Claim Denied

Claim Denied

Deeper Dissection #5

What is Reasonable?

Jul 28, 2025
∙ Paid

This week we finally meet CMS (originally the Health Care Financing Administration or HCFA). It was created when legislation was passed that created Medicare & Medicaid. These federal programs were designed to provide healthcare coverage for the elderly & the poor. But with the federal government operating a health plan, it faced the same economic dilemma that all non-private service providers face: how do you allocate resources efficiently when you can’t rely on price signals?

User's avatar

Continue reading this post for free, courtesy of Off Label Ideas.

Or purchase a paid subscription.
© 2026 Anthony DiGiorgio · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture