ArthritisCenterSTL
@ArthritisSTL
Followers
931
Following
602
Media
1,004
Statuses
7,707
STL Rheumatologist| Steven Baak MD, Kristy Moore NP, Christy Schulte NP, Nick Simpson, NP, Maria Sullivan, PA
St. Louis, MO
Joined January 2020
Don't wanna be here?
Send us removal request.
Explore trending content on Musk Viewer
Georgia
• 326639 Tweets
#BUS_KnockKnockKnock_KhonKaen
• 135208 Tweets
Bama
• 104063 Tweets
スプリンターズS
• 78277 Tweets
Beck
• 52220 Tweets
Ryan Williams
• 47189 Tweets
#صباح__الخير
• 22534 Tweets
#RIZIN48
• 17072 Tweets
サトノレーヴ
• 16829 Tweets
ナムラクレア
• 16217 Tweets
ママコチャ
• 16208 Tweets
ショアキーパー
• 13748 Tweets
マッドクール
• 13186 Tweets
中山11R
• 11858 Tweets
Ashton Jeanty
• 10156 Tweets
Pinned Tweet
Thanks
@mcuban
4 carrying the message! Do better
@ExpressScripts
@UCFW655
and
@bmsnews
get busy making
#PBM
do the right thing.
65
63
355
2
7
26
16
24
159
@sarahpriestle
@mcuban
Gotta love Cuban! He is NOT afraid of
#PBMs
. The gig is on the brink of collapse! FAV line ‘PBMs have KILLED the trust’ ‘Solution: STOP doing business with the big 3 PBMs’
12
10
107
@AnthemBCBS
@AnthemInc
anyone over at anthem want to take care of this patient? Anthem has been denying her start of therapy since 4/7/22.
@CSROAdvocacy
8
25
102
Today we got a denial from
@OptumRx
for a medication the patient has been stable on for years. Profits before patients, right?!
13
22
84
Thanks
@AnthemBCBS
for approving my patient after 4 denial letters and 11 weeks of delays. Why are Insurnace companies allowed to practice medicine?
@linakhanFTC
@CSROAdvocacy
9
22
70
UnitedHealthcare, Cigna, Aetna revamping prior authorization ahead of CMS rule via
@Benefits_Pro
THIS👇👇👇is window dressing. 20% reduction in prior auths? Make it 90% reduction &then we can talk. Paperwork over patient care.
5
31
70
@drquinngyn
@BlueCrossNC
#BlueCrossNC
is in the business of Denying care. Shameful sell outs running patients into the grave.
2
11
60
PBMs are trying to tell physicians how to practice medicine, how to purchase infusion drugs, what pharmacies to use, and then reimbursing pharmacies less than cost of the drug. How are we letting this happen?
#stopPBMabuse
4
25
58
Here is our $100,000 junk draw of medicines received that were not needed or asked for.
@UHC
@OptumRx
#accredo
#briovarx
@cvspharmacy
This is why physicians should be able to order medications on their terms, not forced to work with specialty pharmacies.
7
23
54
Hey
@Walgreens
@WalgreensNews
so our Indy pharmacy Premier closed it’s doors 15 days ago (thanks 2 DIR clawbacks) &transferred patients rxs 2 u. no one is answering the phones, patients are going now a week with no rxs. What is going on?
@stltoday
@NPRHealth
@propublica
5
14
52
Patient called from pharmacy reporting WITH her Insurnace rx is $75. With OUT Insurnace $24 what should she do? WHY do we have Insurnace IF it costs MORE for rxs? Cash pay, of course. This. Is. Healthcare.
9
16
51
#Optum
#PBM
protest WATCH this video from the physicians office ‘doing the work’ how ins & PBMs harm patients.
@TruthRX
@wendellpotter
@mcuban
2
18
51
@DrLindaMD
Please tell the Twitter world who the dear insurance denier is on that gem? Public shaming is the new prior authorization.
0
0
45
Hey
@cvspharmacy
does anyone want help explain why a patient of ours was shipped medicine from an old script instead of the new one, and was still billed for YOUR mistake despite being told Medicare would not be billed twice???
7
11
42
LOVE this “WE don’t NEED
#PBM
reform, WE NEED 2 🛑 STOP dealing with PBMs and go around them”. Let’s show THE BIG 3 PBMs the DOOR in 2024!
