u/Efficient_Ad_5879

London is done and New York has not really moved yet.

The charts are slow, the spreads are wider and there is genuinely nothing setting up.

And yet. That is exactly when I am most likely to take a trade I have no business taking.

Not because the setup is there but because I am bored and I have been watching the screen for three hours and doing nothing feels wrong.

Slow session discipline is a completely different skill from active session discipline and I do not think it gets talked about enough.

What do you actually do during dead market hours to stop yourself from forcing trades?

If you work with Apple Health members or know someone on Washington Medicaid this is worth knowing.

Washington's HRSN program (Health-Related Social Needs) covers the following benefits at no cost to eligible members under the state's 1115 Medicaid Transformation Waiver:

Housing

• Housing transition navigation (help identifying, coordinating, and securing stable housing)
• One-time transition costs and housing deposits
• Home modifications for safety, accessibility, and independence

Nutrition

• Nutrition navigation and support services for members with documented food insecurity tied to health outcomes

Who qualifies?
You must be a current Apple Health enrollee with an unmet social need that contributes to poor health. Unlike Oregon's HRSN which requires a specific life transition, Washington's program focuses on documented social need tied to health outcomes. Eligibility and service availability vary by county some services are still rolling out depending on your area.

Your county's Aging and Disability Services office or a local HRSN navigator is the best first step for screening.

For King County specifically: HealthierHere Hub coordinates HRSN referrals.

If you're a social worker, CHW, or work at a CBO worth adding HRSN screening to your intake process for any Apple Health member facing housing or food insecurity.

Everyone says "only take A+ setups. but I have never seen nobody talk about what it actually feels like to sit in front of a screen for two hours and not trade because nothing qualifies.

It does not feel disciplined but rather it feels like I am missing something. Like the setup is there and I am just not seeing it.

So I lower the criteria slightly first then a little more and suddenly I am in a trade I never planned to take.

Doing nothing is genuinely one of the hardest skills in trading and it is never taught.

How do you actually manage the slow sessions where nothing is setting up?

If you work with OHP members or know someone on Oregon Health Plan, this is worth knowing.

Oregon's HRSN program (Health-Related Social Needs) covers three categories of benefits at no cost to eligible members:

Housing

• Rent assistance (3–6 months including back rent, once every 3 years)
• Utility help (up to 6 months including overdue bills)
• Storage fees, moving costs, housing deposits
• Home modifications (ramps, grab bars) for medical reasons

Nutrition

• Medically Tailored Meals with delivery
• Nutrition education
• Pantry stocking and a fruit & vegetable benefit (rolling out June 2026)

Climate

• Air conditioners, heaters, air filtration devices
• Portable power supplies for people who rely on medical devices

Who qualifies?
You must be a current OHP member AND be in at least one life transition and recently released from incarceration, leaving a mental health facility, in the child welfare system, transitioning to dual eligibility (Medicaid + Medicare), at risk of homelessness, or a young adult 19–26 with special health needs.

The eligibility criteria are narrower than most people expect, but a lot of people who do qualify never get screened. If you're a social worker, CHW, or work at a CBO and it's worth adding HRSN screening to your intake process.

Your decision to stay in the trade three hours longer than planned and not respecting your stop loss did.

Not a dig but something I had to say out loud to myself before it actually landed.

Where does your discipline actually break down.. entry, management, or exit?

I have done MBA in Healthcare Management from Berlin and Bachelor's in Pharmacy from India.

My German level is B1.2 and i am actively working on improving my German while I look for jobs but my job seeker visa ends in September 2026.

I have worked in Marketing agency in Berlin in past 3 years as a part time employee so I know how a team functions and have also done an internship in India

Any help/lead would be really appreciated!!!

Okay so California put over $2 billion into bringing CBOs into Medi-Cal through CalAIM. And honestly the idea makes total sense CBOs have the trust, the relationships, the community reach that no health plan is ever going to replicate.

But a lot of them are struggling to stay in. And I don't think enough people are talking about why.

The billing infrastructure ask is just... a lot. Most CBOs have never billed a managed care plan in their life. CalAIM shows up with EHR requirements, CPT codes, data security compliance, claims workflows stuff health systems took decades to build. CBOs are expected to figure it out fast, with minimal support.

And the rates don't really cover what the work actually costs. ECM especially. The documentation alone is brutal! detailed care plans, coordination across multiple systems, follow-up tracking. The fee-for-service rates don't account for any of that overhead, especially for smaller orgs.

Then there's the contracting process itself. From what a lot of CBOs report it feels pretty much like "sign here or don't." The organizations actually landing CalAIM contracts tend to be the larger ones, $11M+ in revenue. Not the small community-rooted providers the program was literally designed to include.

