Out of Patients with Matthew Zachary
Matthew ZacharyAmerican healthcare, decoded by someone who survived it and never left. I track the money, name the actors, and document how delay and denial operate in real time. If you want polite takes, look elsewhere. If you want the truth with receipts, subscribe.
| Platform |  | Pricing | Freemium | Publishes | Daily |
|---|---|---|---|---|---|
| Issues | 868 | Founded | 3 years ago | Last Issue | 4 days ago |
| Active | |||||
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thematthewzachary.substack.comLatest Issues
The Denial Machine Exposed
In Medicare Advantage, more than 80% of appealed prior authorization denials are overturned. In ACA Marketplace plans, fewer than 0.2% of denied claims are ever appealed.
Read that again.
The insurance industry built a machine designed to...
I Found A Video That Explains Why We Can’t Cure Cancer. It’s Brilliant. It’s Also Missing The Point.
An AI platform called Explain In Paint put together a 20 minute explainer on why curing cancer is so hard. The biology is solid. The science is accurate. The visuals are crayon drawings, which honestly makes it more digestible than most med...
30 Years Of Patient Rebellion Started With A Boombox.
1995. I was 21 with a brain tumor. Eight hour surgery. 33 rounds of radiation. And a rule that said no music in the nuclear vault at MSKCC
I brought my AIWA double cassette deck anyway.
They told me no. I said too bad. Every single sessi...
Out of Patients EP4534: Your Benefits May Vary: Rebecca Bloom
🚨NEW EPISODE 🚨
Rebecca Bloom spent years inside one of the least sexy but most consequential corners of American healthcare. Employee benefits law. Executive compensation. HR policy. The part of the machine where cancer quietly turns int...
UnitedHealth Wrote The Law. Then Lost At Their Own Game. Now They Want To Change The Rules.
just dropped the receipts. AGAIN.
UnitedHealth secretly funded Yale research that shaped the No Surprises Act. Internal emails show executives got briefed on research progress, suggested edits, and could block publication if they didn’t li...
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The writers behind this newsletter.
American Healthcare's Unfiltered Voice of Reason. Author, We the Patients (Wiley 2026). 30-year brain cancer survivor. Co-Founder, We The Patients, Host, healthcare's #1 independent podcast.
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