@mcuban
The current 3 Biggest PBMs
@CVSHealth
Caremark
@ExpressScripts
and
@Optum
have been called out by
@mcuban
with
@costplusdrugs
Everything stated is true.
#Pharmacy
owner Anthony V. Minniti, RPh from NJ states “We don’t need
#PBMReform
, there’s nothing to reform, we need to get
10
61
151
2
8
44
‘ PBMs are killing us’. DIR fee clawbacks have done what they were designed to do, narrow the networks, put the Indy PhArmDs out of business, & pretend to ‘serve patients’. Nope, PBMs answer 2 shareholders. Indy PhArmDs & physicians answer 2 patients.
Something’s Threatening Independent Pharmacies (and it’s Not Shoplifting or the Rent)
0
11
18
3
20
43
The
#Aetna
algorithms overrule your physician. Practice medicine anyone? Better dust up the malpractice Insurnace
@AetnaHelp
🔥Decoding what Aetna said at NYC Retirees Medicare disAdvantage trial on Thursday
@FDNYchic
@NycRetirees
@ArthritisSTL
@BoesingLoretta
@TruthRX
@wHenryCrocker
@ExposingPBMs
@A_Ciaccia
@NYCComptroller
@EdGainesIII
@DGlaucomflecken
@stucknation
@CareDenied
@mehdirhasan
@tribelaw
5
11
29
6
27
41
Say it loud so the people in the back can hear ‘WHEN
#PBM
are involved …they don’t do a damn thing for Patients’. Yep what she said 👇👇👇
🔥clip from
@HouseCommerce
hearing.
@RepAnnaEshoo
"When I hear
#PBM
are involved.... they don't do a damn thing for patients"
Rep Eshoo questions why
@CMSGov
is not following the
@USGAO
rec to review how 'rebates affect formularies.
Love how the E and C committee is getting
2
17
52
0
15
42
CVS Caremark sued over ‘exorbitant’ DIR fees charged to independent pharmacy | BenefitsPRO LOVE this 👇👇👇4
#PBM
pharmacy has become a dumpster fire 🔥 due 2 DIR clawbacks.
0
18
42
We have never been 2 a protest but
@ExpressScripts
WE will be there with an army of others. Everyone is a patient. Only 3
#PBMs
suck the life out of healthcare.
@stltoday
@KMOV
@CBSHealth
care 2 interview us?
Calling All Pharmacists, Patients, & Medical Professionals: WE NEED YOUR VOICE!!
#ProtestExpressScripts
Friday, May 17th
Securely Register To Join the Protest at
Learn More at
0
15
21
1
8
28
Bye Bye
#PBMs
Let’s nail the PBM coffin shut! We, the people, demand pharmacy choice, NO more mandates & fair pricing 2 our Indy PhArmDs.
5
7
40
Great day 4 patients that maybe, just maybe, this runaway train
#PBM
has BIG problems &
@mcuban
stands with patients. everyone is a patient against 3 PBMs. Godspeed.
This is one of the greatest days of hope in this advocacy journey. Many pharmacists have said the same for years about PBMs. Will
@WhiteHouse
finally listen as someone with knowledge & a large platform speaks?
I hope others with a large platform will come forward.
30
182
659
0
14
38
Everyone is cancelling
#Cigna
one of our patients tried to find another rheum in the area that accepts
@Cigna
and the practice text them this.
@BrooksLaSureCMS
network inadequate!
@stltoday
@NPRHealth
@KMOV
4
16
34
Buckle up. This
#PBM
thing is going down! Giddy over the JNJ lawsuit!
What do Hawaii, California, Ohio and Kentucky have in common? Their AGs are suing big
#PBMs
like OptumRx, ExpressScripts and CVS for driving up prescription drug costs.
@AsmChrisWard
@MarieWaldron75
@asmakilahweber
0
13
30
0
12
37
@Aetna
@AetnaHelp
Care 2 help your member get treatment? Aetna puts policies over patient care. Want to fix it? We stand ready to care for our patient if Aetna will allow it.
@CSROAdvocacy
12
11
35
WHO ARE the 9 legislators that did NOT vote 4 the patients & taxpayers? Any ideas?
