[GUEST ACCESS MODE: Data is scrambled or limited to provide examples. Make requests using your API key to unlock full data. Check https://lunarcrush.ai/auth for authentication information.] #  @JahangirAsgha10 John Asghar MD John Asghar MD posts on X about insurance, debt, accounting, health the most. They currently have XXXXX followers and XXX posts still getting attention that total XXXXX engagements in the last XX hours. ### Engagements: XXXXX [#](/creator/twitter::1104353784329834497/interactions)  - X Week XXXXXXX +36% - X Month XXXXXXXXX +24,255% - X Months XXXXXXXXX +157% - X Year XXXXXXXXX +5,788% ### Mentions: XX [#](/creator/twitter::1104353784329834497/posts_active)  - X Week XX -XX% - X Month XXX +2,075% - X Months XXX +218% - X Year XXX +352% ### Followers: XXXXX [#](/creator/twitter::1104353784329834497/followers)  - X Week XXXXX +1.70% - X Month XXXXX +20% - X Months XXXXX +37% - X Year XXXXX +214% ### CreatorRank: XXXXXXXXX [#](/creator/twitter::1104353784329834497/influencer_rank)  ### Social Influence **Social category influence** [finance](/list/finance) **Social topic influence** [insurance](/topic/insurance) #725, [debt](/topic/debt) #888, [accounting](/topic/accounting) #251, [health](/topic/health), [money](/topic/money), [car insurance](/topic/car-insurance), [just a](/topic/just-a), [events](/topic/events), [$10k](/topic/$10k), [i know](/topic/i-know) **Top accounts mentioned or mentioned by** [@drdigiorgio](/creator/undefined) [@mcuban](/creator/undefined) [@dutchrojas](/creator/undefined) [@realdocspeaks](/creator/undefined) [@cscla](/creator/undefined) [@pgipe](/creator/undefined) [@sdixitmd](/creator/undefined) [@drdanchoi](/creator/undefined) [@sethborman](/creator/undefined) [@matthewboedy](/creator/undefined) [@billackman](/creator/undefined) [@drmikeselby](/creator/undefined) [@davembmd](/creator/undefined) [@uhc](/creator/undefined) [@edwards183](/creator/undefined) [@bradwood37701](/creator/undefined) [@davesylvester11](/creator/undefined) [@maureenogr19257](/creator/undefined) [@noahpinion](/creator/undefined) [@drbruggeman](/creator/undefined) ### Top Social Posts Top posts by engagements in the last XX hours "When I buy car insurance I never think about using up my deductible just to get something for my premium. I treat it exactly as its meant to bea hedge against rare high-cost events. Only in healthcare do we flip that logic and try to run every routine interaction through an insurance product that is poorly designed for constant use. And then wonder why premiums are so high" [X Link](https://x.com/JahangirAsgha10/status/1996358100773675036) 2025-12-03T23:17Z 4271 followers, 12.4K engagements "Stone Crab a uniquely South Florida thanksgiving dish" [X Link](https://x.com/JahangirAsgha10/status/1994167798478840184) 2025-11-27T22:13Z 4266 followers, XXX engagements "@mcuban hopefully others can add to this In a small private practice like mine cash-basis accounting is the only system that makes sense because revenue is completely unpredictable. I do not get paid when I do the work. I only get paid when an insurer releases the funds. If they dont the revenue never exists on paper which means physicians cannot write off bad debt the way other professionals can. What we actually experience are three separate mechanisms where real losses occur none of which the IRS recognizes as deductible. X. Patient-Based Nonpayment A patient is seen evaluated and treated." [X Link](https://x.com/JahangirAsgha10/status/1994862630520197575) 2025-11-29T20:14Z 4270 followers, 32.7K engagements "The math is the same every time this comes up. No one has presented a plan to finance Medicare for All so I extrapolated our current Medicare spend ignoring the add ons people want. We spend what we spend for XX million people. Scale that to XXX million and the numbers get very clear very fast. Right now we dont collect enough in taxes to fully fund Medicare for the XX million who are already in the program. To finance it for the entire population we would have to almost double current federal revenue. That means Americans would be paying roughly twice what they pay nowregardless of whether" [X Link](https://x.com/JahangirAsgha10/status/1995520452190429467) 2025-12-01T15:48Z 4270 followers, 6390 engagements "My wifes Invisalign costs about the same as a single-level lumbar laminectomy in an ASC. Thats how skewed our pricing structure is. Most people dont realize how many routine surgical interventions are priced in the same range as common dental or cosmetic servicesthey only focus on the rare catastrophic cases" [X Link](https://x.com/JahangirAsgha10/status/1996062112121053268) 2025-12-03T03:41Z 4270 followers, 8868 engagements "Consolidation broke healthcare. The patient is no longer the customer. The physician is no longer the service provider. Care now exists in a transaction between health systems and insurers not between doctors and patients. So when insurers and systems blame each other it misses the real problem. The physician-patient relationship has been displaced and every failure downstream starts here" [X Link](https://x.com/JahangirAsgha10/status/1997709878299631854) 2025-12-07T16:48Z 4269 followers, 4786 engagements "Joint replacement sits in a bit of a gray zone and some of my joint colleagues can answer that even better. I genuinely love the joint surgeons because they took a procedure that once required two to three inpatient days and turned it into a reproducible outpatient operation with better outcomes and lower cost. Empowering that ecosystem by letting more of it function outside the traditional insurance market could accelerate the progress they already made. They have shown what is possible through ASC ownership and disciplined cost transparency" [X Link](https://x.com/JahangirAsgha10/status/1997999173505814719) 2025-12-08T11:58Z 4272 followers, XX engagements "A well-designed savings vehicle that lets people accumulate resources over a lifetime with patient