HAPCO

Healthcare administration and information technology

03/10/2026

🏥 Daily C.R.A.P. Issue #444 - 3/10/2026

Today's top stories:
- Medicaid autism fraud in focus
- ACA 'non-network' plans proposed
- Hospital consolidation drives up costs

Read full analysis here:

Editor's Notes: The WSJ Op-Ed focuses on Medicaid fraud for autism services across several states, with Minnesota as the poster child. Louisiana Republican Senator Bill Cassidy (a doctor) finds himself being primaried over (among other things) vaccinations. Cassidy is a big believer in vax - particu...

03/09/2026

🏥 Daily C.R.A.P. Issue #443 - 3/9/2026

Today's top stories:
- FDA vaccines chief Dr. Vinay Prasad to leave agency
- Tylenol use in pregnancy, autism & Trump link?
- House expands Medicaid fraud probe to 10 states

Read full analysis here:

Editor's Notes: There are two major initiatives related to identifying & preventing fraud, waste and abuse in Medicare, Medicaid, CHIP (government sponsored children's health insurance) and ACA ("Obamacare") programs: One is "CRUSH" and is a Trump administration program The other is a congressional....

03/07/2026

🏥 Daily C.R.A.P. Issue #442 - 3/7/2026

Today's top stories:
- Congress shifts focus to drug distributors
- GLP-1 drugs: cancer risk & addiction hope
- States restrict HIV drug access amid Medicaid cuts

Read full analysis here:

Editor's Notes: While Pharmacy Benefit Managers (PBMs - like CVS, Optum, Express Scripts, etc.) have come under a lot of recent federal scrutiny for lack of price transparency, Congress is now shifiting to attention to pharmaceutical distributors for similar reasons. Two interesting pieces on GLP-1....

03/06/2026

🏥 Daily C.R.A.P. Issue #441 - 3/6/2026

Today's top stories:
- AI prescription bot breached in Utah
- States try ‘public option’ to lower costs
- FDA denies new drugs for rare diseases

Read full analysis here:

Editor's Notes: Recap: Utah is piloting an AI chatbot that allows consumers to file for prescription refills. A firm that specializes in "red team testing" of AI has found a few holes in the guardrails. For sure there will be AI powered prescription review agents, but make take a bit of time to get....

03/05/2026

🏥 Daily C.R.A.P. Issue #440 - 3/5/2026

Today's top stories:
- 56,000 US COVID/RSV deaths in 2025
- MA tops best states for women’s health
- Medicaid cuts worsen Nebraska child care crisis

Read full analysis here:

Editor's Notes: ~56,000 Americans died from COVID 19 in 2025. That's down from our peak of 450,000 in 2021. Still, a lot of folks. Massachusetts ranks as the best state for women economically and healthwise. Other New England states are up there, with Louisiana and other southern states at the botto...

03/04/2026

🏥 Daily C.R.A.P. Issue #439 - 3/4/2026

Today's top stories:
- Adderall linked to dangerous blood pressure spikes
- Michigan's $2.9M failed mental health redesign
- Moderna pays $2B+ to settle COVID vaccine patent suit

Read full analysis here:

Editor's Notes: A study finds Adderall (used often for ADHD in children) can lead to dangerous levels of high blood pressure. McKinsey's mental health project in Michigan ran afoul of a Michigan judge. In what some are saying is the largest patent infringement setllement ever, Moderna will pay Roiva...

03/03/2026

🏥 Daily C.R.A.P. Issue #438 - 3/3/2026

Today's top stories:
- CDC faces turmoil as top officials exit
- Obamacare rule changes could hike deductibles to $31K
- CMS halts new Elevance Health Medicare Advantage enrollments

Read full analysis here:

Editor's Notes: We continue to see more reporting on RFK's backing off a bit on arguing against vaccines along with his increasing emphasis on nutrition. This is probably about the mid-terms. Somewhat related: there are at least two Republican Senators who have reservations on confirming Casey Means...

03/02/2026

🏥 Daily C.R.A.P. Issue #437 - 3/2/2026

Today's top stories:
- Medicare Advantage enrollment declines in 7 states
- Medicaid work mandates mean big state costs
- CVD deaths tripled among adults with obesity

Read full analysis here:

Editor's Notes: A study finds that death rates of obese Americanst from heart disease tripled over a 24 year period. The One Big Beautiful Bill Act's Medicaid work requirements means a lot of contracting work in information systems - and a big bill for states. Mini-C.R.A.P. feature: Last year, Nevad...

02/27/2026

🏥 Daily C.R.A.P. Issue #435 - 2/27/2026

Today's top stories:
- Massive Conduent data breach hits 25M Medicaid users
- White House cracks down on Medicaid/Medicare fraud
- New ACA plans: lower premiums, much higher deductibles

Read full analysis here:

Editor's Notes: Serious ransomware data breach at Conduent, which supports 23 states as well as DC and Puerto Rico for Medicaid information systems. Trump announces focus on Medicaid/Medicare fraud - and is with-holding about $250 Million in Medicaid payments from Minnesota until some conditions are...

02/26/2026

🏥 Daily C.R.A.P. Issue #434 - 2/26/2026

Today's top stories:
- Measles & other diseases resurging as vaccination rates drop
- Microplastics found in prostate tumors
- Gene therapy remains out of reach for many

Read full analysis here:

Editor's Notes: The piece on microplastics and prostate tumors is disturbing - albeit this was a very small study. The kind of thing that points the way to a more expanded look. Editorial from Wall St Journal is about the seeming contradictions at the FDA - where one department is working to acceler...

02/25/2026

🏥 Daily C.R.A.P. Issue #433 - 2/25/2026

Today's top stories:
- LA County leads nation in Medicaid mental health claims
- UK healthy life expectancy drops again
- RFK Jr. may cut preventive health task force

Read full analysis here:

Editor's Notes: LA County cited as single largest Medicaid claim filer (based on that data CMS released last week). Again - most likely this is wrong since that data didn't include hospital and pharmacy claims. Still: $8 Billion just for mental health - in one county. The UK has something called "he...

02/24/2026

🏥 Daily C.R.A.P. Issue #432 - 2/24/2026

Today's top stories:
- NY Medicaid fraud probe heats up
- Centralized federal provider directory coming soon
- UnitedHealthcare tightens Medicare Advantage specialty access

Read full analysis here:

Editor's Notes: HHS' Center for Medicare & Medicaid Services (Dr. Oz) is now naming New York's Medicaid program as full of fraud/waste. In truth, it would be utterly astounding if any of the 50 states, DC, and US territories had no fraud/waste. Still, perhaps NY and CA are off the charts. Going back...

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