7
8
33
@BledTanoe
Of course CVS official response minimizes the pharmacists pleas for safe working conditions & merely describes the situation as ‘this location is closed due to circumstances beyond our control’. Nope! 100% in CV$ control. Way 2 Go Kansas City!
0
2
33
Buckle Up
#Harmacy
the Film is coming…get your popcorn out
#PBM
going 2B a great show.
@angrydadwi
@Nenaadvocacy
It’s been a whirlwind of a week for HARMACY but that’s what documentary filmmaking is about. Tuesday night we finalized our plans to film at the protest in front of the
@Optum
headquarters in Eden Prairie, MN. Today we showed up camera rolling.
1
5
34
0
5
33
0
6
32
I’m tired of telling patients their med was denied because
@ExpressScripts
@UHC
@BCBST
@OptumRx
@cvspharmacy
wants them to try a different med that makes them more money first! I think you guys should have to explain it to them. You’d probably lie though!
3
11
33
We,THE PEOPLE, must take back healthcare. Insurnace companies & their corrupt
#PBMs
have destroyed it beyond repair. Everyone that is not employed by THEM aligns on THIS issue, coast 2 coast.
@CSROAdvocacy
4
7
33
Make this make sense
@Aetna
WHAT happen 2 Medicare Dis-Advantage is ‘better’ than traditional Medicare 4 NYC retirees? Hello Pinocchio
@AetnaHelp
Listen 2
@FDNYchic
she knows.
Hospitals are dropping Medicare Advantage plans left and right: "'It's become a game of delay, deny and not pay.' Among the most commonly cited reasons are excessive prior authorization denial rates and slow payments from insurers."
#Coverage
≠Care.
4
26
46
5
12
33
Hey
@CVSHealth
this patient hates
#CVS
so much he made a sport coat out of UR crappy receipt.
@BoesingLoretta
2
4
32
Have pitchfork will travel. Buckle up CV$ & OptumRX. ROADTRIP!
0
5
31
Hey
@KarenSLynch
our Indy PhArmD friends called, they want their DIR fees back….now
@FrierLevitt
@CVSPublicPolicy
0
9
31
Well done friends, you protected NYC retirees from Medicare DisAdvantage.
@FDNYchic
Supreme Court, NY County permanently enjoined NYC from eliminating retirees’ existing health insurance, auto enrolling them in Aetna Medicare Advantage
@Nenaadvocacy
@BoesingLoretta
@ArthritisSTL
1
6
13
1
14
30
Hey
@CVSHealth
who says
#PBMs
delay & deny patient care? We do! 3 months to get a denial all while we rcd an approval YESTERDAY for Remicade. Profits over patient care. The PBM way!
@CSROAdvocacy
@pcmanet
1
13
28
@TruthRX
we ❤️ our local PhArmDs and we ARE DONE with the crooks
@ExpressScripts
who didn’t come 2 work bc they hide from patients they have harmed.
@HarmacyFilm
@KMOV
@Mike_Colombo
0
10
29
#Cigna
taking care of Cigna on the backs of taxpayers nationwide. We have our corrupt legislators 2 blame.
.
@Cigna
is suing the FTC to redact its report on Pharmacy Benefit Managers.
Why? Probably because
@ExpressScripts
doesn't want it known they charge $3,613 for a $65 cancer drug.
126
4K
6K
2
9
29
Had about 8 patients call today because they didn’t know what to do after
@ExpressScripts
@cvspharmacy
@AllianceRxWP
@OptumRx
couldn’t deliver their meds on time. Prime example of why no patient should be forced to mail order meds!
3
8
29
#UHC
doing what THE Cartel does best, destroy, deplete, drive folks out of business.
The Change ransomware attack left an Oregon medical practice with an empty bank account, and only one quick way to fix it: sell to UnitedHealth
@WhiteHouse
@FTC
@TheJusticeDept
@linakhanFTC
Thank you
@TheProspect
5
24
44
2
12
28
@SquawkCNBC
@andrewrsorkin
@KamalaHarris
@linakhanFTC
Lina Khan is protecting we, the people, the patients & the taxpayers. Anyone that see this differently is getting paid by PBMs. The people need her 2 go after
#PBM
hard. Diller is on the wrong side again.
1
4
28
Aunt Karen is the gift that keeps on giving….
