David Silverstein @www.brokenhealthcare.com · 30/09/2026www.brokenhealthcare.com/p/the-death-... 000 0
David Silverstein @www.brokenhealthcare.com · 30/09/2026Most employers don't realize their stop-loss doesn't have to come from the same company that processes their claims. Same for your TPA and PBM. Bundling was sold as convenience. Vertically integrated plans are a choice, and it's why most employers can't explain where their healthcare dollars go. 201 2
David Silverstein @www.brokenhealthcare.com · 26/08/2026I recently joined David Meltzer's podcast Office Hours to talk about my new book, The Lean Health Plan. I explain how American businesses can fix our healthcare system by applying the Lean methodology, the discipline that originated with Toyota's production system. lnkd.in/gHBxdY2r 010 1
David Silverstein @www.brokenhealthcare.com · 13/08/2026What do you call the company managing your health plan? They are administrators at best. In my new book, The Lean Health Plan, I call them tollbooths. If you're serious about controlling your healthcare costs, this book gives you the roadmap. www.brokenhealthcare.com/p/my-books 010 1
David Silverstein @www.brokenhealthcare.com · 13/08/2026www.brokenhealthcare.com/p/the-end-of... 000 0
David Silverstein @www.brokenhealthcare.com · 13/08/2026For years, understanding your own claims data required specialized software and data scientists you didn't have, so you paid someone who did. An unbounded AI model now reads your claims data and answers in plain English, in minutes. I wrote about what that means for anyone managing a health plan. 100 1
David Silverstein @www.brokenhealthcare.com · 11/08/2026Healthcare data analytics companies are going extinct. Unbounded AI now produces the same analysis from the same data the employer already owns, in plain language and in minutes. My latest Substack explains what this means for anyone managing a health plan. www.brokenhealthcare.com/p/the-end-of...brokenhealthcare.comThe End of the Healthcare Data IntermediaryWhy AI is making analytics vendors obsolete. 000 0
David Silverstein @www.brokenhealthcare.com · 05/08/2026Everything I've written about excluding high-cost drugs raises an obvious question. What do you do when an employee legitimately needs the brand-name drug you've excluded? The answer is more straightforward than the industry wants you to believe. www.brokenhealthcare.com/p/formulary-... 000 0
David Silverstein @www.brokenhealthcare.com · 03/08/2026If a specialty drug is excluded but an employee can still get it through a medical review, how is formulary management any different from prior authorization? It comes down to who is making the decision. Prior auth hands that decision to a middleman. Active formulary management keeps it with you. 010 1
David Silverstein @www.brokenhealthcare.com · 30/07/2026The tool employers have leaned on for years to control pharmacy spend was not built for what's coming. The next decade is going to demand formulary management, which is a far more powerful way of deciding what belongs on your formulary in the first place. www.brokenhealthcare.com/p/formulary-...brokenhealthcare.comFormulary Management: A New Term Every Employer Must LearnA tsunami of high-cost drugs is coming for your health plan. 000 0
Reposted by David SilversteinMicah Warren @micahwarren.bsky.social · 22/07/2026Amaze Health CEO David Silverstein interview aired today. He's talking about healthcare solutions that others just aren't. And it's not about throwing more money at it, we need to fix the busted system. @www.brokenhealthcare.comyoutube.comHealthcare Isn’t Weather: How Employers Can Fix a Broken System | David SilversteinYouTube video by Adam W. Barney 012 2
David Silverstein @www.brokenhealthcare.com · 13/07/2026If you are an employer who wants to understand what healthcare AI is going to do to your health plan, my latest Substack explains why medicine will advance but without structural reform AI-powered healthcare will bankrupt us all. brokenhealthcare.com/p/artificial-intelligence-will-revolutionize 000 0
Reposted by David SilversteinMicah Warren @micahwarren.bsky.social · 07/07/2026People need to listen to this guy! He's actively trying fix our healthcare system so it's not bloated and wasteful. Here he outlines the differences between AI in medicine, and AI in healthcare. Two very different things that many people are blending together. @www.brokenhealthcare.combrokenhealthcare.comArtificial Intelligence Will Revolutionize Medicine But May Bankrupt Us In the ProcessThe well-organized coding, billing, and insurance industries are going to use AI to supercharge their profit margins. 031 3
