Kevin and Martin open on employer health: Bloomberg is asking staff to contribute to health insurance premiums after years of covering 100%, and a new survey shows small employers fleeing the big-three PBMs for centers of excellence and advanced primary care. Then they discuss Aligned Marketplace's $20 million raise and an HRA Council survey showing ICHRA lives roughly doubled year over year.
They also talk about a Yale preprint claiming Medicare for All would save a trillion dollars a year — but nobody's grappling honestly with what that means for access and quality.
There are lots of private market updates: Pearl Health's admin cost, a STAT investigation into Commure's Athelas unit over referral deals that raise kickback questions, Main Street Health's 533% growth, and Cityblock's new Humana partnership in North Carolina.
They close with Hims & Hers earnings, where gross margin slid from 76% to 64% amid a shift to branded GLP-1s, and a managed care quarter where both the shrink-and-focus insurers and the grow-at-all-costs insurers somehow both won.
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