Code WACK!

The hidden forces behind skyrocketing health insurance costs

This time on Code WACK! Join us on a deep dive into the hidden forces behind soaring out-of-pocket costs, from rising medical costs to pandemic aftershocks and corporate profit pressures. Our guest, health insurance agent Sherry Davis Johnson, shares eye-opening stories from the front lines. We'll also explore how the Affordable Care Act has saved lives, what protections still matter most, and what it really takes to navigate today's healthcare maze. This is the second episode in a two part-series. Sherry Davis Johnson — a former nurse turned long–time insurance agent in Southern California — has seen our challenging healthcare system from every angle, as a nurse and home health provider, insurance agent and patient. Today, she's here to help us make sense of it all. Check out the Transcript [https://heal-ca.org/wp-content/uploads/2025/12/Transcript-Johnson-12-08-2025.pdf] and Show Notes [https://heal-ca.org/wp-content/uploads/2025/12/Show-Notes-12_08_25-Skyrocketing-Health-Costs.pdf] for more! And please keep Code WACK! on the air with a tax-deductible donation [http://heal-ca.org/donate].

'Widespread Panic:' Rising Premiums and Shrinking Subsidies Explained

This time on Code WACK! We're digging into big questions: Are reduced health insurance subsidies leaving Americans with a bad case of sticker shock? If you're shopping on the ACA marketplace, what should you watch out for before picking a plan? And what happens if you're pre-authorized for treatment in 2025, but can't afford to renew with the same plan in 2026? (It's not pretty). For these answers and more, we talked to Sherry Davis Johnson — a former nurse turned long–time insurance agent in Southern California. Sherry has seen our challenging healthcare system from every angle, as a nurse and home health provider, insurance agent and patient, having personally gone through five major surgeries in just two years. Today, she's licensed in health, property, casualty, accident, and life insurance — and she's here to help us make sense of it all. Check out the Transcript [https://heal-ca.org/wp-content/uploads/2025/11/Transcript-Johnson-12-01-2025.pdf] and Show Notes [https://heal-ca.org/wp-content/uploads/2025/11/Show-Notes-12_01_25-Rising-Premiums-.pdf] for more! And please keep Code WACK! on the air with a tax-deductible donation [http://heal-ca.org/donate].

Love your Medicare Advantage plan? It does NOT love you back

This time on Code WACK! Will Humana and UnitedHealth Group be found by the courts to have prematurely denied or cut off physician-ordered post-acute care for Medicare Advantage members using AI models with error rates as high as 90%? [https://arstechnica.com/health/2023/11/ai-with-90-error-rate-forces-elderly-out-of-rehab-nursing-homes-suit-claims/] And could these same AI tools, which over 60% of doctors [https://www.ama-assn.org/practice-management/prior-authorization/how-ai-leading-more-prior-authorization-denials] allege systematically deny patients necessary care, be used in Traditional Medicare as well? The answer is YES, depending on where you live. [https://www.cms.gov/priorities/innovation/innovation-models/wiser] To learn more, we spoke with Jeremy White, author of InHumana: An American Healthcare Story [https://inhumanabook.com/], published recently by White Lines Press. Jeremy and his wife, Edie, founded the award-winning satirical publication Red Shtick Magazine and its online version, The Red Shtick [https://www.facebook.com/TheRedShtick/]. They live in Baton Rouge, Louisiana. This is the second episode of a two-part series with Jeremy about his new book. Check out the Transcript [https://heal-ca.org/wp-content/uploads/2025/11/Transcript-White-11-24-2025.pdf] https://heal-ca.org/wp-content/uploads/2025/11/Transcript-Urquhart-11-3-25.pdfand Show Notes [https://heal-ca.org/wp-content/uploads/2025/11/Show-Notes-11_24_25-Medicare-Advantage-Does-Not-Love-You-.pdf] for more! And please keep Code WACK! on the air with a tax-deductible donation [http://heal-ca.org/donate].

BS, Gaslighting & AI: Demystifying the health insurance denial process

This time on Code WACK! Imagine watching your mom suffer a stroke and two seizures that left her unable to use her right side… and then having her Medicare Advantage health insurer deny coverage for the nursing home care she desperately needs. Now imagine learning that the decision to deny her coverage may have been based on artificial intelligence (AI) instead of clinical observation by a qualified medical professional! Here to share this shocking personal story is Jeremy White, author of InHumana: An American Healthcare Story [https://inhumanabook.com/], published by White Lines Press. Jeremy and his wife, Edie, founded the award-winning satirical publication Red Shtick Magazine - and its online version, The Red Shtick [https://www.facebook.com/TheRedShtick/]. They live in Baton Rouge, Louisiana, near Jeremy's mother. This is the first episode of a two-part series with Jeremy about his new book. Check out the Transcript [https://heal-ca.org/wp-content/uploads/2025/11/Transcript-White-11-17-2025.pdf] https://heal-ca.org/wp-content/uploads/2025/11/Transcript-Urquhart-11-3-25.pdfand Show Notes [https://heal-ca.org/wp-content/uploads/2025/11/Show-Notes-11_17_25-.pdf] for more! And please keep Code WACK! on the air with a tax-deductible donation [http://heal-ca.org/donate].

Profit, Prejudice, and the Price of Care

THIS TIME ON CODE WACK! How do health insurance hassles like denials and preauthorizations exacerbate inequities in our broken healthcare system? How do they rob physicians of precious time caring for patients and even jeopardize their practices? And why are some big insurance companies buying up physician practices? To find out, we recently spoke with Dr. Erica Rowe Urquhart, a private practice orthopedic surgeon in northern New Jersey. Harvard-trained in biomedical engineering with an MD and PhD from Johns Hopkins, Dr. Urquhart is the author of the forthcoming book The Invisible Hand Wielding the Scalpel: Paying the Price in America's Fractured Healthcare System. This is the second episode of a two-part series.. Check out the Transcript [https://heal-ca.org/wp-content/uploads/2025/11/Transcript-Urquhart-2-11-10-25.pdf] and Show Notes [https://heal-ca.org/wp-content/uploads/2025/11/Show-Notes-Profit-Prejudice-and-the-Price-of-Care-11_10_25-.pdf] for more! And please keep Code WACK! on the air with a tax-deductible donation at heal-ca.org/donate [http://heal-ca.org/donate].