Health is Other People

What’s Inside a Massive Hospital?

Sorting out the pieces - the prices, risks, work, and obligations inside a $22.8 billion health system

Aug 11 • Andrew Tsang

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July 2026

What the Failed Elevance-Louisiana Blue Deal Still Explains About Blues Consolidation in 2026

A $2.5 billion sale collapsed on Mardi Gras night two years ago and ended a 28-year for-profit playbook. The nonprofit affiliation wave that replaced it…

Published on Upward Growth Substack • Jul 21

Revenue Cycle is Beneath Me

The ground truth of healthcare's revenue cycle

Jul 10 • Andrew Tsang

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The Great Resignation Letter

If this dramatically-titled post hit your inbox, you’re one of the 1,100 who’ve followed my writing this past year — thank you, it means a lot. It’s…

Jul 2 • Andrew Tsang

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June 2026

Consider the Claim

The contested conversion of care into cash

Jun 17 • Andrew Tsang

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May 2026

Mispricing the RCM Bundle

Why the wedges in revenue cycle management get bought, not built

May 12 • Andrew Tsang

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Patient Responsibility: Call Your Mother

An Explanation of Benefits

May 10 • Andrew Tsang

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April 2026

Cycles and Triangles

Why every revenue cycle fix moves the burden

Apr 30 • Andrew Tsang

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Not a Cycle

More than a misnomer

Apr 15 • Andrew Tsang

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Struck by Turtle, Initial Encounter

The invisible workforce translating human suffering into billable data

Apr 2 • Andrew Tsang

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March 2026

The Office Birthday Cake

Who decides why employer-sponsored health insurance is so expensive, explained with cake

Mar 18 • Andrew Tsang

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I Believe The Children’s Hospitals Are Our Future

The Medicaid cuts are designed to shrink government’s role. Children’s hospitals show why they’ll do the opposite.

Mar 4 • Andrew Tsang

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