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US Healthcare Explained through Essays & Graphic Novels

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Latest Issues

Healthcare Is a Kludgeocracy

Your doctor is trying to order an MRI.

The reason almost doesn’t matter. Maybe there is concern for a brain tumor. Maybe a herniated disc is making you drag your foot. Maybe the diagnosis is still uncertain, and the MRI is supposed to help...

9 days ago
13
1

More on Administrative Costs

It may surprise many people to hear me say this, but we can achieve universal coverage with lower administrative costs than the U.S. healthcare system currently has.

Yet most Americans would not like the result.

If Congress passes a law p...

22 days ago
9
5

Medicare’s “Low Administrative Costs” Are an Accounting Trick

One of the most durable claims in American healthcare politics is that Medicare is administratively efficient because its official overhead is low.

The argument usually arrives as a conversation-ender, often with a snide, “Well, Medicare o...

a month ago
14
1

News Roundup: July 2, 2026

Major News Out of CMS!

CMS released the CY 2027 OPPS/ASC proposed rule on July 2, 2026. This is how CMS will pay facilities using the Outpatient Prospective Payment System, which is Medicare’s payment system for hospital outpatient departm...

a month ago
5
Paid

News Rundown 6/28/26: 340B Reform!

There's 340B Legislation Cooking!

Senate HELP Chair Bill Cassidy released a discussion draft Thursday to overhaul the 340B drug discount program, formally titled the “340B Drug Pricing Integrity and Affordability for Patients Act.” The dra...

a month ago
Paid

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  • Off Label Ideas

    Publisher of Claim Denied, commentary on US healthcare policy.

  • Anthony DiGiorgio, DO, MHA

    Neurosurgeon & health policy wonk.

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