Mark Cuban Just Dropped a Wild Healthcare Plan That Might Actually Work

Mark Cuban isn’t running for office, but that didn’t stop the outspoken billionaire from offering a bold solution to the U.S. healthcare crisis. It's one that cuts insurance companies out of the equation entirely.

Responding to a question on X (formerly Twitter) about what he would do if he were in charge of the U.S. healthcare system, Cuban laid out a plan that’s simple, disruptive, and — in his words — "off the top of my head." 

But even without fine-tuning, the core message is clear: give power to the patient, kill the middlemen, and cap financial risk.

Under Cuban’s vision, patients would choose any provider that honors a publicly posted cash price. They’d commit to pay what they could afford, with documentation, and the rest would be taxpayer-financed. 

Repayment would happen through paycheck deductions, no more than 10 percent, and any remaining balance would be forgiven after 15 years.

Still have work to do on the numbers, and this is off the top of my head. But I would allow patients to pick whatever cash pay provider that honors their published price . Have the patient commit to what they can afford to pay , (with documentation ) , and have taxpayers finance… https://t.co/NOcX55J6pJ

— Mark Cuban (@mcuban) June 17, 2025

Gone would be the premiums to insurance companies. Instead, families would pay $400–$500 a month for reinsurance, capped at $50,000 per year. That’s the most any family would owe in total medical expenses, regardless of what happened.

"There would be zero premiums to insurance companies," Cuban emphasized. "No PBMs. No health care from employers." 

Private insurance? Optional.

He’d also overhaul Medicare and Medicaid, mandating net pricing on prescriptions and a fee-for-service model for critical infrastructure like claims processing.

Cuban admits his numbers are rough estimates, based on his own company data. However, his plan taps into a growing frustration with America’s bloated, expensive, and opaque healthcare system. 

Related: Mark Cuban’s Bold 8-Word Pitch to Fix Pharma

Cuban's approach removes insurers, pharmacy benefit managers, and employer gatekeeping. Instead, it centers the patient while capping risk and streamlining payments.

It's not a campaign promise, but it's the kind of moonshot thinking Cuban is known for. And it's already sparking serious conversation.