Coverage and access are not the same thing.
Why don't people get the care they need — and what does it take to change that? An editorial platform built by someone who works inside the problem.
Coverage is complicated
Your Plan Changed. Your Doctor Didn't Know.
How mid-year formulary updates create access failures that nobody catches until it's too late.
The provider side
The Prior Auth Burden Is a Patient Outcome Problem
Specialty practices aren't drowning in paperwork. They're drowning in delayed treatments.
What's coming
When the Pharmacy Is the Payer
Vertical integration isn't just changing how drugs are distributed. It's changing who decides if you get them.
Not a clinical problem.
A systems problem.
The gap between what medicine can do and what patients actually receive is shaped by policy, economics, information failures, and design choices that were never made with the patient in mind. That gap is solvable. That's the whole point.
01
Having insurance and being able to use it are two different things. Most people don't find out the difference until something goes wrong.
02
The gap shows up differently
In a specialty practice it's a prior auth denial. In an enrollment conversation it's the wrong formulary tier. Different entry point. Identical problem.
03
The gap is solvable
Naming the system that produced the failure is the first step to changing it. That's what this platform is built to do.
WHAT WE COVER
Five pillars of analysis
01
The gap is always there
Connecting individual failures to the systems that produced them
02
Coverage is complicated
How it actually works, before something goes wrong
03
The provider side
What specialty practices and RCM teams are up against every day
04
Who it hits hardest
The gap is not evenly distributed — and the data shows it
05
What's coming
Pattern recognition and forward-looking analysis for people inside the work
FEATURED ANALYSIS
Latest from TAG
Navigating the Dual Eligible Landscape
Dual eligible beneficiaries have two programs covering their care and face some of the most complex access failures in the system. Here is why the coordination breaks down and what it takes to serve t... ...more
Who the Gap Hits Hardest
May 06, 2026•11 min read
Vertical Integration in PBMs
How the consolidation of payers, PBMs, and specialty pharmacies creates conflicts of interest that narrow networks, distort formularies, and reshape what specialty patients can actually access. ...more
The Gap Is Always There
April 22, 2026•9 min read
The Invisible Burden of PAP Applications
PAP programs exist to close the cost gap on specialty medications. The application process, the documentation burden, and the renewal cycle create a barrier that most practices have no system to manag... ...more
The Provider Side of the Access Problem
April 15, 2026•8 min read
For patients & caregivers
You have coverage. That doesn't mean you have access.
Most people don't understand how the system actually works until something goes wrong. TAG exists to close that gap before it becomes a care gap — in plain language, without the spin.
For providers & operators
You see the gap every day. Most people don't know it exists.
Operational, specific, and honest about what the system is doing. For practice administrators, RCM teams, and anyone who works alongside the access problem every day.
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Systems-level analysis of the healthcare access problem — written by someone who works inside it. No talking points. No filler. Just honest, specific thinking about why the gap exists and what it takes to close it.
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The Access Gap
The Access Gap is an editorial platform exploring why patients don't get the care they need, written from inside the access problem.
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