The access to care blind spot: how healthcare decisions are hiding inside benefit design
Every coverage decision is also a healthcare decision. Explore how benefit design affects access to care and uncover the hidden costs of fragmented coverage.
Six months later: how did we do?
Our mid-year review of 2026 managed care trends examines Medicare Advantage, AI, healthcare affordability, provider-payor disputes, and what’s shaping healthcare next.
The AI adoption paradox: the technology is ready. Is your organization?
Healthcare AI adoption succeeds or fails long before implementation begins. Change management turns implementation into lasting business value.
The cost of fighting back: why provider-payor disputes are no longer just about rates
Provider-payor disputes increasingly involve payor policies like site of care, downcoding, and claims reviews. Here’s why the cost of fighting back may be lower than the cost of accepting a new normal.
Why the fight over the 340B program is becoming a major hospital revenue battle
Who controls the value created by the 340B Program? Recent lawsuits, state laws, and federal appeals are changing the answer.
HCSC 2025 annual report: $1.9B loss changes the conversation
How does $66.8B in revenue become a $1.9B loss? The HCSC 2025 annual report completely changes the conversation about one of the country’s largest Blues plans.
Q1 2026 payor earnings: The pressure is moving operationally
Rising claims payment delays, tighter utilization management, Medicare Advantage pressure – what you need to know from the Q1 2026 payor earnings report.
The hospital cost crisis is real. The story is incomplete.
The hospital cost crisis is real, but the story The hospital cost crisis is real, but the narrative is incomplete. A deeper look at payor behavior, consolidation, and what’s actually driving healthcare costs.
Healthcare business strategy works best when marketing, managed care, and revenue strategy connect
Healthcare business strategy succeeds when marketing, managed care, operations, and business development align around shared growth priorities.