A PEST Analysis Newsletter for Advocacy Professionals

Maximizing Your Impact In Patient Advocacy

Helping to Get Patients Out of The Healthcare Maze & On The Fast Track to Care

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Keep up with all of the key issues and events impacting patient advocacy organizations and the patients they represent!

READ OUR LATEST BLOG POSTS

Nov 4, 2026

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3 min read

Coverage Is the Access Story Now

Open enrollment opens November 1. Four point six million people already left the individual market while the field argued about drug prices.

Matt Toresco

Oct 28, 2026

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4 min read

Nobody Is Shopping for the Denial Rate

Medicare open enrollment opens October 15. CMS made plan level prior authorization data public in March, and the advocacy field left it on the shelf.

Matt Toresco

Oct 21, 2026

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3 min read

The Notice Nobody Wrote

CMS cancelled coverage for more than 760,000 people six weeks before Open Enrollment and published no way for any of them to find out or fight back.

Matt Toresco

Four Companies Run Your Pharmacy Counter. Who Runs Them?

Oct 14, 2026

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4 min read

Four Companies Run Your Pharmacy Counter. Who Runs Them?

Four PBMs now hold 75 percent of the market, and every one of the ten largest shares an owner with a health insurer. Patients pay for that structure at the counter.

Matt Toresco

Everyone Got a Deal Except the Patient: How September 2026 Handed Out Side Deals and Sent Patients the Bill

Oct 7, 2026

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11 min read

Everyone Got a Deal Except the Patient: How September 2026 Handed Out Side Deals and Sent Patients the Bill

September rewarded everyone with a seat at the table. Drugmakers traded concessions for exemptions, arbiters collected a fee per dispute, and vendors earned a cut of every denied claim. Patients got a letter, a bill, or a paperwork deadline.

Matt Toresco

Oct 1, 2026

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3 min read

The Job Was Never the Paperwork

Collecting patient insight is not enough. Someone must own the decision and answer for what happens next.

Matt Toresco

CHECK OUT MATT’S LATEST VIDEOS ON OUR YOUTUBE PAGE & CHECK OUT MATT’S TEDx CHARLESTON VIDEO BELOW!

Maximizing Your Impact In Patient Advocacy

Keep up with all of the key issues and events impacting patient advocacy organizations and the patients they represent!

READ OUR LATEST BLOG POSTS

Coverage Is the Access Story Now

Nobody Is Shopping for the Denial Rate

The Notice Nobody Wrote

Four Companies Run Your Pharmacy Counter. Who Runs Them?

Everyone Got a Deal Except the Patient: How September 2026 Handed Out Side Deals and Sent Patients the Bill

The Job Was Never the Paperwork

CHECK OUT MATT’S LATEST VIDEOS ON OUR YOUTUBE PAGE & CHECK OUT MATT’S TEDx CHARLESTON VIDEO BELOW!

Helping to advocate for advocacy!