We're three weeks into a government shutdown with no end in sight, and the healthcare industry is caught in the crossfire. Marc Ryan, Chief Solutions Officer at Lilac Software and author of The Healthcare Labyrinth, joins host Erik Sunset to break down what's really at stake as Democrats and Republicans dig in their heels over ACA subsidy extensions and healthcare cuts.From the $1 trillion in cuts to Medicaid and exchanges in the "One Big Beautiful Bill" to the ongoing Medicare physician payment crisis, Marc explains why these aren't just Washington politics—they're existential threats to independent physicians, FQHCs, and patient access to care. Discover why Marc argues these are "dumb cuts" and what smarter alternatives like site-neutral payments could accomplish instead.Plus: Are Trump's drug pricing deals too good to be true? Marc warns that Big Pharma may be hoodwinking the administration with cosmetic concessions while avoiding real price reform. And with Medicare Advantage in financial turmoil and benefits contracting for 2025-2026, what should consumers expect during this year's open enrollment?If you want the unvarnished truth about what's happening in healthcare policy right now, this episode delivers.See Marc's work at Lilac Software and at The Healthcare Labyrinth.As always, be sure to follow DocBuddy on LinkedIn.#governmentshutdown #healthcare #healthcarepodcast #healthITpodcast 

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