Mar 26, 2026

Advanced primary care has a robust evidence base. It manages risk, improves outcomes, and lowers costs. So why isn't it everywhere? Because in a healthcare non-market where health systems drive revenue from heads in beds and profitable surgeries, the entire goal of advanced primary care — keeping patients out...

Mar 19, 2026

Knowledge Is Fiduciary Armor — On Making Better Decisions in a Healthcare System Built on Mystery and Margin

The US healthcare system is a massive aggregation of millions of decisions made by millions of humans — actuaries, executives, benefits leaders, clinicians, and administrators. Our whole system is really what...

Mar 12, 2026

One Madison hospital charges $219,000 for a surgery that Johns Hopkins — one of the best cardiac programs on earth — does for $80,000 door to door. That's Centers of Excellence 1.0. The question this episode tackles is what comes next, and how to get there without adding another layer to a road that's already...

Mar 5, 2026

Here is what hackers are doing with stolen medical data: billing CMS for urinary catheters at $8,000–$9,000 each — items costing $10–$50 that were never sent to the seniors billed for them. In 2023 this totaled $3.5 billion. Dr. Tara Lagu's mother had two catheters billed in her name — $18,000 — that she never...