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Insurance articles
Medicare Advantage Denied Their Rehab Care, Then Reversed Almost Every Appeal. That's the Business Model.
Insurers overturned 95% of appealed skilled nursing denials, and 97% of the ones a UnitedHealth AI contractor issued.
U.S. Health Care Spending Will Hit $6 Trillion in 2026. Here's What the Number Hides.
The number that matters is buried in an assumption the government's own actuaries had to make about the recent coverage cuts.
The AMA Owns the Codes Medicare Requires. Two Investigations Want to Know Why.
A doctors' lobby owns the code set Medicare requires and licenses it back to the industry for hundreds of millions a year.
The Spiral Is Not a Prediction. It Is in the Filings.
2027 ACA rate filings show insurers pricing in roughly four points of premium increase purely because the risk pool is getting sicker.
Two Hours a Year, a Thousand Dollars a Month
AI scribes save physicians about two hours a year and generate about $1,004 more revenue per provider per month.
The Subsidy Fight Is an Argument About the Invoice, Not the Bill
Enhanced ACA subsidies lapsed and premiums for subsidized enrollees more than doubled. Congress is fighting over who pays the bill, not why it's so large.
Two Levers, One Direction
UnitedHealth just audited the program regulators are investigating and gave it a 97%. Meanwhile, insurers keep suing their way to better quality scores.
More insurance articles are on the way
We're currently writing our next home and auto insurance deep-dives. Check back soon.