When oncology ads land on someone who actually reads the data…
Perjeta + trastuzumab in early HER2‑positive breast cancer delivers a 1.8% absolute overall‑survival benefit at 10 years — and only in high risk node‑positive patients.That means 100 people get a year of dual‑antibody toxicity, so that 2 benefit over ten years. This result was just barely statistically significant, and only in a subgroup that represents […]
Kaiser Permanente Affiliates Pay $556M to Resolve False Claims Act Allegations
Kaiser Permanente just paid $556 million in the largest Medicare Advantage fraud settlement in history.The DOJ proved overbilling totaling ~$1 billion from 2009-2018. Kaiser kept $444 million even after the settlement. That is not all. Let us look deeper. The DOJ documented ~500,000 questionable diagnoses over 9 years. Kaiser has 1.9 million Medicare Advantage members. […]
“Bullshit” — The New Way Health Giants Hide Billions
The “Big Three” PBMs just got exposed, and I’ve watched this happen from the inside. Since joining Oration back in 2012 and then at VIVIO in 2016, I’ve known about how CVS/Caremark, UnitedHealth/Optum, and Cigna/Express Scripts operate. The Hunterbrook investigation ( https://lnkd.in/gy_BgfNm ) confirms what industry insiders have long understood: These companies created offshore shell […]
Price in American healthcare is determined by power, not by costs, quality, or patient outcomes.
Look no further than the Anthem-Mr.Sinai situation in New York. This year, 9,000 Mount Sinai physicians exited Anthem’s network, affecting nearly 200,000 patients in active treatment. The truth is way more complex than most think. Fact: Mount Sinai has the lowest reimbursement rate of any central NYC hospital system, based on a recent 2025 Milliman […]
Ten Ten Ten: A New National Effort Calls for Better Health, Lower Costs, and Accountability
PITTSBURGH–(BUSINESS WIRE)–With average premium increases of 6 to 9% for employer-sponsored health plans and 21% for millions of Americans in the ACA Marketplace, pressure is mounting on families and employers. U.S. health outcomes also continue to lag those of peer countries. Healthcare veterans T.J. Tedesco and Dr. Bhargav Raman today announced the national launch of […]
Ten Ten Ten Launch Video, January 7, 2026
Millions will lose coverage or face crushing premium hikes.
The ACA subsidy cliff is coming. Millions will lose coverage or face crushing premium hikes. And yes, that’s a massive tragedy for patients, including many that I know. However, it’s also a reflection of the tragic flaw in the ACA’s design itself. Every time we celebrate an “affordability” initiative in healthcare, we should ask: Affordable […]
Ten Ten Ten Launches New Website to Track America’s Healthcare Progress and Accountability
Ten Ten Ten, a new nonprofit movement dedicated to transforming the U.S. healthcare system.
Health Equity: A Universalist Approach
When I think of health equity, I don’t see it simply as “equality of outcomes.” Different people are different, different populations are different. Expecting exactly the same outcomes across populations is aspirational but not achievable. When I think of health equity, it’s about ensuring that everyone has a fair and just opportunity to attain their […]