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Bob Herman covers health insurance, government programs, hospitals, physicians, and other providers — reporting on how money influences those businesses and shapes what we all pay for care. He is also the author of the Health Care Inc. newsletter. You can reach Bob on Signal at bobjherman.09.

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Spring break is here, and our family is road tripping to South Carolina to escape this pretty rough Midwest winter. Send along your favorite snacks, games, playlists, and (of course) health care tips: [email protected].

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The Texas couple living large off the No Surprises Act

The No Surprises Act was created with a simple goal: Remove patients from pesky out-of-network situations, and force doctors and health insurers to hash out their disputes. A new deeply reported investigation from my pal Tara Bannow explores how a couple in Texas has birthed a new company that critics contend is exploiting the law’s arbitration process — and enriching themselves in the process.

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