Public-benefit research and advocacy
Practical tools, research papers, and blog posts on wound-care access, Medicare appeals, reimbursement policy, program integrity, AI governance, and public accountability.
Medicare Appeals, Wound Care, and the Right to a Meaningful Hearing
Lance McNeill, MBA, MPAff
A wound-care case study showing how fragmented appeals and shifting denial rationales can prevent providers from receiving a meaningful opportunity to respond.
Public accountability
Practical proposals for legislative discussion, with the reasoning and draft language available for review.
Building on Texas's existing protections to hold more public spending accountable
Lance McNeill, MBA, MPAff
Texas has already expanded its health care fraud law. A general False Claims Act would build on that foundation to protect state and local funds, support whistleblowers, and recover payment for binding work that was never delivered.
What a six-state Medicare rollout teaches about AI implementation in health care
Lance McNeill, MBA, MPAff
Six participants were named 60 days before live WISeR requests began. Released CMS records show unfinished testing, stalled requests, and suspended claims after go-live.
Five reforms Arclight recommends for Medicare program integrity
Lance McNeill, MBA, MPAff
Arclight welcomes CMS's proposed fraud defense reforms and recommends five priorities for greater accuracy, accountability, and protection of legitimate care.
A public catastrophic health layer for families, builders, freelancers, and people between jobs
Lance McNeill, MBA, MPAff
What if Medicare for All began with one public promise: no citizen should face financial ruin because of a medical disaster?
A fully favorable Medicare decision showing how an ALJ evaluated and cited appellant-submitted outcomes evidence in a wound-care audit appeal.
An estimated cost comparison for wound care providers facing $500,000 to $2 million Medicare audits
Lance McNeill, MBA, MPAff
A practical comparison of specialized audit appeal support and full legal-team costs for wound-care providers facing major Medicare exposure.
Objective-Function Governance for AI-Assisted Medicare Review
Lance McNeill, MBA, MPAff
How Medicare review and private-payer denials reveal the need to define objectives, accountability, human review, and appeal pathways before AI deployment.
Hidden Systemic Costs and Measurement Failure in Medicare Unified Program Integrity Contractor (UPIC) Determinations
Lance McNeill, MBA, MPAff
An estimate of the hidden systemic cost of disputed UPIC determinations and a case for measuring contractor accuracy, not only activity.
How reimbursement dynamics and incentives can create rapid pricing escalation and threaten sustainable access in skin substitute markets.
How denial rationales shift across Medicare audit stages, weakening consistency, accountability, and a provider's opportunity to respond.
A Legitimacy Audit for the AI Republic at America's 250th Birthday
Lance McNeill, MBA, MPAff
A civic legitimacy audit asking how AI can help citizens see public power more clearly rather than merely automate institutional authority.