contributions and direct subsidies is not a big ask. We already give about $7500 per person in ACA subsidies to insurance companies and every year it resets to zero. A total hip in an outpatient center is about $10500 today and that cost has consistently fallen as care moved into more efficient settings. Remove the regulatory barriers that inflate prices and the true cash cost would drop even further" [X Link](https://x.com/JahangirAsgha10/status/1998346172335861960) 2025-12-09T10:57Z 4270 followers, XX engagements "I am genuinely in But what does the structure look like I spent time looking at this The traditional union model isnt functional across a broad spectrum From my understanding a significant portion of attendings are classified as supervisors under labor law which excludes them. (Public/state system employees are a possible exception) 1099s are considered independent contractors Independent physicians have no employer to bargain with. Even for employed groups unions cant fix the core problem: consolidated systems and insurers control the relationship not physicians and patients. The rules in" [X Link](https://x.com/JahangirAsgha10/status/1997980260332191833) 2025-12-08T10:43Z 4269 followers, XXX engagements "HSAs and the current insurance model run independently of one another. They were never designed to influence prices because the underlying insurance structure never changed. HSAs have only been available to a limited subset of patients tied to HDHPs and the majority of healthcare spending never touches an HSA dollar. Without broad exposure to real prices you wont get the market effects people assume HSAs should create" [X Link](https://x.com/JahangirAsgha10/status/1996998921823178820) 2025-12-05T17:43Z 4269 followers, 2885 engagements "Our leaders keep selling a false choice between a giant government system and the chaotic insurance network we have today. Neither touches the structural failures built into the Medicare Modernization Act and the ACA. Those laws locked in subsidies and regulations that fueled consolidation restricted physician supply and pushed prices up no matter who pays. And @mcuban is right: none of the current proposals will meaningfully lower costs inside a system designed to inflate them. Data points: Hospital consolidation affects XX% of metro markets Prices rise 3050% after mergers with no quality" [X Link](https://x.com/JahangirAsgha10/status/1997994608739893651) 2025-12-08T11:40Z 4271 followers, 1128 engagements "Q: How many people receive premium tax credits A: About XX million peopleroughly XX% of marketplace enrollees. Q: Where do those tax credits go A: Directly to insurance companies. Patients never receive the subsidy. Q: How much money goes to insurers A: About $6500 per subsidized enrollee per year totaling well over $XXX billion annually. Q: What happens each year A: Deductibles reset. Subsidies reset. The system starts over from zero. Given the significant regulatory requirements around basic and preventive care we are paying substantially more for this largely healthy 1865 population to" [X Link](https://x.com/JahangirAsgha10/status/1998368024043090089) 2025-12-09T12:23Z 4269 followers, 1371 engagements "I get clawbacks often with little explanation or usable info. And the money isnt pulled directlyfuture payments just quietly go unpaid. Youre left guessing what was withheld and for which claim. The patient assumes the bill is paid This is becoming routine The concern is these are going to increase Especially as there is a push to lesson the prior auth burden" [X Link](https://x.com/JahangirAsgha10/status/1997003315113021462) 2025-12-05T18:01Z 4270 followers, 169.6K engagements "hospital systems use charity care as the justification for billions in subsidies but much of that charity care is an accounting label rather than real financial risk. Large systems classify underpayments bad debt and even discounted self-pay rates as charity then use those inflated figures to defend 340B margins DSH payments and tax exemptions. The subsidy flows to the system not the patient" [X Link](https://x.com/JahangirAsgha10/status/1998353163754078612) 2025-12-09T11:24Z 4270 followers, XX engagements "Its not an accounting thing Its a subsidy thing these conversations miss the point and I havent made the case well but Its about the subsidies Hospital systems use charity care or community benefit as the justification for billions in subsidies but much of that care is an accounting label rather than real financial risk. Large systems classify underpayments bad debt and even discounted self-pay rates as charity then use those inflated figures to defend DSH payments and tax exemptions. When independent physicians get underpaid in the exact same circumstance We are told its too bad" [X Link](https://x.com/JahangirAsgha10/status/1998359990453580045) 2025-12-09T11:52Z 4270 followers, XXX engagements "Physicians never have that level of insight and any relationship that steers referrals is very illegal(anti-kick back statute). I mean jail time illegal. Large systems have work around and use referral coordinators who decide where patients go to keep care in-network but the employed physician has little control over that. As an independent I refer based on the patients condition the surgeons skill and whether the specialist is actually accessible(ie do I have there cell phone number)" [X Link](https://x.com/JahangirAsgha10/status/1998564820547690926) 2025-12-10T01:25Z 4270 followers, XX engagements "@pgipe I like the idea of gyms and exercise space at airports but this is the exact opposite of what we need. Why would the government spend a billion dollars on airport gyms" [X Link](https://x.com/JahangirAsgha10/status/1998568217338589398) 2025-12-10T01:39Z 4269 followers, XX engagements
[GUEST ACCESS MODE: Data is scrambled or limited to provide examples. Make requests using your API key to unlock full data. Check https://lunarcrush.ai/auth for authentication information.]
