Whoever downvoted the post is a dumbass.
Dems are slut shaming now?

Shame on them. They're the party of trysexuals. At least she's with consenting adults.
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Acuff's 13 assists ranks 2nd behind Dontell Jefferson and Kareem Reid, both with 15. With zero turnovers, it's likely an AST/TO record.

He's the first point guard we've had that I can say is better than Lee Mayberry.
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The most ducks I have ever seen have been in Feb on the Missouri and Platte River insane numbers. They weren't going home.

They're everywhere then!! I propose 45 day season from Jan 1 to February 14 and a reduce mallard limit to 3.
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If SLI had not gotten a federal grant, the project would not meet the requirements to need an environmental assessment from the government.

This. Free money isn't free. Just some extra red tape to bust through.

re: Anyone looked into TUYA?

Posted by SmackoverHawg on 1/14/26 at 6:00 pm to
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Chinese company

Nope.
Trump is still a week shy of a full year and it has already been amazing. Can't wait to see post mid-term Trump.
Indiana. If they win it, no excuses for any school to not be competitive.
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I'm as big a Trump supporter as there is, but I will be massively disappointed if they allow these mother frickers to start killing protestors publicly.

Same. You don't dangle that carrot and not deliver. I think he comes through bigly for them.
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It amazes me how few people in the media and government read The Art of the Deal. This is exactly what he wrote about over 30 years ago.

Shush! We're making bank off these tards. Trump is "unpredictably" predictable. If you understand him, you've made money off this volatility. TDS makes people even more irrational. I've freed up some more ammo, so I'm kinda hoping he can deliver us one more salvo to send the Panicans into "SELL!!!!!" mode.


I made BANK last year. Trust in Trump. Bet and invest in America!
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They're planning to start executing captured protestors publicly on Wednesday. Hopefully our response comes before then.

This. Trump promised them our full support is they overthrew the gov't. We need to keep the damage to a minimum.
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I’ve always thought this. I remember several years ago at the beginning, air raid sirens were going off but Zelenskyy and dignitaries were walking outside like nothing was happening. Looked like a cheap movie.

All the celebrities coming in to visit him IN THE MIDDLE OF A WAR.

bullshite.

We have more footage from Venezuela than we do the entirety of the Ukraine/Russia "war".
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He had the LEFT to defend himself.

Putting a loudhorn next to someone's ear is dangerous, therefore an assault.

Not guilty.

FIFY
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don’t think this was even mentioned in this thread. When I said we will collect DNA samples of trapped mallards, this is what we will be looking at. If you ask me, it should be banned. We talk about the genetic side effects, but what about the possible diseases and parasites. I would assume these ducks aren’t tested like a poultry house is for the food industry.

100% should be banned and the penalties should be harsh enough prevent it. Whether or not it's causing some of the issues we are seeing doesn't matter. It's a bad practice and nothing good can come from it. Go ahead and improve habitat, flood whatever and do what you can to entice ducks to your property, but screwing with the genetics that have evolved over millions of years is a no go. In addition to the problems you mention above, the native population has built up natural resistance to diseases and parasites that the farm raised ones don't have. Diluting the gene pool is just asking for issues.

Slept in this am. 8 gadwall, 2 wigeon and 3 woodies yesterday. Saw very few mallards. Should've had a few but got greedy and tried to get them down in the decoys for some young'uns hunting with us.