HeyJared584 Vetoes
A public policy podcast about taxes, spending, and regulation hosted by Tom Church and Danny HeilSend us questions at feedback@584vetoes.com church.substack.com
- Indexed episodes, last 90 days
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- Aug 10, 2026
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MAC Attack: The Regional Monopolies That Pay Your Medicare Claims with Karen Jackson (opens the original)
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Howdy folks. Fee-for-service Medicare is roughly half a trillion dollars a year. Ever wondered where Medicare claims actually go? Ask a doctor or a policy person who pays Medicare claims and you’ll get some version of a giant mailroom at CMS headquarters. That’s not how it works. The claims are processed by a small handful of private companies called Medicare Administrative Contractors that have regional, state-based monopolies for claims processing. You’ve never heard of yours. You also don’t h
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