Out of Patients
with Matthew Zachary

OPINION Matthew Zachary OPINION Matthew Zachary

Medicare Advantage Works Until the Math Changes

UnitedHealth dropping Medicare Advantage plans for 600000 beneficiaries exposes a structural flaw in how private insurers manage public healthcare risk as costs from emergency care and specialty drugs accelerate faster than payment models can adjust.

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NEWSWORTHY Matthew Zachary NEWSWORTHY Matthew Zachary

Breaking Up Big Medicine

The new bipartisan proposal to separate insurers, PBMs, and providers targets the financial structure behind rising costs and denials. This piece explains how ownership concentration reshaped care, why regulation failed, and what structural separation could change for patients.

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OPINION Matthew Zachary OPINION Matthew Zachary

Freedom to Go Broke

After surviving brain cancer at 21, Matthew Zachary examines how modern healthcare policy repackages risk as freedom. From cash subsidies to math free promises, this essay exposes why consumer style healthcare fails the moment illness enters the room.

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