David Silverstein @www.brokenhealthcare.com · 02/07/2026I spent years fighting for the rules that forced hospitals and insurers to disclose their prices. However, transparency alone isn't enough, not as long as a traditional carrier runs the plan. That's why I wrote The Lean Health Plan — the first book to apply Lean directly to the employer health plan. 000 0
David Silverstein @www.brokenhealthcare.com · 26/06/2026Most of the conversation around ICHRAs is about year one. Almost nobody talks about year four. By the time an employer wants to come back to a real plan, and many of them will, the things that made a real plan possible are gone. Before you sign, look at what you'd be tearing down. 000 0
David Silverstein @www.brokenhealthcare.com · 10/06/2026If you have a health benefits renewal meeting scheduled soon, there is a good chance an ICHRA is going to come up. Healthcare costs are crushing employers, and the ICHRA pitch is the first thing in years that sounds like real relief. Before you say yes, there are six things worth knowing. 000 0
David Silverstein @www.brokenhealthcare.com · 02/06/2026www.brokenhealthcare.com/p/ichras-think-before-you-leap 000 0
David Silverstein @www.brokenhealthcare.com · 02/06/2026ICHRAs sound like the answer benefits leaders have been waiting for, but an ICHRA does not lower the cost of healthcare. This week I wrote about why the ICHRA pitch is everywhere right now, who benefits when an employer says yes, and the six specific ways it falls apart for the employers who do. 100 1
David Silverstein @www.brokenhealthcare.com · 21/05/2026American health insurance is a hot potato. When insurance costs more than it's worth, people opt out. When they need coverage, they find it. When they no longer need the job that came with it, they move on. But insurance and risk pools only work if healthy people pay in before they need it. 000 0
David Silverstein @www.brokenhealthcare.com · 19/05/2026My latest Substack tells the story of a father who looked at $20,000 in annual premiums, steep deductibles, and a healthy family — and decided going uninsured was the smarter call. And honestly? He may not have been wrong. That's how broken this system is. www.brokenhealthcare.com/p/one-story-... 000 0
David Silverstein @www.brokenhealthcare.com · 14/05/2026If your an employer in the Denver area, I'd love to see to you at this event. Register here: rmtra.starchapter.com/meetinginfo.... 010 1
David Silverstein @www.brokenhealthcare.com · 14/05/2026Hantavirus is having a moment. I wanted to share a link to an article my team at Amaze Health put out today about Hantavirus. It's a complete look at what's happening - all in one place. They do a great job of separating the facts from the frenzy. amazehealth.com/hantavirus-i... 000 0
David Silverstein @www.brokenhealthcare.com · 12/05/2026www.brokenhealthcare.com/p/the-cavalr... 000 0
David Silverstein @www.brokenhealthcare.com · 12/05/2026Employers, think about how you run your business, now think about your health plan. When you purchase a bundled ASO plan, you are signing a contract to pay fees to a BUCA tollbooth. You negotiate everything else inyour business, so why does your second-largest operational expense get a pass? 100 1
David Silverstein @www.brokenhealthcare.com · 06/05/2026Your broker pitches wellness apps while your hospital bills $4,000 for an MRI available down the street for $400. The contract they sold you prevents you from doing anything about it. You have options that will move the needle. Full story on my Substack: www.brokenhealthcare.com/p/the-cavalr... 000 0
David Silverstein @www.brokenhealthcare.com · 05/05/2026I've watched employers place their faith in a sequence of rescuers for decades. Employers need to understand: The cavalry is not coming. If no one is coming to fix this, then the only question worth asking is what you are going to do about it. brokenhealthcare.com/p/the-cavalry-isnt-coming 000 0
David Silverstein @www.brokenhealthcare.com · 01/05/2026www.bloomberg.com/news/feature... www.brokenhealthcare.com/p/the-rise-o... www.brokenhealthcare.com/p/thinking-a... 000 0
David Silverstein @www.brokenhealthcare.com · 01/05/2026Bloomberg reported this week that healthy workers are leaving employer plans for healthcare share plans or no coverage at all. I just published a two-part series on Broken Healthcare covering what share plans are, who wins, who bears the risk, and what it all reveals. Links below. 100 1
David Silverstein @www.brokenhealthcare.com · 28/04/2026Millions of Americans have walked away from traditional health insurance. Share plans are filling that gap, and they're growing fast. If you're considering one, there are 7 things you need to understand before you sign anything. brokenhealthcare.com/p/thinking-about-joining-a-share-plan 010 1
