The Diff

Every brief we have published, newest first. Rule teardowns, coverage-policy diffs, and the dollar math behind them.

• Jul 214 min read

  What Happens When Your Hospital Quits Medicare Advantage?

  More than 20 health systems have dropped or narrowed MA contracts this year, and insurers pushed 2.9 million members off their plans. We trace what an exit market does to the revenue cycle on both sides of the divorce.

  Subscribers
• Jul 184 min read

  The 56 Cents Coming Out of Every RVU

  CMS proposes a $32.84 conversion factor for CY2027, down 1.68%. We price the cut by practice shape, read the specialty impact tables, and set the September 14 comment clock.

  Subscribers
• Jul 163 min read

  Why We Price the Paper Trail

  Downcoded machine-reads the documents payers already publish, diffs every one against its prior version, and models what each change costs by specialty. An introduction to the desk and the record it keeps.

  Free