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Nov 4, 2026
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3 min read
Open enrollment opens November 1. Four point six million people already left the individual market while the field argued about drug prices.
Oct 28, 2026
4 min read
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.
Oct 21, 2026
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.
Oct 14, 2026
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.
Oct 7, 2026
11 min read
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.
Jun 24, 2026
6 min read
Eighty-three percent bought the AI engine. Nine percent built the fuel line. Patients still wait.
Jun 17, 2026
Forty-eight organizations, one message, and a lesson in how policy really moves.
Jun 10, 2026
Two million children have already lost coverage. The companies selling into Medicaid still forecast as the floor holds.
Jun 4, 2026
Transparency is easy to publish. Accountability is harder to measure and harder to defend.
8 min read
May compressed a year of healthcare tension into a single month, revealing the widening gap between what the system says it values and what it is actually built to protect.
May 27, 2026
5 min read
The denial letter your patient receives six months from now may already exist in a draft conversation happening today.
May 21, 2026
Most patients who try to start a new specialty therapy get rejected at the counter. The companies that fix it start before the prescription gets written.
May 13, 2026
The Industry Spent Billions on Patient Engagement. Virginia Hospitals Spent the Same Period Suing Patients.
May 6, 2026
UnitedHealth just announced a $3 billion AI investment. More than 22,000 software engineers. More than 80 percent of them now using AI to write code or build new agents. Most headlines framed this as innovation. Most executives framed it as efficiency. Wall Street framed it as scale.
