Jul 31, 2025

Northeast Oklahoma beat out Colorado, Oregon, and New York to win a landmark federal competition for the Comprehensive Primary Care Initiative. The program worked — emergency room visits dropped, hospitalizations declined, patients loved it, doctors loved it, and primary care physicians earned tens of thousands...

Jul 24, 2025

One carrier reported $4.8 billion in investment income in 2024. In 2025, United Healthcare recorded $151 billion in intercompany eliminations — payments from the insurance arm to subsidiaries it also owns. And as fee-for-service Medicare prices rise, Medicare Advantage capitation rates follow, creating a flywheel that...

Jul 17, 2025

Here is the central paradox of primary care: if you do it really well — evidence-based prevention, early intervention, curbing specialty volume — you cannibalize the very revenue stream that most consolidated health systems use to subsidize primary care in the first place. So why would a consolidated entity empower...

Jul 17, 2025

Retail clinics have been a concept for 20-plus years — and by Dr. Tom X. Lee’s assessment, they’ve largely failed to become what they promised. They’re convenient vaccine shops and minor urgent care stops, but very few have become true longitudinal primary care destinations. In this bonus clip, Stacey Richter...

Jul 10, 2025

“No margin, no mission” was coined by Sister Irene Kraus, a nun who ran a health system — and the spirit of the phrase is simple: if you can’t sustain a viable business, you can’t take care of patients. But somewhere along the way, as Stacey Richter puts it, enough people in healthcare seem to have adopted...