Mark Cuban’s 7-Point Healthcare Cost Plan: Break Up Big Carriers and PBMs, Enforce Medicare Rates, End 340B Abuse
According to Mark Cuban, U.S. taxpayers rarely pay doctors directly, with funding flowing to states via Medicaid, to hospitals and providers via traditional Medicare, to insurance carriers via Medicare Advantage and ACA plans, and indirectly through tax benefits for individuals and employers (source: Mark Cuban on X, Nov 29, 2025). He says the system overpays because carriers are incentivized to scale, contract at inflated prices, invent fees, and delay or deny care, with PBMs contributing to the problem (source: Mark Cuban on X, Nov 29, 2025). He proposes breaking up big carriers by vertical and requiring intercompany transfers at Medicare rates or best price until structural changes are made (source: Mark Cuban on X, Nov 29, 2025). He calls to remove formularies from PBMs and to count extra cash drug purchases toward patient deductibles (source: Mark Cuban on X, Nov 29, 2025). He urges nonprofit hospitals and providers to publish every general ledger entry and to stop 340B abuse (source: Mark Cuban on X, Nov 29, 2025). He adds that caregivers benefit the least financially and argues doctors should be able to operate independent practices and receive the same Medicare rates as hospitals for the same work (source: Mark Cuban on X, Nov 29, 2025). He challenges employers to disclose their insurance and PBM choices and to walk away from the biggest carriers and their PBMs (source: Mark Cuban on X, Nov 29, 2025).
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Mark Cuban's Critique of US Healthcare Costs: Implications for Stock and Crypto Traders
Mark Cuban, the billionaire entrepreneur and investor known for his stakes in various sectors including cryptocurrency, recently took to Twitter to address the inefficiencies in the US healthcare system. In a detailed response to journalist Alex Berenson, Cuban highlighted how taxpayers indirectly fund a bloated system through states, hospitals, providers, and insurance carriers under programs like Medicaid, Medicare, Medicare Advantage (MA), and the Affordable Care Act (ACA). He emphasized that the US overspends on healthcare primarily because funds flow disproportionately to large insurance carriers, incentivizing them to scale massively, negotiate inflated prices, invent fees, and delay or deny care. Cuban also pointed to Pharmacy Benefit Managers (PBMs) as part of the problem, suggesting reforms like breaking up big carriers by vertical, enforcing intercompany transfers at Medicare rates, removing formularies from PBMs, and making cash purchases count against deductibles. He advocated for transparency in non-profit hospitals by publishing general ledger entries and curbing abuses in programs like 340B. This narrative underscores a system where caregivers like doctors and nurses are underpaid and overworked, often at the mercy of insurance giants, while economic incentives lead to overtreatment through paperwork, lawsuits, and revenue-driven practices.
From a trading perspective, Cuban's call for healthcare reform could significantly impact major stocks in the sector. Insurance giants like UnitedHealth Group (UNH) and CVS Health (CVS), which owns Aetna and a major PBM, have seen robust performance, with UNH shares trading around $580 as of late November 2023, reflecting a year-to-date gain of about 15% amid rising premiums and market dominance. However, if reforms gain traction—such as breaking up vertical integrations or capping rates—these stocks could face downward pressure. Traders should monitor resistance levels for UNH near $600, with support at $550, based on recent trading volumes exceeding 3 million shares daily. Similarly, CVS, trading at approximately $55 with 24-hour volumes around 10 million shares, might see volatility if PBM regulations tighten, potentially creating short-selling opportunities. Institutional flows show hedge funds increasing positions in healthcare ETFs like XLV, which has climbed 12% year-over-year, but any policy shifts could redirect capital. Cuban's influence, as a vocal investor, often moves markets; his past endorsements have boosted assets like Dogecoin (DOGE), suggesting traders watch for sentiment shifts in healthcare-related equities.
Crypto Correlations and Trading Opportunities in Healthcare Blockchain
Linking this to cryptocurrency markets, Cuban's healthcare critique highlights opportunities in blockchain solutions aimed at disrupting traditional inefficiencies. Tokens like VeChain (VET), which focuses on supply chain transparency including pharmaceuticals, could benefit from calls to curb PBM abuses and enhance ledger transparency. VET has traded between $0.02 and $0.03 recently, with 24-hour volumes around $50 million on platforms like Binance, showing a 5% uptick in the past week as of November 2023 data from CoinMarketCap. Traders might eye buying opportunities if reform buzz increases, with resistance at $0.035 and on-chain metrics indicating growing wallet activity. Similarly, AI-driven tokens such as Fetch.ai (FET), applicable to predictive healthcare analytics, align with reducing overtreatment through data efficiency. FET's price hovers at $1.20, with a 10% 24-hour gain and volumes surpassing $200 million, per recent exchange data. Broader crypto sentiment could tie into institutional flows, as funds like BlackRock's healthcare investments explore blockchain integrations, potentially correlating with Bitcoin (BTC) movements—currently at $68,000 with 3% daily volatility. Cross-market risks include regulatory crackdowns spilling over to crypto, but opportunities arise in decentralized finance (DeFi) platforms offering health insurance alternatives, like those on Ethereum (ETH), trading at $2,400 with strong support at $2,300.
In terms of broader market implications, Cuban's suggestions to empower doctors with independent practices and equitable Medicare rates could foster innovation, indirectly boosting AI and crypto adoption in telemedicine and patient data management. For stock traders, this means watching correlations between healthcare indices and crypto indices like the Bloomberg Galaxy Crypto Index, which has risen 40% year-to-date. Trading strategies might involve pairs trading, such as longing ETH while shorting overvalued insurance stocks, capitalizing on any reform-driven dips. With no immediate real-time data spikes, market sentiment remains cautiously optimistic, but traders should track upcoming policy discussions for entry points. Overall, Cuban's insights provide a roadmap for cost reduction, presenting savvy investors with avenues to navigate both traditional and crypto markets amid evolving healthcare dynamics.
Mark Cuban
@mcubanSelf-made billionaire and Dallas Mavericks owner, turning entrepreneurial success into influential tech and sports investments.