Jul 29, 2026

Ask Me Anything: How Does GoodRx Actually Make Money, and Who Really Pays for the Discount? Episode 522.

A listener asked Stacey Richter a deceptively simple question: how exactly does GoodRx make money? To answer it, this AMA episode revisits a 2021 conversation with Ge Bai, PhD, CPA, professor of accounting at the...

Jul 22, 2026

RCM: Why Revenue Cycle Management Is Healthcare’s $200B Hot Potato, With Andrew Tsang (EP521)

How Revenue Cycle Management (RCM) Became an Over $200 Billion Healthcare Hot Potato. Episode 521.

Revenue cycle management (RCM) sounds like the least sexy phrase in healthcare — a back-office spreadsheet problem. It...

Jul 15, 2026

Cash-Pay Generic Drugs and the PBM Spread Pricing Problem (EP520)

Cash-pay generic drugs are one of the few corners of US healthcare where a real, functioning market already exists — which is why Stacey Richter argues policymakers need to tread carefully when trying to “fix” drug affordability. In this solo...

Jul 8, 2026

Cognitive Atrophy and Referral Incentives Breaking Primary Care, With Lisa Rosenbaum, MD (EP519)

Primary care physicians are leaving traditional practice for concierge medicine in visible numbers—and the question is whether that exodus is an unavoidable consequence of how the system is built, or something we’ve...

Jul 1, 2026

The ASO vs. TPA Decision That Quietly Costs Self-Funded Employers More

What's the real difference between an ASO and a TPA — and why does it matter that self-insured employers working with an ASO pay, by one referenced estimate, about 4.7% more than the insured book of business for the same care? In this Ask Me...