HAPCO

Healthcare administration and information technology

02/23/2026

🏥 Daily C.R.A.P. Issue #431 - 2/23/2026

Today's top stories:
- Insurer fined for mental health directory errors
- Medicaid managed care enrollment dips in 2025
- "Fitbit for farts" launches for gut health

Read full analysis here:

Editor's Notes: For health insurers and managed care companies, "provider directories" (which allow members to look up who is in the payer's network) are the bane of the industry. Keeping accurate directories is not so easy - but insurers are incrasingly facing stiff fines - particularly with regard...

02/21/2026

🏥 Daily C.R.A.P. Issue #430 - 2/21/2026

Today's top stories:
- US youth obesity rates & disparities
- Optum $1.2M fraud case
- Medicare Advantage growth stalls

Read full analysis here:

Editor's Notes: There was a lot of reactions from many of you to our note yesterday concerning the Medicaid data released by DOGE on 2/14/26. One thing that seemed "off" to us was the surprising relative costs of personal care services. Sure enough, the Kaiser Family Foundation noted that quirk - an...

02/20/2026

🏥 Daily C.R.A.P. Issue #429 - 2/20/2026

Today's top stories:
- NIH director to lead CDC amid shakeup
- FDA chief pushes for more OTC drugs
- US youth obesity rates, disparities persist

Read full analysis here:

Editor's Notes: We downloaded the first set of Medicaid data made available by DOGE (available here). When you unzip the file - it's over 10 gigabytes - way too much for Excel to handle. So we used Claude Code to create ~30 smaller files. Even then, you're talking about a million rows per spreadshee...

02/19/2026

🏥 Daily C.R.A.P. Issue #428 - 2/19/2026

Today's top stories:
- Medicaid claims data released to public
- FDA reverses on Moderna flu shot review
- NC seeks new Medicaid funding strategy

Read full analysis here:

Editor's Notes: Last Friday, "DOGE" released 3.5 Gigabytes worth of Medicaid claims data to the public. We downloaded the data and will take a look at it. This is the first time (at least that we know of) that this data has been released to general public. Within 48 hours, the FDA reversed itself an...

02/18/2026

🏥 Daily C.R.A.P. Issue #427 - 2/18/2026

Today's top stories:
- UnitedHealth CEO's private healthcare bets raise concerns
- Blue Cross settles $2.6B antitrust lawsuit
- RFK, MAHA, and ultra-processed food regulation clash

Read full analysis here:

Editor's Notes: Wall St Journal investigated United Healthcare's CEO and potential conflicts of interest in his investments. Separately, United Healthcare reports that claims for younger workers are going up in part due to not seeking primary care early. RFK may be heading to a conflict with the MAH...

02/17/2026

🏥 Daily C.R.A.P. Issue #426 - 2/17/2026

Today's top stories:
- HHS proposes big ACA marketplace changes for 2027
- $100B Medicaid fraud investigation
- Texas AG probes data breach impacting 4M

Read full analysis here:

Editor's Notes: Tough news day for Texas - last in the nation for uninsured children 19 years in a row (could be worse - the Cowboys have not been in Super Bowl in 30 years). Texas AG announces investigation in leak of Medicaid records of 4 million Texans. Evidence suggests that the soon-to-be-gener...

02/16/2026

🏥 Daily C.R.A.P. Issue #425 - 2/16/2026

Today's top stories:
- Kennedy allies push to overturn school vaccine mandates
- Michigan plans new taxes to fund Medicaid
- Dr. Oz touts AI for rural care

Read full analysis here:

Editor's Notes: A well-organized group: the Medical Freedom Act Coalition, is pushing hard to eliminate state vaccination mandates for pre-K and kindergarten. They argue that vax decisions should be up to parents. Counter arguments go something like this: States mandate school vaccinations to keep o...

02/14/2026

🏥 Daily C.R.A.P. Issue #424 - 2/14/2026

Today's top stories:
- Study: No link between COVID shots in pregnancy & autism
- DEI in med schools under fire for lowering standards
- GLP-1 meds linked to scurvy risk

Read full analysis here:

Editor's Notes: Another study found no link between autism and COVID vaccinations for pregnant women and their babies. A peer reviewer from Case Western found the study "very robust" and should help put to bed the controversy. The editorial piece below is from former dean of U Penn Medical School -....

02/13/2026

🏥 Daily C.R.A.P. Issue #423 - 2/13/2026

Today's top stories:
- Healthcare leads US job growth
- FDA blocks Moderna’s mRNA flu shot
- AI robot companions for seniors

Read full analysis here:

Editor's Notes: Over the past year or so, we've noticed that healthcare (arguably the most labor-intensive US industry along with education) continues to lead US employment. Perhaps the one sector that will not get the "AI hit" that other industries will see. A number of stories and editorials criti...

02/12/2026

🏥 Daily C.R.A.P. Issue #422 - 2/12/2026

Today's top stories:
- MedPAC faces criticism for Medicare Advantage cuts
- Dr. Oz, social drinking & health risks
- AMA launches independent vaccine review

Read full analysis here:

Editor's Notes: Here's the deal with TrumpRx: if you have no insurance, the site can help with Ozempic and with fertility drugs (in line with Trump's focus on family). If you are looking for other drugs (e.g. hypertension drugs) -and you have no insurance - a better bet is go with generics, since Tr...

02/11/2026

🏥 Daily C.R.A.P. Issue #421 - 2/11/2026

Today's top stories:
- Alzheimer's diagnosis sparks debate
- Novo Nordisk sues Hims & Hers over Ozempic
- Trump admin to cut $600M in health funds

Read full analysis here:

Editor Notes: Turns out diagnosing Alzheimer's is trickier than you might think. Not simply a matter of protein types in the brain. Ozempic maker Novo Nordisk is suing Hims & Hers for basically patent infringement on Novo's GLP-1 drugs. H&H had clearance to make a version during a supply shortage, b...

02/10/2026

🏥 Daily C.R.A.P. Issue #420 - 2/10/2026

Today's top stories:
- States misuse $30B in welfare funds
- Dr. Oz urges measles vaccination as cases rise
- Coffee (not decaf) may lower dementia risk

Read full analysis here:

Editor's Notes: Attention turning to Temporary Aid to Needy Families (TANF), which supplies financial aid to poor families - most notably single moms with kids. TANF is not Medicaid, but if you are on TANF, you are almost always eligible for Medicaid. Dr. Oz encouraging folks to get vaccinated again...

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