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What The System Won't Tell You

Hannah Mamuszka

My musings on the problems with US healthcare and what we need to do to fix them.

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Substack
PricingOnly free issuesPublishesWeekly
Issues13Founded10 months agoLast Issue5 days ago
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Latest Issues

The Rebate Shell Game and a Different Kind of PBM, with Greg Baker, CEO of Affirmed

Episode 6 — Greg Baker (AffirmedRx): The Rebate Shell Game and a Different Kind of PBM

Hannah Mamuszka and Lena Chaihorsky interview Greg Baker, founder and CEO of AffirmedRx, a pharmacy benefit manager structured as a public benefit corpo...

5 days ago

The Price of Drugs Is Only Half the Problem

Hannah Mamuszka and Lena Chaihorsky take on the drug pricing debate from the patient side: whether the drug works for the person taking it is as important as the price. Chaihorsky frames it with a metaphor that runs through the episode, how...

13 days ago
2

Ending Trial-and-Error Medicine

Hannah Mamuszka and Lena Chaihorsky interview Kristine Ashcraft, a molecular biologist who has worked in pharmacogenomics (PGx) since 2000, first at Genelex, one of the earliest labs to offer the testing, and later as founder of the clinica...

a month ago

Follow the Money Part 2: How a Drug Gets Priced, Paid For, and Protected

Part 1 of this series looked at how hospitals and physicians get paid and the way those mechanics shape everything from what services a hospital keeps open to what drugs a physician chooses to (or is able to) administer. Everything in Part1...

a month ago

Mad is not a strategy: The CPA who makes the case pharmacogenomics

Hannah Mamuszka and Lena Chaihorsky talk with Jane Cheshire Gilbert, a CPA who spent two decades running the health plan for the Teachers' Retirement System of Kentucky (TRS) and became an unlikely pioneer in pharmacogenomics. Serving tens...

a month ago

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  • Hannah Mamuszka

    Scientist by training, now focused on healthcare system change. Passionate about Precision Medicine and using data in all healthcare decisions. Runner, podcaster, soccer coach, mom.

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