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US Healthcare Explained through Essays & Graphic Novels

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Latest Issues

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...

4 days ago
4
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...

9 days ago
Paid

Off Label Ideas News Rundown - Tuesday, 06/23/2026

Story 1: CMS Reopens Medicare Advantage Star Ratings After Clover Lawsuit

Story 1: CMS Reopens Medicare Advantage Star Ratings After Clover Lawsuit

13 days ago
1
Paid

Politicization of Public Health

One of my best friends is an accountant. He knows about as much about medicine as I know about double entry bookkeeping, which is next to nothing.

Early in the COVID pandemic, he asked me about the rules. He was not trying to make a politi...

20 days ago
9

Inefficiency in Medicine

Compared to our relatively recent ancestors, humans today are much more productive with their time. I mean that literally. Imagine the amount of food or clothing a human could produce with their labor 100 years ago compared to now. Then loo...

24 days ago
9
2

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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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