

David H. Haase, MD
425 posts

@DavidHaaseMD
Founder - MaxWell Clinic. The Curious Physician. International Speaker. Best selling author.















𝐂𝐢𝐠𝐧𝐚 𝐕𝐞𝐫𝐭𝐢𝐜𝐚𝐥 𝐈𝐧𝐭𝐞𝐠𝐫𝐚𝐭𝐢𝐨𝐧 𝐔𝐩𝐝𝐚𝐭𝐞 (𝐖𝐢𝐭𝐡 𝐚 340𝐁 𝐓𝐰𝐢𝐬𝐭) Bob Herman @bobjherman at @statnews uncovered that Cigna Group’s Evernorth Health Services now owns 100% of CarepathRx, a company that helps hospitals and health systems build and operate in-house specialty pharmacies. Recall that in 2025, Evernorth also invested $3.5 billion for an undisclosed stake in Shields Health Solutions, the former WBA subsidiary with a similar hospital-focused specialty pharmacy model. Why it matters: ✅ Manufacturers’ limits on #340B contract pharmacies have pressured Express Scripts’ 340B profits. ✅Expanding deeper into hospital-owned specialty pharmacies is a clever vertical integration play that helps preserve access to 340B-driven profits through a different channel. P.S. Yes, both deals will appear on DCI’s soon-to-be-updated (in)famous vertical integration slide. 😉 Story: drugch.nl/4rFqMhF


Today the HHS DOGE team open sourced the largest Medicaid dataset in department history. This dataset contains aggregated, provider-level claims data for a specific billing code over time. For example, using this dataset, it would have been possible to easily detect the large-scale autism diagnosis fraud seen in Minnesota. Download the data yourself: opendata.hhs.gov



@SpineNeuro This is only part of the payment... a small part. Does not include the hospital. Total costs are $30-50K or more. Let's have a real discussion rather than clickbait.







Medical "normal ranges" manipulation: 1985: Fasting glucose over 140 mg/dL = diabetic 2003: Lowered to 126 mg/dL Suddenly 2 million more diabetics 1985: Blood pressure over 160/100 = hypertension 2017: Lowered to 130/80 Suddenly 30 million more "patients" 1985: Cholesterol over 280 = concern 2004: Lowered to 200 Suddenly everyone needs statins They're not discovering disease. They're manufacturing patients by moving goalposts. Lower the threshold, expand the market, sell more drugs.




Under President Trump’s leadership, common sense, scientific integrity, and accountability have been restored to federal food and health policy. For decades, the Dietary Guidelines favored corporate interests over common-sense, science-driven advice to improve the health of Americans. That ends today. The new Dietary Guidelines call for prioritizing high-quality protein, healthy fats, fruits, vegetables, and whole grains—and avoiding highly processed foods and refined carbohydrates.