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Our Mission

We are changing US healthcare billing practices, one bill at a time.

Our mission is to have health care be fairly and transparently priced. We believe that America provides excellent healthcare, but the prices we pay for it are often unreasonable, sometimes unlawful and always confusing. Under the current system, we cannot see specifically what we are being billed for. We have no way of comparing what we might pay at a different facility with our same insurance coverage (or lack thereof). Once healthcare has been provided, especially at a hospital, we receive a bill, with a list of unexplained procedures and prices. We are expected to pay it with little to no information.

At, we are trying to catalyze change in the way hospitals bill patients by putting pressure on the bottom line. We have developed a system to help patients reject their bills until hospitals begin to offer fair and easy to understand pricing. If enough people take action, we will force the change needed to make this system fair and transparent.

Our Strategy

Our strategy is to help enough patients deny payment to hospitals to force hospitals and related healthcare entities to simplify and publicize their pricing. We are pushing back against surprise billing and overcharging simply by insisting that hospitals provide detailed price lists.

Many states have passed laws restricting or abolishing these types of “surprise bills.” But hospitals keep sending bills. Even lawful charges are so complicated and cryptically described, there is no way to figure out which services were actually rendered. Patients, worried about their credit ratings, go to great lengths to pay these bills without scrutiny. And that’s why hospitals keep sending them.

If we stop paying, hospitals will have to change their approach.
Effecting change is something we have to do together. And the way to do it is to hit hospitals where it can hurt – on the bottom line.

You can use in a number of ways. You can download our packet, which provides an overview of our approach, a check list, and sample letters for each step of the process. Or, you can contact us and let us help you in a more direct way. Our staff can offer advice, draft letters and can even contact the hospital for you, should you choose. Our legal experts will support your efforts, if you need them.

Please review our process and see how can help you deny payment and drive change.

Our Founder

David Silverstein is an executive and thought leader who was inspired to use his strategic innovation skills to tackle healthcare reform – one of the most complex issues facing the nation today.

As founder and CEO of Lean Methods Group, a global management consulting firm, David has been changing the way business leaders think for decades.

With deep roots in operational improvements using Lean and Six Sigma methods, his company, Lean Methods Group, has helped dozens of large companies save hundreds of millions of dollars while setting in motion radical and long-lasting transformations.

David founded Lean Methods Group in 1999. Since then, he has grown the company into an internationally recognized strategic consulting firm, serving clients in more than 20 countries.

Writer and Author

David is a frequent media source on topics related to innovation, strategy, economics and global trends. He is a guest writer for The Economist and Inc. and has been featured in, or has written for, The Washington Post, The Robb Report, CNBC, NPR, Fox News and many other media outlets. He has written on innovation, performance and significant business issues for numerous publications including BusinessWeek, Inc. Magazine, The Wall Street Journal and Forbes.

David’s Strategic Leadership book series is designed to help business leaders collect information, operate at peak performance, and hone their decision-making skills. His titles include One Dot Two Dots Get Some New Dots, Become an Elite Mental Athlete and Three Steps Ahead. He has also published several books on innovation, business management and executive leadership, including The Innovator’s Toolkit: 50+ Techniques for Predictable and Sustainable Organic Growth, Insourcing Innovation: How to Achieve Competitive Excellence Using TRIZ.


Before entering industry David spent 7-years as an officer in the US Navy’s elite nuclear submarine force. He holds a dual degree in physics and mathematics from Ithaca College and an MBA from the George Washington University. He lives in Colorado with his wife Kathy and their four children.