@JahangirAsgha10 John Asghar MD
John Asghar MD posts on X about insurance, debt, accounting, health the most. They currently have XXXXX followers and XXX posts still getting attention that total XXXXX engagements in the last XX hours.
Engagements: XXXXX #
- X Week XXXXXXX +36%
- X Month XXXXXXXXX +24,255%
- X Months XXXXXXXXX +157%
- X Year XXXXXXXXX +5,788%
Mentions: XX #
- X Week XX -XX%
- X Month XXX +2,075%
- X Months XXX +218%
- X Year XXX +352%
Followers: XXXXX #
- X Week XXXXX +1.70%
- X Month XXXXX +20%
- X Months XXXXX +37%
- X Year XXXXX +214%
CreatorRank: XXXXXXXXX #
Social Influence
Social category influence finance
Social topic influence insurance #725, debt #888, accounting #251, health, money, car insurance, just a, events, $10k, i know
Top accounts mentioned or mentioned by @drdigiorgio @mcuban @dutchrojas @realdocspeaks @cscla @pgipe @sdixitmd @drdanchoi @sethborman @matthewboedy @billackman @drmikeselby @davembmd @uhc @edwards183 @bradwood37701 @davesylvester11 @maureenogr19257 @noahpinion @drbruggeman
Top Social Posts
Top posts by engagements in the last XX hours
"When I buy car insurance I never think about using up my deductible just to get something for my premium. I treat it exactly as its meant to bea hedge against rare high-cost events. Only in healthcare do we flip that logic and try to run every routine interaction through an insurance product that is poorly designed for constant use. And then wonder why premiums are so high"
X Link 2025-12-03T23:17Z 4271 followers, 12.4K engagements
"Stone Crab a uniquely South Florida thanksgiving dish"
X Link 2025-11-27T22:13Z 4266 followers, XXX engagements
"@mcuban hopefully others can add to this In a small private practice like mine cash-basis accounting is the only system that makes sense because revenue is completely unpredictable. I do not get paid when I do the work. I only get paid when an insurer releases the funds. If they dont the revenue never exists on paper which means physicians cannot write off bad debt the way other professionals can. What we actually experience are three separate mechanisms where real losses occur none of which the IRS recognizes as deductible. X. Patient-Based Nonpayment A patient is seen evaluated and treated."
