Greg Lambrecht retweeted
Medicare Advantage now covers more than half of all Medicare beneficiaries, roughly 35 million seniors enrolled in privately managed plans that most people assume have always worked this way. They have not. This week I am walking through the full arc of Medicare Advantage: how it started, what it became, what is now structurally broken, and what Congress can do about it.
Medicare Advantage began as Medicare+Choice under the Balanced Budget Act of 1997, then was rebranded and substantially reworked as Medicare Advantage under the Medicare Modernization Act of 2003. The original pitch was straightforward. Private plans competing for seniors would deliver care more efficiently than fee for service Medicare and pass the savings back to the program and to taxpayers.
That promise has not held. The Congressional Budget Office now estimates Medicare Advantage overpayments will total roughly $1 trillion over the next decade. The Medicare Payment Advisory Commission puts 2026 overpayments at $76 billion, or 14 percent more than the same beneficiaries would have cost in traditional Medicare. Those numbers shape the budget neutrality fights that suppress the physician fee schedule every year, and they help finance the vertical integration that is squeezing independent practices out of local markets.
This week: Tuesday covers the legislative origins and the design choices baked in from day one. Wednesday covers what the program actually became, from risk adjustment gaming to star rating bonuses to insurer owned physician networks. Thursday covers the full set of structural problems. Friday is Fix It Friday, with the legislative vehicles already in front of Congress that would address each of these problems directly.
Independent practices fail because the underlying payment architecture rewards scale, consolidation, and coding intensity over clinical judgment. Medicare Advantage is one of the clearest examples of that dynamic.
Greg Lambrecht retweeted
Lisa McBain wine buyer for #Fullers pub group says having a strong by-the-glass wine offer has been a “game changer” for the business & allowed it to offer more ambitious wines for its customers & how she expects her suppliers to help advance its offer the-buyer.net/people/on-trad…
Greg Lambrecht retweeted
G.H. Mumm reimagines the age of sail in green shipping scheme
.
thedrinksbusiness.com/2024/1…
Greg Lambrecht retweeted
Coravin Inventor and Founder Greg Lambrecht joined Master Sommelier Chris Tanghe on the @GuildSomm podcast, the international non-profit for wine, spirits, and beverage professionals. Tune in and elevate your wine game!
bit.ly/4ciDvhR
#MasterSommelier #Sommelier #Wine
Greg Lambrecht retweeted
Replying to @GregAtCoravin
@gregatcoravin, joined Brady Weller and Billy Galanko on this week's Vint Podcast. They explore Greg's journey from wine enthusiast to inventor, the challenges he faced, and the impact of Coravin on the wine industry worldwide. bit.ly/3Vi5xDR
#wine #podcast
Greg Lambrecht retweeted
Join @GregAtCoravin, along with Drew Bledsoe and Josh McDaniels, for an exclusive tasting of Double Back Wine's 2022 Merlot and 2021 Cabernet Sauvignon. We'll share stories and discuss innovations in the wine industry. Reserve your spot here: bit.ly/3VXwHlu
Greg Lambrecht retweeted
SOMM: Cup of Salvation is eligible for best documentary. We open in NYC theaters this weekend, director @JasonBWise and the cast of this wild movie will be doing Q&As and the wines in the film are available. Grab your tickets before they sell out:
angelikafilmcenter.com/nyc/f…
Greg Lambrecht retweeted
Inspired by the spirit of exploration, the Timeless Six+ in Mist reflects Coravin’s mission to empower wine enthusiasts to embark on their own tasting journeys. Save up to 50% here: bit.ly/3MG4tG7
#blackfriday #wine #coravin
Greg Lambrecht retweeted
The exciting new wines reviving the sherry region jancisrobinson.com/articles/…
Greg Lambrecht retweeted
Today's annular eclipse in a tree's shade.
The tiny gaps between leaves act as pinhole lenses, projecting crescent shaped images of the eclipsed sun onto the world below.
[📹 u/shibakevin, Corpus Christi, Texas, Oct 14, 2023]
Greg Lambrecht retweeted
In 2009, Lin-Manuel Miranda was invited to perform at the White House.
His musical “In The Heights” had just won a Grammy & 4 Tony Awards.
So the White House expected him to perform something from Heights.
Instead, he debuted a song from a hip-hop concept he’d been working on:
Miranda explained that he'd been working on a “concept album about the life of someone I think embodies hip-hop...Treasury Secretary, Alexander Hamilton.”
The crowd laughed.