@KarenSLynch
hey
@NorahODonnell
we have an army of patients that
@CVSHealth
has harmed with delays, denials all in the name of CV$ ‘human experience’.
CVS/Aetna/Caremark CEO has a book on leadership coming out next week. From one of the early reviews on Amazon: "You need a prior authorization to read this book....."
0
64
225
1
9
28
WHAT? Paying physicians 2 DELAY treatment?
@BCBSNCFound
@ElevanceHealth
insane policies.
After meeting with the ACR and other stakeholders, Blue Cross and Blue Shield of North Carolina and Outcomes Matter Innovations announced revisions to their Autoimmune Pathways Program. Read more about the ACR's payer advocacy effort:
0
0
5
5
18
27
@ExpressScripts
Video of prepping 4 PROTEST AGAINST
#ExpressScripts
see u tomorrow at HQ!
@stltoday
@KMOV
@BoesingLoretta
2
4
27
Shout out 2
@CVSHealth
@cvspharmacy
4 sending a 5 page prior auth fax with 34 questions for 1 patient with Rheum arthritis for Tramadol. Employer is
@AmerenMissouri
Mark Cuban help this self funded employer wake up
@mcuban
#PBM
harm everyone.
3
8
25
@Toaster_Pastry
Start the P2P with what’s your NPI number for my chart? We document that in the denial per Dr xxx NPI xxx for Insurnace company xxx has DENIED care.
1
2
27
Buckle up. We R coming 2 bring the HEAT advocating 4 patients! Speaking with the GREAT
@Nenaadvocacy
@AdvocateSummit
OUR talk is: ‘Social Media is the New Prior Authorization’ Public shaming works
#PBMs
@HokiePharmacist
2
8
27
Hey
@NorahODonnell
interview
@BethWaldron
4 the REAL
#CVS
patient experience. Tone deaf
@KarenSLynch
who makes $54,000 a DAY doesn’t know THE Truth of mandated patients.
Much disinformation in this 22 minute interview re PBMs role ("our sole purpose as a PBM is to reduce the cost of prescriptions"), the pharmacist walk-out (says not really a walk-out) & how she engages patients directly (reads every letter & calls patients).
Not my experience.
0
2
12
0
7
26
#PBM
#PBC
gets massive profits using mafia tactics. Buckle up. We, the people, want r money back from these crooks.
#OptumRX
#ExpressScripts
#CVS
0
16
26
Hey
@Cigna
just got the call from YOUR employer customer that they will contract directly with Dr. Baak and THEY are dumping
#Cigna
bc of ur policies for 2024. When the employers stand with physicians it equals
#CancelCigna
it’s a movement!
@KMOV
@stltoday
2
6
26
#PBMs
harm patients.
#Walgreens
leadership supports PBMs not patients. Everyone is a patient. 3 PBMs profits soar, while patients file 4 bankruptcy.
Tim Wentworth should have titled his statement as "How to Kill Independent Healthcare & Make America Sicker"
#PBMs
are the PROBLEM
The current corporate-controlled vertically-integrated
#healthcare
system is the PROBLEM
Statements like👇 only prove corrupt collusion
#PBMreform
4
17
30
0
10
26
Thank you Lord Jeremy. We will continue THE FIGHT against
#PBM
& insurance policies that harm patients as Dr. Baak’s legacy.
1
9
26
This is the year of the great
#PBM
collapse.The gig is up. PhArmD friends been blowing the whistle long & hard about mafia tactics &
@linakhanFTC
is coming 4 them.
@JNJNews
make a choice: support UR employees or
#ExpressScripts
as we follow the litigation!
6. As we take on some of these challenges,
@FTC
’s healthcare work is focused on:
-Scrutinizing opaque middlemen like pharmacy benefit managers and group purchasing organizations.
-Tackling unlawful consolidation and illegal private equity roll-ups.
4
10
78
4
5
26
Big Insurnace & their even bigger cash cows
#PBM
#PBC
are absolutely in the top 3 problems of healthcare. Follow the money. Always tells real story. Billion dollar profits 4 middlemen doing NONE of the actual medical care that is PBMs & Insurnace companies.
