Healthcare reimbursement formulas can look like administrative details buried in spreadsheets and regulations. Until one of them is wrong. In 2006, I discovered an error in the way Medicare calculated payment rates for hospitals across the country. It was understating payments by roughly $1 billion per year. What followed was years of appeals and litigation involving hundreds of hospitals before the matter was ultimately resolved.

Everyone agrees the healthcare system needs to change. But almost no one agrees on how to change it. And even when they do? It takes forever.