A couple of times over the last few years, I’ve found myself saying something to people I care about, in the context of mentorship and friendship:
“I have to accept that what I want for you and what you want for you are different things.”
It’s a hard thing to say. And maybe an
- In 2024, SCAN filed—and won—the first successful legal challenge to the federal Medicare Advantage Star Ratings program. We argued that the Centers for Medicare & Medicaid Services had acted outside its authority in implementing a new cut-point methodology and had improperly
- People who know me know that I am a genuine Costco superfan. So this is a surreal sentence to write: @Costco and @SCANHealthPlan are working together to develop jointly branded Medicare Advantage and Medicare Supplement products. @annawmathews of @WSJ broke the news today.
- Suing CMS is not something I ever imagined doing. I began my career inside CMS. I believe deeply in its mission—and in the dedicated public servants who work there. But respect for an institution cannot mean remaining silent when it gets something consequential wrong. In this
- Athletes and actors are often told to “stick to sports” or “stick to acting.” I think that’s exactly backwards. The very people who command the public’s attention have a unique opportunity (an obligation, really) to use it for the public good. This week I had the opportunity