Something is very wrong with health care when patients are going bankrupt, hospitals are in the red, doctors are unhappy, costs are going up, life spans are going down, innovators are struggling & Big health insurance seems to be the only group that is consistently doing well
109
776
4K
2
11
26
I would like to thank
@ExpressScripts
@Optum
&
@CVSHealth
for making this award possible.
@WSJhealth
let’s chat again! -Julie Baak
Congrats
@ArthritisSTL
Julie Baak winner of 2024 Advocate of theYEAR!
@HokiePharmacist
@mcuban
@MattieRheumMD
@GetClaimable
@wendellpotter
@BoesingLoretta
@CSROAdvocacy
4
5
20
3
5
25
Make this make sense
@RepEricBurlison
&
@RepSamGraves
tell we, the people, AGAIN how u support PBMs instead of our Indy PhArmDs.
#NotHealthCare
Speaking of independent pharmacies dissappearing, checkout payment disparities in Ga. state plan.
@mcuban
@3AxisAdvisors
@costplusdrugs
@_APCI
@GeorgiaPharmacy
19
40
110
0
5
24
Let’s review: Cash PRICE $4.26.
#PBM
price $12,000.00. Frame this savings up
@pcmanet
#OptumRX
#ExpressScripts
#CVS
$12,000/yr
#sulfasalazine
coupon? And then this is what
#PBM
@ExpressScripts
and
#interloper
#SaveOnSp
do w it. Cc:
@MattieRheumMD
@CSROAdvocacy
@WI4Patients
@debconstien
@RobGundermann
Attachment is 🧐
#BadCoupon
#NMRetiree
1
1
11
3
8
25
A warm Twitter welcome & shout out 2
#Cigna
Denial Team Rheumatologist, Maggie Cadet, MD on the stellar DENIALS of
@Cigna
members! Physician do no harm (unless u work 4 insurance company).
@ACRheum
@CSROAdvocacy
@NORMGrp
3
6
25
UnitedHealthcare ordered to pay Envision Healthcare $91M in billing dispute | BenefitsPRO 👇LOVE THIS!
2
11
25
#PBM
harm patients, employers & taxpayers. Self funded employers CFOs buckle up 4 the litigation.
@JNJNews
@ExpressScripts
get your popcorn ready!
This is how Pharmacy Benefit Managers control the drug supply chain. All true.
5
26
48
0
7
25
We ❤️our patients. Patient gave Claudia note that said ‘I want 2 THANK U from the bottom of my heart just being u & helping us. I’ve been 2 doctors, but I found no one like u. I feel so confident & blessed to have u. Love Sophie’ THIS👇👇👇is healthcare.
3
2
24
Medicare Advantage is NOT Medicare and NOT an Advantage 2 patients. It is delayed, denied 1 size fits all therapy plans delivered by a narrow network of physicians.
#NotHealthCare
"the privatization of Medicare, through the increasing reliance on private sector Medicare Advantage plans, is causing seniors to have their access to healthcare greatly restricted by way of prior authorizations and outright denials." -
@FDNYchic
#ReclaimMedicare
27
105
359
2
9
24
#PBM
made 12 BILLION dollars for.... what exactly? The only thing I’ve seen them do is deny patients the medications their doctor wants them on!
0
5
25
Say it loud so
#CVS
can hear it. Thanks
@cvspharmacy
@CVSHealth
@CVSPublicPolicy
@CVSCareers
@Aetna
@AetnaHelp
@AetnaNews
4 destroying Indy PhArmDs & harming patients & taxpayers.
#NotHealthCare
@HarmacyFilm
Imagine owning a used car dealership and selling cars for $6,750 each.
On each transaction, you lose $275.
That’s retail pharmacy in a nutshell right now, except the $6,750 car is actually Humira.
Thanks
@CVSHealth
for doing your part to ruin healthcare for everyone.
5
30
115
0
11
24
Good afternoon
@ExpressScripts
@Cignaquestions
enjoying this light reading today.
@ShotsWithThat
2
7
24
Got a denial from
@ExpressScripts
today for the ONLY med safe to take for this patient because they’d rather put patient health at risk than deviate from formulary. Great work, guys!!
1
4
21
When we, the people, have had enough of ins &
#PBM
profiteering off Pay-2-Play lists that harm patients, then, and only then, will things change.
