March 27, 2026
Designed to Exhaust You
The responses most practices use when revenue falls short are not wrong. They are correct inside a model that does not include the variable causing the problem.
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The responses most practices use when revenue falls short are not wrong. They are correct inside a model that does not include the variable causing the problem.
Your income statement shows what you collected. It does not show what collections cost you, what you were prevented from collecting, or what you would have collected if the price had been set by a market instead of by a contract.
Every game has rules. Medical reimbursement is no different. If you accept insurance, you need to know who wrote yours. Because what separates a fair game from a rigged one is who writes the rules.
The insurance companies hired the experts. Did the math. Built the models. And discovered they could take from you, take from your patients, reduce economic welfare, and pocket the arbitrage of the deadweight loss they created.
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