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
Andrew Rexroad
Newsletter
Issue #8: The Denial Machine
How insurers use prior authorization denials to extract $24 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
Newsletter
Issue #3: The 254% Problem
Why a hip replacement costs $29,000 in America and $10,000 almost everywhere else
Newsletter
Issue #2: The Same Pill, a Different Price
Why nine top-spend Medicare drugs cost up to 581x more in America than abroad
Newsletter
Issue #1: The OTC Drug Problem
How Medicare Part D overpays for brand drugs with cheaper over-the-counter equivalents