David Silverstein @www.brokenhealthcare.com · 27/04/2026The ACA was built to expand coverage, so why are millions of Americans fleeing to unregulated alternatives to afford basic care? We need to acknowledge that the system, which is supposed to protect consumers has priced them out and pushed them toward something with no consumer protection at all. 010 1
David Silverstein @www.brokenhealthcare.com · 24/04/2026Healthcare share plans work well for healthy people. They offer lower costs, fewer rules, and real savings. But if you get sick? You need to know that the plan has no contractual obligation to pay your claim, and there is no appeals process. brokenhealthcare.com/p/the-rise-of-share-plans 023 3
David Silverstein @www.brokenhealthcare.com · 22/04/2026Millions of Americans are abandoning regulated health insurance because they can't afford it. Enter healthcare share plans. Learn what they are, who they help, who they hurt, and what their growth reveals about the failure of the system we've built. brokenhealthcare.com/p/the-rise-of-share-plans 022 2
David Silverstein @www.brokenhealthcare.com · 16/04/2026Read more in my latest Substack. www.brokenhealthcare.com/p/you-are-th...brokenhealthcare.comYou Are the Insurance Company. It's Time to Start Acting Like It.Self-funded employers have more power than they've been led to believe. Most just don't know it yet. 020 2
David Silverstein @www.brokenhealthcare.com · 16/04/2026If you're self-funded, the logo on the health insurance card your employees carry isn't your insurance company. You are. 50 years ago, American business leaders figured that out and took control of their health plans. Then legacy carriers invented the ASO contract, and employers handed it all back. 122 2
David Silverstein @www.brokenhealthcare.com · 14/04/2026Fifty years ago, employers broke free from the BUCAs. Then they handed control right back through ASO contracts. It seemed reasonable to employers to outsource the administration of their health plans. Find out why it wasn't and what you need to do about it. www.brokenhealthcare.com/p/you-are-th... 010 1
David Silverstein @www.brokenhealthcare.com · 02/04/2026www.brokenhealthcare.com/p/lol-how-wa...brokenhealthcare.comLOL: How Washington Keeps Making Healthcare WorseIf only we could afford to laugh; but it’s not funny. 010 1
David Silverstein @www.brokenhealthcare.com · 02/04/2026Healthcare costs can't keep rising 2-3x faster than wages. If we haven't already, we are reaching a tipping point. Either employers will stop offering coverage, triggering a crisis, or the government will impose price controls, triggering shortages and rationing. Neither path is acceptable. 120 2
David Silverstein @www.brokenhealthcare.com · 18/03/2026Every American deserves a trusted, independent health and medical partner. Alongside that, we need a local transactional system that handles what it does best, like imaging and procedures. Two distinct models, working together the way they were always meant to. open.spotify.com/episode/1r3L... 011 1
David Silverstein @www.brokenhealthcare.com · 12/03/2026I spent years fighting for healthcare price transparency. Hospital CEOs and insurance executives told me privately they supported it. But publicly, they stayed silent to protect their jobs while the organizations they worked for actively fought it. Your employee benefits broker may also be trapped. 010 1
David Silverstein @www.brokenhealthcare.com · 09/03/2026Provider burnout isn't just about long hours, it's about being trapped in a system that won't let you do the work you trained for. Hear more on my recent appearance on Expressions of Leadership on Spotify open.spotify.com/episode/1r3L... or Apple Podcasts podcasts.apple.com/us/podcast/c.... 010 1
Reposted by David SilversteinMicah Warren @micahwarren.bsky.social · 27/02/2026I'm getting David (CEO of Amaze Health) on Bluesky shortly! He's FULL of insight into the healthcare industry that no one else is talking about. @amazehealth.bsky.social This is a longer interview, but I'll be sharing clips soon.youtube.comChanging the System: Leadership and Healthcare Reform with David SilversteinYouTube video by Expressions of Leadership 143 4
David Silverstein @www.brokenhealthcare.com · 27/02/2026Value-based care is the red herring of healthcare reform. While we've been chasing it, bureaucracies have grown, consultants have thrived, and patients have waited longer to access care. Worse, there's no credible evidence it works at scale. Enough with VBC. www.brokenhealthcare.com/p/enough-wit... 020 2
