Gott's Gulch - Craig’s Substack

How We Turned a 1,300% “Nonprofit” Ransom Demand into a Reasonable Bill

Why serious employers can’t outsource judgment to PPO contracts and hospital billing offices anymore

Nov 17 • 

Craig Gottwals

2

A Must-Listen Pod on Hospital Pricing

3 Lies Hospitals Perpetuate

Nov 5 • 

Craig Gottwals

1

What Broke American Healthcare

And How We Fix It

Nov 3 • 

Craig Gottwals

1

October 2025

Why Reference-Based Pricing Works

It’s not the ‘sneak by’ method so many reflexively believe.

Oct 29 • 

Craig Gottwals

1

2

How Much Profit is Enough for Your "NonProfit" Hospital?

Taxpayer Handouts Fuel Hospital Hedge Funds

Oct 22 • 

Craig Gottwals

1

TPA Fees, Data Dumps & The Dark Knight

Why Reference-Based Pricing Means Paying More for Admin (and That’s a Trade You Want)

Oct 13 • 

Craig Gottwals

1

1

So You Want to RBP?

How to survive month one and thrive by renewal.

Oct 6 • 

Craig Gottwals

1

September 2025

Overworked, Overtreated & Over It. A Doctor Speaks

Confessions from Primary Care

Sep 6 • 

Craig Gottwals

2

1:53:04

Flat Renewals, Fraud Exposed, and Real Recovery: Three Employer Wins

Nothing says “fiduciary duty” like blindly approving a +20% renewal.

Sep 2 • 

Craig Gottwals

2

August 2025

The Charity Care Mirage

60% of Hospitals Overbill Working Families

Aug 27 • 

Craig Gottwals

2

AI & Russian/Ukraine with Jack Armstrong

I Spent Hour 3 on the Armstrong & Getty Radio Show Today

Aug 26 • 

Craig Gottwals

2

1

29:16

From Big Medicine to DPC: Dr. Michelle’s $10K Startup Story

How One Doctor Escaped Legacy Healthcare and Built Freedom in the Sierra Foothills

Aug 19 • 

Craig Gottwals

1

1:26:46