Billionaire entrepreneur Mark Cuban has been vocal about reshaping the U.S. health care system for years. During recent appearances on podcasts Fishbowl with Jules Terpak and Ground Truths with Dr. Eric Topol, Cuban discussed how his plans aim to address system inefficiencies and reduce consumer costs. His ideas could pave the way for significant changes in how Americans access and pay for health care.
Cuban designed his pharmaceutical company, Cost Plus Drugs, to provide medications at drastically lower prices by eliminating traditional middlemen. He explained on Ground Truths that many pharmacy benefit managers (PBMs), such as CVS Caremark, Optum and Express Scripts, add layers of complexity and hidden costs. Cuban’s company bypasses these PBMs, offering transparent pricing and preventing unnecessary markups.
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“The smartest thing we did was publish our entire price list because that allowed any company, any sponsor, CMS, researchers to compare our prices to what others were already paying,” Cuban said. He noted that the pharmaceutical industry has been the easiest to disrupt; “all it took was transparency and not jacking up margins to market.”
Another innovative approach Cuban takes to improving health care, particularly for his employees, is direct contracting with hospitals and clinics. On Fishbowl, he explained how his companies negotiate agreements that eliminate deductibles, pre-authorizations and denials. Instead, they pay providers up front, ensuring no financial risk for hospitals and reducing the administrative burden. This model incentivizes efficiency while maintaining quality care.
“It’s just 1955,” Cuban said. “You see the doctor, pay them and that’s it. No fuss, no muss.” By paying Medicare rates or lower, Cuban’s contracts save money while ensuring transparency. All agreements are published, encouraging other businesses to adopt similar practices.
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Cuban’s critiques highlight the misaligned incentives in the current health care system. On Fishbowl, he pointed out that hospitals often bear the financial risk for unpaid deductibles, leading to increased costs for everyone. Additionally, large self-insured companies – which cover about 150 million Americans – hire insurance companies to process claims, even though these insurers do not bear financial risk. This arrangement often leads to unnecessary denials that do not serve the best interests of patients or employers.
