WASHINGTON – Medicare is changing what it pays hospitals for some drugs in 2027. The Centers for Medicare & Medicaid Services says the new rates “better reflect what hospitals pay for these medications.” The agency announced the rule on November 4, 2026. The change covers drugs bought under the 340B Drug Pricing Program. CMS gives …
Medicare Rule Lowers Costs for Some Hospital Drugs in 2027 Read More »
WASHINGTON – Companies that run drug benefits for large self-insured plans will have to tell the plans’ decision-makers how they get paid. A final Labor Department rule filed on October 30 requires it. The rule was published in the Federal Register on November 2, at 91 FR 69092. It takes effect January 4, 2027. It …
New Rule Makes Drug Middlemen Show Plans What They Earn Read More »
Most journals open with a promise the writer cannot keep. I am going to try something different. I am going to tell you what this is, what it is not, and who it is for. Then you can decide if you want to stay. What this is not, the refusals# This is not a newsletter. …
What this whole publication is actually going to be Read More »
You can hear it in the first sentence. The writer who has not decided yet sounds like a person clearing her throat. She might. She could. Perhaps. I wrote in that voice for ten years and published most of it. IN THIS ESSAY 01The sentence I cannot un-write, forensics in a folder 02The three things …
The writing voice I spent far too many years avoiding Read More »
AI arrived in the chapter no one promised would come. That is not a coincidence.
My mother is ninety-eight. She raised ten of us in a country whose language she hardly spoke. She is the matriarch of every dinner table this family has ever sat at, and she is in the late stage of an illness that takes everything from a person except who they are. The illness has taken …
What my mother did not teach me in any actual words Read More »
The first image I made for this site was the AI image you have seen everywhere. The blue brain. The glowing orb. The abstract human figure holding light in her hands. I deleted it. I have been starting over, with increasing precision, for a year. IN THIS ESSAY 01The first failure was not the model, …
How I make the images for this publication, step by step Read More »
SAN FRANCISCO – If you have typed something private into an AI and wondered where it went, one company has now answered. The answer turns on one word it never defines. Anthropic, which makes Claude, published a short explanation on 14 September, two minutes and nineteen seconds long. It is addressed to organisations that buy …
What an AI Company Keeps of What You Type · Hanh D. Brown Read More »
Short answer What does an in-force date actually mean? A rule usually carries two dates, not one. The effective date is when it becomes law. The compliance date is when anyone actually has to follow it. They can sit years apart. Checking only the first tells you a rule exists, never whether it applies to …
What an In-Force Date Really Means · Hanh D. Brown Read More »
SAN FRANCISCO – Two proposals for keeping artificial intelligence safe were made at one conference keynote this week. Neither of them is a law, and nobody in the 63 minutes on the recording named one. The two men were not on a stage together and this page will not pretend they were. The Dreamforce keynote …
Two Ways of Keeping AI Safe Were Proposed in One Hour Read More »
