Announcement
We've moved to americanhealthcareconundrum.com
The American Healthcare Conundrum now publishes on its own site. Here's why, and what stays the same.
Andrew Rexroad
Newsletter
Issue #14: The Specialist Tax
How a 30-year-old payment cascade overpays procedural specialty work relative to primary care and international peers, generating $28 billion per year in recoverable excess
Newsletter
Issue #13: The Nonprofit Lie
How $46 billion in annual tax exemptions flows to nonprofit hospitals that deliver less charity care per dollar than the for-profit chains paying full taxes
Newsletter
Issue #12: The Consolidation Tax
How hospital mergers raise commercial prices and pass $13 billion per year into employer premiums
Newsletter
Issue #11: The MA Overpayment
How Medicare Advantage gets paid more for the same patient
Newsletter
Issue #10: The Procedure Mill
How fee-for-service payment generates $7.6 billion per year in low-value Medicare and all-payer spending, and why New York pays 6.7x what Vermont does for the same evidence-poor procedures
Newsletter
Issue #9: The Employer Trap
How 32 years of premium growth moved $125,340 in wages through ERISA plans into the hospital-PBM-insurer stack, and what Form 5500 finally lets us measure
Newsletter
Issue #8: The Denial Machine
How insurers use prior authorization denials to extract $32 billion per year from Medicare Advantage patients
Newsletter
Issue #7: The GLP-1 Gold Rush
The fastest-growing drug class in history costs 3-5x more in America. We modeled what happens when Medicare starts paying.
Newsletter
Issue #6: The Supply Closet
Original analysis of 5,480 hospitals reveals $28 billion in addressable supply waste
Newsletter
Issue #5: The Paper Chase
How $200 billion a year in billing complexity and administrative overhead inflates U.S. healthcare costs
Newsletter
Issue #4: The Middlemen
How Pharmacy Benefit Managers extract $30 billion a year from the drug supply chain, and what to do about it