And here's the thing nobody says out loud, the members who most need CBOs are the exact people who lose when CBOs drop out.

What are you all seeing on the ground? Is the sustainability problem getting better or worse heading into the rest of 2026?

I create a plan that is rock solid on theory and ticks all the boxes that I want to take care off before taking a trade.

And when the trades show up I skip some of those checklists to make my decision biased as per my bias and totally ignore my plan before jumping in on the trade.

Is it only me?

On April 23, CMS Administrator Dr. Mehmet Oz sent letters to all 50 governors requiring states to submit a timeline for high-risk provider revalidation within 10 business days (May 7) and a full two-year revalidation strategy within 30 days.

The federal definition of "high-risk" includes any provider without a National Provider Identifier and those not screened within the past 12 months but states have discretion to expand that definition further.

What's making this complicated for CBOs specifically:

• Many smaller CBOs delivering ECM and Community Supports services under CalAIM or MTP 2.0 don't have dedicated compliance staff to handle revalidation paperwork on a compressed timeline
• States are simultaneously implementing work requirements and 6-month renewals under H.R.1 revalidation is being layered on top of an already stretched Medicaid infrastructure
• Providers caught in administrative crossfire risk losing enrollment status even if they're delivering legitimate, high-quality care

The intent of removing fraudulent providers is clearly right but rapid provider purges historically hit safety-net providers hardest, particularly smaller orgs without the administrative bandwidth to respond quickly.

A few genuine questions for this community:

• Has your organization received any communication from your state Medicaid agency about revalidation timelines yet?
• Are you contracted directly with a Managed Care Plan or through a subcontract? That distinction may affect how this lands for you.
• What's your org's current NPI and credentialing documentation status?

Have you ever faced this where you entered a trade because you thought that the setup was very good as it met all your requirements but the moment you entered, things went south?

Seen a lot of fellow traders face this, not sure what is the issue here?

What I want to ask is that I have many friends who preplan their trading weeks in advance, what I mean by preplanning is - setting up:

- max weekly loss

- max daily profit

- max drawdown per trade

- max % of portfolio in a lot.

While on the other hand there is me, who just goes in the week without planning anything which is actually eating my portfolio!

If you're a CBO navigating HRSN billing for the first time, the documentation alone can feel like a second job. Here's what we've seen work in practice:

The three things that trip most CBOs up:

1. Conflating SDOH and HRSN: SDOH is the structural context (the food desert). HRSN is the individual need (the person in front of you who hasn't eaten in two days). Your billing has to reflect the individual screen, not the population condition.
2. Z-codes without documentation to back them up: CMS's push toward standardized Z-code reporting in 2026 means the code alone isn't enough. You need a documented screen, a referral, and a closed-loop confirmation that the need was addressed or attempted.
3. Not knowing which HCPCS codes stack: In Oregon for example, the 1115 Waiver approves 39 HCPCS codes for HRSN services with up to 4 stacked modifiers per claim. Most CBOs leave reimbursement on the table simply because they don't know what's stackable in their state.

A simple way to think about the infrastructure:

• Screen (capture the HRSN)
• Document (Z-code + clinical note)
• Refer (closed-loop to a community service)
• Bill (correct HCPCS + modifiers)
• Report (state-specific requirements vary, OHA, DHCS, HCA all have different cadences)

If your team is still tracking any of this in Excel, the referral loop is probably breaking somewhere between the Refer and Bill steps and you won't see it until a funder asks for outcomes data.

Happy to answer questions on specific state requirements Oregon, California CalAIM and Washington MTP 2.0 all have different nuances worth knowing.

I have found myself skipping news events or fundamentals for any stock/pair/crypto/commodity that I trade with and only rely on technical analysis for my entry and exit.

While my TA helps me to enter at the right spot, I think FA is something that moves the price most of the time and I find myself in the middle of nowhere when it comes to considering news for assets in my trading style.

How do you guys do that? Any tools?

I face this dilemma a lot where there are days where I think of quitting trading and walking away from it after a loosing streak as I don't have control over my trades and there are days when I think like I am a king and keep on winning!!

This cycle is mentally exhaustive..

Have you ever faced this where you entered a trade because you thought that the setup was very good as it met all your requirements but the moment you entered, things went south?

Seen a lot of fellow traders face this, not sure what is the issue here?

I face this dilemma a lot where there are days where I think of quitting trading and walking away from it after a loosing streak as I don't have control over my trades and there are days when I think like I am a king and keep on winning!!

This cycle is mentally exhaustive..