“You laugh, but it's true!”Miranda replied.
“He was born a penniless orphan in St. Croix of illegitimate birth, became George Washington's right-hand man, became Treasury Secretary...All on the strength of his writing.
He embodies the word's ability to make a difference.”
Takeaway 1:
Whenever Lin-Manuel Miranda told people he was working on a hip-hop concept about a founding father, they did what the White House did—they laughed at him. In fact, the day after that White House performance, Miranda got made fun of during a three-minute rant on The Daily Show.
He worked on the concept for 8 years—so, Miranda said, “I had a lot of people laughing and looking at me like I was crazy for a very long time.”
In 1817, the poet John Keats wrote a letter to his brothers to share an exciting realization.
“At once it struck me,” Keats wrote, “what quality went to form a Man of Achievement … Negative Capability.”
Keats explains that “Negative Capability” is “when a man is capable of being in uncertainties, mysteries, [and] doubts.”
Rarer than talent or work ethic, Keats said, is the ability to step into and push through uncertainties and doubts, to continue working on something in spite of people laughing at you or looking at you like you're crazy.
Takeaway 2:
Rick Rubin was asked what he’s learned through making a lot of different kinds of music with a lot of different kinds of artists. “One thing is,” Rubin said, “never try to judge an idea based on the description of the idea.”
There is always a gap between an idea in theory and in reality.
Rubin explained, “An artist will say, ‘I have an idea, we can write the bridge like this,’ and they’ll give me a description of the idea, and it sounds terrible—the description sounds terrible. And I say, ‘Great, can’t wait to hear it.’ And then they do it, and it’s incredible…so we never rely on the description. It’s always, ‘show it to me. Let me hear it.’”
When Lin-Manuel Miranda gave people a description of his idea, they laughed at him and looked at him like he was crazy.
But eventually, Miranda didn’t have to rely on the description of his idea. Eventually, he got to show people "Hamilton," a musical that earned 11 Tony awards, the 2016 Grammy Award for Best Musical Theater Album, the 2016 Pulitzer Prize for Drama, the 2017 Billboard Music Award for Top Soundtrack, and the number eight spot on Rolling Stone’s 50 Best Albums of 2015.
Never judge an idea based on the description of the idea.
- - -
“‘That won’t work’ is the worst thing you can ever say. ‘That didn’t work’ is cool, but ‘That won’t work’ is not a way to go through life.” — John Mayer
Follow @bpoppenheimer for more content like this!
Greg Lambrecht retweeted
Check out North Yorkshire's newest fine dining gem, Dinner by Uovo at the Cross Keys. Equipped with Coravin Wine Preservation Systems, to allow guests to sample high-end wines, it's a restaurant you'll want to add on your list!
yhoo.it/3PZDQ1i
Greg Lambrecht retweeted
Checkout @TheWineChef's review on Coravin Timeless Preservation Systems, including some fun facts about Coravin Inventor & Founder @GregAtCoravin
bit.ly/46tt5JJ
Greg Lambrecht retweeted
- DNA DOUBLE HELIX stores genetic information
- DNA POLYMERASE replicates DNA.
- RNA POLYMERASE synthesizes RNA from DNA
- RIBOSOMES use RNA to build proteins
These four molecules are essential to all life on Earth.
[source: buff.ly/33qihhK]
Greg Lambrecht retweeted
Congratulations to Dr. Ramin Raiszadeh for implanting his 1st #Barricaid at Sharp Grossmont! Thanks to Dr. Raiszadeh implanting Barricaid, this patient's risk of reoperation for reherniation has now been reduced by 81%!
Thank you to John Insley and Bryan Larsen for supporting.
Greg Lambrecht retweeted
Intrinsic Therapeutics Announces Results from Post-Market Study Confirming Benefits of Barricaid Annular Closure Implant
Read the full press release here: hubs.ly/Q01W3KT80
Greg Lambrecht retweeted
We're looking forward to welcoming visitors (stand 4C04) @ProWein in Düsseldorf. Our team, and founder @gregatcoravin, will be showcasing our range of professional & consumer devices. Email us at [email protected] to schedule an appointment. #winetradefair #prowein2023
Greg Lambrecht retweeted
Have you heard?!? The Coravin Timeless Three+ wine preservation system has been named one of Oprah's Favorite Things 2022!! Pour wine without pulling the cork: bit.ly/3TX8S9i
#OprahsFavoriteThings @oprahdaily



















