Mr. Cushner is a Certified Financial Planner™ (CFP®) and holds various securities licenses and registrations
Host of the podcast Money in the Bank with Franck
Our office has always been a home not only to our team but our projects, partners, and friends
Excited to announce our new office in the Empire State Building
Open to anyone building in RWAs, whether it's with Plume or anywhere else
The future is built together, not in isolation. Come work with the goons anytime !!
Friedberg: Two Reasons Why Drug Prices are So Expensive in America 📈 🫰
1) Government intervention in the market 🏢
"The way that we negotiate drug prices is pretty messed up."
"As is the case with the cost of education and the cost of housing, the cost of drugs is largely inflated because of the federal government's role in being the primary buyer or capital provider to that market."
"Through our purchases of prescription drugs, the federal government, as a buyer, doesn't have any incentive to keep prices low."
" If every individual had to pay for their drugs, or private insurance was the only way to get your drugs, we would have a much more dynamic marketplace."
2) PBMs marking up prices 📈
"There's also this construct in the market, these PBMs or pharmacy benefit managers."
"If they got cut out of the market, it would save a lot."
"There's three major PBMs, CVS Caremark, Express Scripts, and Optum RX. They make money in markups."
"The FTC has been investigating them and have several open cases."
"Between 2017 and 2022, the estimate is that these companies generated $7.3B in excess profit by marking up prices on specialty generic drugs."
"So as an intermediary, they provide this role where they can coordinate between the health insurer, the pharmacy which dispenses the drugs, and the drug manufacturers."
Chamath:
" But they're allowed to be owned by the payer, which is crazy."
Friedberg:
" And now they're allowed to be owned by the payer."
"And there's a lot of obfuscation of the true cost of the drugs. There's a lot of markups, a lot of spread taking."
"And so if you took the PBMs out of the market, that would solve one of the problems."
" But at the end of the day, anytime the federal government is involved as a payer in any market-based system, it creates a distortion and the market is no longer free or efficient."
@friedberg
New pod is live!
CMO of @AxiosHQ, Chris Willis, roasted my client email on-air
“I already don’t know what you’re talking about…”
426 words ➡️ 176
Fluff ➡️ Clarity
Ego ➡️ Humbled
Listen to the Smart Brevity breakdown, link in bio
“Every unclear message wastes time. Every misalignment costs money.”
In the latest Money in the Bank with Franck, I talk with Chris Willis, CMO of @AxiosHQ about:
→ Internal comms strategy
→ Why long emails don’t build trust
→ How alignment = $$$
Full episode on Friday!
Trust in crypto is at an all-time low.
I sat down with Dr. Chandra Duggirala to break it down!
Listen now: https://t.co/1AaXMBcZBk
Do you still trust centralized exchanges?
From FTX to massive bridge hacks, the biggest threat to crypto isn’t just volatility—it’s a lack of trust.
I spoke with Chandra Duggirala, a medical doctor-turned-crypto innovator, about the security flaws in crypto and the technology that could finally fix them.
Out friday!
The DOGE is Finally Looking at CMS,
And It’s About Time
For the past 50 years, the Centers for Medicare and Medicaid Services (CMS) has systematically overpaid health systems, 3x to 10x more than independent physicians for the exact same tests and procedures.
This isn’t an accident.
It’s a built-in incentive for consolidation.
Private equity firms, investment bankers, and people like me have capitalized on this pricing distortion, buying up independent practices and rolling them into larger health systems.
The result?
Every time an independent practice is acquired, expenses; including insurance premiums, spike by 15% per year.
The cost of care rises, not because delivering care is more expensive, but because the supply of independent physicians shrinks.
Your health insurance premiums have gone up, not due to rising real costs, but because CMS-created monopolies limit competition.
Now DOGE is taking a closer look at CMS. If they’re serious, they won’t just investigate, they’ll pounce !
The question is:
Will anything change?
🤬 Bliksem CMS!
@elonmusk@teslalarry@billackman
#healthcare
DeepSeek's new AI model has disrupted markets, causing major tech stocks to tumble. Dr. @Youwei Yang, Chief Economist at BIT Mining Limited, breaks down the impact in our latest discussion.
Check out the episode on Spotify and Substack, links in bio
https://t.co/1AaXMBcrLM
Kayla Shawn's App, The Healthcare Navigator, can help you save thousands on healthcare.
Listen to the latest episode of my podcast on Spotify!
https://t.co/1AaXMBcZBk
What happens when the system fails someone you love?
This moment inspired Kayla Shawn to create The Healthcare Navigator, a platform helping patients save thousands.
Hear her full story on Friday's episode of Money in the Bank with Franck!
The Corporate Transparency Act has some serious penalties—$591/day per entity + jail time.
Catch my convo w/ Frank Tumminello of @File_forms on how to simplify compliance & save $$$.
Listen now:
https://t.co/1AaXMBcrLM
#Smallbusiness#Compliance
"Focus on growth, not fines."
I sat down with Frank Tumminello, CEO of @File_forms, to discuss the Corporate Transparency Act.
Learn how to navigate BOI reporting, avoid penalties, and keep your business compliant—effortlessly.
Catch it on Friday!
#SmallBusiness#Compliance
We’re showing you how small business owners can claim a huge tax credit before it’s too late.
Ryan from @Lendesca explains how they make it simple to find out what you’re owed—no digging through old tax returns.
Ep. link in bio
The clock is ticking: https://t.co/jAfdCWw05g
Attention small business owners! There’s government money on the table, and billions are unclaimed. In our latest podcast, Matt & Ryan from @LendescaLLC share how you can access the Sick Leave and Family Leave Credit.
Act fast before the deadline: https://t.co/jAfdCWvsfI
I have three little kids. I have a long Christmas list.
Donald Trump and the health insurance lobby aren’t on it. Raising the debt limit for Trump & letting health insurers keep price-gouging Rx drugs are not gifts I plan on giving this holiday season.
AI isn’t the future—it’s happening now. Mike @todacso breaks down how it’s changing education, business, and problem-solving in the latest Money in the Bank with Frank.
Full episode out now: https://t.co/1AaXMBcrLM
#Innovation#Leadership#AI
This Friday, @todasco shares his journey from accountant to AI visionary. Learn how tools like GPT are changing education, business, and creativity. Full episode of Money in the Bank with Frank drops Friday. Don’t miss it!
#AI#Leadership#Innovation