Program Audits

Public funds, government programs, and CMS payment models — held accountable with data.

State Fund

Virginia Birth-Related Neurological Injury Compensation Program

Only 47% funded. $55M in admin costs. Families of severely brain-injured newborns were promised lifetime care — what did the fund actually deliver since 1988?

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CMS Program

Primary Care First — Did It Actually Pay PCPs More?

CMS promised 35% more revenue. Data shows 8–12% average uplift. States with the sickest patients had the lowest participation. A data-driven audit of the 5-year model.

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Coming Soon

Florida Birth-Related Neurological Injury (NICA)

Florida's parallel program — larger fund, similar structural underfunding concerns. Actuarial analysis and administrative cost comparison to Virginia's VICP.

In development

Coming Soon

CMS Accountable Care Organization (MSSP) — Shared Savings Distribution

Who captures the shared savings? Hospital-owned ACOs vs physician-led ACOs. State-level distribution analysis from CMS public ACO data.

In development

Coming Soon

Vaccine Injury Compensation Program (VICP) — Federal

The national no-fault vaccine injury fund. Average time to resolution, compensation per claim, legal fees vs claimant payments since 1988.

In development

Coming Soon

340B Drug Pricing Program — Who Actually Benefits?

Designed to help safety-net hospitals serve low-income patients. Audit of whether savings flow to patient care or to hospital margins.

In development