The unbelievable irony of an elderly patient’s insurance company refusing to cover Myrbetriq and only covers anticholinergics and then sends you a Healthy & Safety notification about anticholinergics in the elderly after it’s prescribed.
22
34
372
0
6
24
This is pitiful that
#UHC
@UHC
profits over vulnerable patients on the taxpayer backs. HOW is this acceptable? Advocacy orgs begging 4 relief from Medicare DisAdvantage tactics.
@FDNYchic
@linakhanFTC
@propublica
0
3
9
4
8
24
Really
@Cigna
? “This decision is not based off clinical necessity” it’s just not covered for any reason. This patient is stable and well on this med and now you guys just won’t cover it. Insane!
6
7
24
Formularies=THE pay-2-play list. Pharma PAYS 2 be put on the list, patients, employers & taxpayers suffer through the list trying meds that physicians don’t choose.
#PBMs
get rich, patients file 4 bankruptcy.
“Formularies were originally meant to help patients get cost-effective treatments and generic equivalents, but now they prioritize PBMs’ profits through rebate contracting schemes, often mandating substitution with a non-equivalent medication.”
0
23
51
1
5
24
#PBM
have been fleecing Americans for decades. The gig is up. Everyone is a patient. And everyone is done with PBMs.
Thank you
@CBSNews
for sharing the ongoing plight of independent pharmacies across the nation. We need relief now!
@RonWyden
@SenTedCruz
@linakhanFTC
@linakhanFTC
@TruthRX
@JohnCornyn
3
25
73
1
3
24
Julie Baak is Coming 2
@TruthRX
protest
@OptumRx
can we chat with your chief drinking officer? Dr. Patrick Conway spare a moment 2 chat with the people you have harmed?
@HokiePharmacist
@WSJhealth
@NYTHealth
@Mike_Colombo
2
10
23
#PBMs
siphoning direct patient care dollars 2 themselves.
#NotHealthCare
@CNBC
reporting on
#PBMs
just this AM is bringing sunshine! Nice job PBMs on calling many drugs “specialty” to rip off an entire nation of patients.
@mcuban
@MattieRheumMD
@CSROAdvocacy
10
27
77
1
2
23
What she said👇👇👇👇vertical integration has DESTROYED healthcare. Guess who is the largest employer of physicians
#UHC
soon it will be u have 2 use only employed physicians when ur ins company decides they have enuf under their control.
Yes! One company should NOT be allowed to own some of the biggest players in insurance, medical services, pharmacy benefit management, and IT services. Blatant conflicts of interest. Time to unwind CVS, UnitedHealth, Cigna, etc.
1
11
37
3
5
23
@DrReddyGI
@UHC
@GI_Pearls
@DrHarryThomas
@PerelmansPearls
@morrisonc36
@DGlaucomflecken
Who wants 2 Organize a Patients Lives Matter Rally protesting prior authorizations, denial & delayed care. Buckle up! Physicians, PhArmDs, patients, employers, taxpayers stand together on this issue.
3
4
23
We ❤️ puppy friends! Our patients and their dogs are always welcome!
2
4
22
#PBM
& Insurance NEVER negotiate, just like the mafia. Take it or leave it.
Lies All lies There is ZERO negotiation with pharmacies. It’s take it or leave it contracts & PBM owned pharmacies always get the best deals PBMs set the amount their competitors get reimbursed = antitrust anticompetitive monopolies Stop the lies
@FTC
@RepAuchincloss
@SenSanders
3
14
40
2
6
23
Healthcare CAN BE affordable WHEN middlemen
#PBM
& Insurance companies are removed. After all, they are doing NONE of the actual work& laser focused on delays & denials. Who needs that?
Employers embracing direct contracting and bypassing insurers: survey
0
2
5
1
6
23
This 👇👇👇👇is 100% the real deal. Dump
#PBMs
and immediately start saving the taxpayer money for actual healthcare.
It's really easy to save your state hundreds of millions of dollars a year. Just drop PBMs and pay pharmacies directly
@TruthRX
@SaraLSirota
#TwitteRx
1
14
39
1
5
23
Nice move by
@cvspharmacy
2 ‘help patients’ with the trauma of Non Medical Switch off
#Humira
2 CVS owned Hyrimoz CV$ will PAY patients $200. What? Use the $200 towards a coffin?
4
6
23