The End of the Healthcare Data Intermediary

Why AI is making analytics vendors obsolete.

Aug 11 • DAVID SILVERSTEIN

July 2026

Formulary Management: A New Term Every Employer Must Learn

A tsunami of high-cost drugs is coming for your health plan.

Jul 30 • DAVID SILVERSTEIN

The Government Just Proposed 36 New Ways to Charge for Healthcare AI

Medicare's new plan to make efficiency more expensive.

Jul 15 • DAVID SILVERSTEIN

Artificial Intelligence Will Revolutionize Medicine But May Bankrupt Us In the Process

The well-organized coding, billing, and insurance industries are going to use AI to supercharge their profit margins.

Jul 7 • DAVID SILVERSTEIN

June 2026

The Lean Health Plan Is Out

My new book is available on Amazon.

Jun 24 • DAVID SILVERSTEIN

ICHRAs: Think Before You Leap

What ICHRAs really do to your costs, your workforce, and your ability to fix either.

Jun 2 • DAVID SILVERSTEIN

May 2026

One Story That Explains American Healthcare

How rational choices around ACA coverage, COBRA, and risk pools expose the fragile design of the U.S. healthcare system.

May 19 • DAVID SILVERSTEIN

The Cavalry Isn't Coming

No one is going to reduce your healthcare spend except you.

May 5 • DAVID SILVERSTEIN

April 2026

Thinking About Joining a Share Plan?

Seven things every potential health share plan member should know.

Apr 28 • DAVID SILVERSTEIN

The Rise of Share Plans

What a growing alternative to traditional insurance reveals about the state of American healthcare.

Apr 22 • DAVID SILVERSTEIN

You Are the Insurance Company, It's Time to Start Acting Like It

Self-funded employers have more power than they've been led to believe. Most just don't know it yet.

Apr 14 • DAVID SILVERSTEIN

February 2026

Enough with Value-Based Care

Value-based care and risk-based payment models are accelerating the path toward system collapse.

Feb 27 • DAVID SILVERSTEIN