HEALTH CARE un-covered

HEALTH CARE un-covered

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Investigative commentary on payers, PBMs, and profiteering in US healthcare.

In FTC Settlement, Cigna Agrees to Change Some PBM Business Practices, Charge Customers Less for Insulin
NewsFeb 19, 2026

In FTC Settlement, Cigna Agrees to Change Some PBM Business Practices, Charge Customers Less for Insulin

The episode examines Cigna’s settlement with the FTC over its Express Scripts PBM, which was accused of inflating insulin prices through opaque rebate deals. Key provisions require Cigna to prioritize lower‑cost drug versions, base patient copays on net prices, increase...

By HEALTH CARE un-covered
UnitedHealthcare Tightens Specialist Access for Medicare Advantage Enrollees
NewsFeb 17, 2026

UnitedHealthcare Tightens Specialist Access for Medicare Advantage Enrollees

The episode examines UnitedHealthcare's new policy requiring primary‑care referrals for specialist visits in its Medicare Advantage HMO and HMO‑POS plans, a change that will fully take effect after April 30. Through the stories of seniors like Theresa Schwartz and Pamela...

By HEALTH CARE un-covered
University of Minnesota Medical School Nixes Its Classroom “Partnership” With UnitedHealth Group After HEALTH CARE Un-Covered’s Expose
NewsFeb 13, 2026

University of Minnesota Medical School Nixes Its Classroom “Partnership” With UnitedHealth Group After HEALTH CARE Un-Covered’s Expose

The episode examines the University of Minnesota Medical School’s decision to discontinue a UnitedHealth Group‑sponsored course after investigative reporting by Dr. Allison Leopold exposed the curriculum as corporate propaganda rather than unbiased medical education. Leopold, a participant in the pilot,...

By HEALTH CARE un-covered
Private Insurance Is Seeping Into Every Public Health Program: Warning Signs From the Veterans Health Administration
NewsFeb 12, 2026

Private Insurance Is Seeping Into Every Public Health Program: Warning Signs From the Veterans Health Administration

The episode examines how private insurance is infiltrating the Veterans Health Administration via the Veterans Community Care Program (VCCP) and the proposed Community Care Network (CCN) Next Generation, a move that could channel up to $1 trillion of taxpayer money into...

By HEALTH CARE un-covered
ICYMI: Patients Vs. Profits, Exposing the Insurance Middlemen (The Chad Prather Show)
NewsFeb 11, 2026

ICYMI: Patients Vs. Profits, Exposing the Insurance Middlemen (The Chad Prather Show)

In this episode of The Chad Prather Show, host and health‑care writer discuss the recent congressional hearing on big‑insurance CEOs, exposing how insurers have built vertically integrated conglomerates that drive up premiums, deductibles, and Medicare Advantage denials. They highlight the...

By HEALTH CARE un-covered
Hawley and Warren Introduce “Break Up Big Medicine Act” To Force Separation of Insurers, PBMs and Providers
NewsFeb 10, 2026

Hawley and Warren Introduce “Break Up Big Medicine Act” To Force Separation of Insurers, PBMs and Providers

Senators Josh Hawley and Elizabeth Warren introduced the Break Up Big Medicine Act, a "Glass‑Steagall"‑style bill that would prohibit common ownership of health‑care providers with insurers, PBMs, or drug/medical device wholesalers, forcing divestiture within a year. The legislation targets vertically...

By HEALTH CARE un-covered
The Misleading Chart That Killed the ACA Subsidies
NewsFeb 9, 2026

The Misleading Chart That Killed the ACA Subsidies

The episode dissects a misleading chart promoted by the Paragon Health Institute that Senate Majority Leader John Thune used to argue against extending ACA subsidies, claiming Obamacare premiums have skyrocketed. Health policy experts, including Brookings senior fellow Matthew Fiedler, explain that the...

By HEALTH CARE un-covered