X Link 2025-11-29T20:14Z 4270 followers, 32.7K engagements
"The math is the same every time this comes up. No one has presented a plan to finance Medicare for All so I extrapolated our current Medicare spend ignoring the add ons people want. We spend what we spend for XX million people. Scale that to XXX million and the numbers get very clear very fast. Right now we dont collect enough in taxes to fully fund Medicare for the XX million who are already in the program. To finance it for the entire population we would have to almost double current federal revenue. That means Americans would be paying roughly twice what they pay nowregardless of whether"
X Link 2025-12-01T15:48Z 4270 followers, 6390 engagements
"My wifes Invisalign costs about the same as a single-level lumbar laminectomy in an ASC. Thats how skewed our pricing structure is. Most people dont realize how many routine surgical interventions are priced in the same range as common dental or cosmetic servicesthey only focus on the rare catastrophic cases"
X Link 2025-12-03T03:41Z 4270 followers, 8868 engagements
"Consolidation broke healthcare. The patient is no longer the customer. The physician is no longer the service provider. Care now exists in a transaction between health systems and insurers not between doctors and patients. So when insurers and systems blame each other it misses the real problem. The physician-patient relationship has been displaced and every failure downstream starts here"
X Link 2025-12-07T16:48Z 4269 followers, 4786 engagements
"Joint replacement sits in a bit of a gray zone and some of my joint colleagues can answer that even better. I genuinely love the joint surgeons because they took a procedure that once required two to three inpatient days and turned it into a reproducible outpatient operation with better outcomes and lower cost. Empowering that ecosystem by letting more of it function outside the traditional insurance market could accelerate the progress they already made. They have shown what is possible through ASC ownership and disciplined cost transparency"
X Link 2025-12-08T11:58Z 4272 followers, XX engagements
"A well-designed savings vehicle that lets people accumulate resources over a lifetime with patient contributions and direct subsidies is not a big ask. We already give about $7500 per person in ACA subsidies to insurance companies and every year it resets to zero. A total hip in an outpatient center is about $10500 today and that cost has consistently fallen as care moved into more efficient settings. Remove the regulatory barriers that inflate prices and the true cash cost would drop even further"
X Link 2025-12-09T10:57Z 4270 followers, XX engagements
"I am genuinely in But what does the structure look like I spent time looking at this The traditional union model isnt functional across a broad spectrum From my understanding a significant portion of attendings are classified as supervisors under labor law which excludes them. (Public/state system employees are a possible exception) 1099s are considered independent contractors Independent physicians have no employer to bargain with. Even for employed groups unions cant fix the core problem: consolidated systems and insurers control the relationship not physicians and patients. The rules in"
X Link 2025-12-08T10:43Z 4269 followers, XXX engagements
"HSAs and the current insurance model run independently of one another. They were never designed to influence prices because the underlying insurance structure never changed. HSAs have only been available to a limited subset of patients tied to HDHPs and the majority of healthcare spending never touches an HSA dollar. Without broad exposure to real prices you wont get the market effects people assume HSAs should create"
X Link 2025-12-05T17:43Z 4269 followers, 2885 engagements
"Our leaders keep selling a false choice between a giant government system and the chaotic insurance network we have today. Neither touches the structural failures built into the Medicare Modernization Act and the ACA. Those laws locked in subsidies and regulations that fueled consolidation restricted physician supply and pushed prices up no matter who pays. And @mcuban is right: none of the current proposals will meaningfully lower costs inside a system designed to inflate them. Data points: Hospital consolidation affects XX% of metro markets Prices rise 3050% after mergers with no quality"
X Link 2025-12-08T11:40Z 4271 followers, 1128 engagements
"Q: How many people receive premium tax credits A: About XX million peopleroughly XX% of marketplace enrollees. Q: Where do those tax credits go A: Directly to insurance companies. Patients never receive the subsidy. Q: How much money goes to insurers A: About $6500 per subsidized enrollee per year totaling well over $XXX billion annually. Q: What happens each year A: Deductibles reset. Subsidies reset. The system starts over from zero. Given the significant regulatory requirements around basic and preventive care we are paying substantially more for this largely healthy 1865 population to"
X Link 2025-12-09T12:23Z 4269 followers, 1371 engagements
"I get clawbacks often with little explanation or usable info. And the money isnt pulled directlyfuture payments just quietly go unpaid. Youre left guessing what was withheld and for which claim. The patient assumes the bill is paid This is becoming routine The concern is these are going to increase Especially as there is a push to lesson the prior auth burden"
X Link 2025-12-05T18:01Z 4270 followers, 169.6K engagements
"hospital systems use charity care as the justification for billions in subsidies but much of that charity care is an accounting label rather than real financial risk. Large systems classify underpayments bad debt and even discounted self-pay rates as charity then use those inflated figures to defend 340B margins DSH payments and tax exemptions. The subsidy flows to the system not the patient"
X Link 2025-12-09T11:24Z 4270 followers, XX engagements
"Its not an accounting thing Its a subsidy thing these conversations miss the point and I havent made the case well but Its about the subsidies Hospital systems use charity care or community benefit as the justification for billions in subsidies but much of that care is an accounting label rather than real financial risk. Large systems classify underpayments bad debt and even discounted self-pay rates as charity then use those inflated figures to defend DSH payments and tax exemptions. When independent physicians get underpaid in the exact same circumstance We are told its too bad"
X Link 2025-12-09T11:52Z 4270 followers, XXX engagements
"Physicians never have that level of insight and any relationship that steers referrals is very illegal(anti-kick back statute). I mean jail time illegal. Large systems have work around and use referral coordinators who decide where patients go to keep care in-network but the employed physician has little control over that. As an independent I refer based on the patients condition the surgeons skill and whether the specialist is actually accessible(ie do I have there cell phone number)"
X Link 2025-12-10T01:25Z 4270 followers, XX engagements
"@pgipe I like the idea of gyms and exercise space at airports but this is the exact opposite of what we need. Why would the government spend a billion dollars on airport gyms"
X Link 2025-12-10T01:39Z 4269 followers, XX engagements