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The Adjudicator

The Adjudicator

Coverage audits, GLP-1 access intel, healthcare AI ethics and fraud/waste/abuse breakdowns for the modern managed care decision maker.

Why Employers Stay with PBMs They Don’t Trust

Jan 21, 2026

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16 min read

Why Employers Stay with PBMs They Don’t Trust

Your PBM's favorite kind of customer

Andrew Vargas
Andrew Vargas
Humira's Denouement: The Biosimilar "Cliff" That Became a Slope

Jan 15, 2026

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5 min read

Humira's Denouement: The Biosimilar "Cliff" That Became a Slope

Humira's end is an unwinding story

Andrew Vargas
Andrew Vargas
You Can Appeal Your Denial. You Can't Appeal the Policy.

Jan 9, 2026

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6 min read

You Can Appeal Your Denial. You Can't Appeal the Policy.

The Governance Gap: Why Nobody Can Formally Challenge Coverage Criteria

Andrew Vargas
Andrew Vargas
The Reese’s Prescription: Administrative Pathogenesis

Jan 7, 2026

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5 min read

The Reese’s Prescription: Administrative Pathogenesis

When coverage rules create incentives for pathology to progress.

Andrew Vargas
Andrew Vargas
Watchdoggery, Unencumbered

Jan 5, 2026

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9 min read

Watchdoggery, Unencumbered

Presence. Serendipity. Salience. Sharing.(and the small, bright terror of being seen)

Andrew Vargas
Andrew Vargas
Adversarial Interoperability as an Ethic (and Why Policy Vault Exists)

Jan 2, 2026

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9 min read

Adversarial Interoperability as an Ethic (and Why Policy Vault Exists)

Making the rules visible

Andrew Vargas
Andrew Vargas
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The Adjudicator

Coverage audits, GLP-1 access intel, healthcare AI ethics and fraud/waste/abuse breakdowns for the modern managed care decision maker.

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