Will AI make the financial side of healthcare easier?
Payor investments in AI are changing more than technology. Increased margin pressure, more denials, and slower payments are just the beginning.
Disciplined acceleration in healthcare transformation
Faster isn’t better if it’s not sustainable. Disciplined acceleration helps healthcare leaders combat organizational change fatigue and keep activation moving.
Q4 2025 payor earnings: what they said — and what it means for providers
In Q4 2025 earnings calls payors signaled a move toward more margin discipline. Lower MLR guidance, tighter utilization, and more admin friction are coming. Providers should pay attention.
The Break Up Big Medicine Act and the future of vertical integration in healthcare
Vertical integration in healthcare was supposed to improve coordination. The Break Up Big Medicine Act asks whether it created something else instead.
Health insurance CEOs told Congress they want to lower costs. Providers have heard this before—and Congress has, too
Payor administrative burden continues to grow despite promises of lower costs and greater transparency. Providers have heard those promises before.
Lead like a cheetah: why fast, fit, and flexible now define change leadership in healthcare
Change leadership in healthcare determines whether strategy becomes lasting transformation. Readiness, adoption, and momentum don’t happen by accident.
When the fox starts teaching poultry management
When a payor helps shape medical education, the risk isn’t knowledge, it’s normalization. Why UnitedHealth’s role in training physicians should concern us all.
What comes next: How providers can prepare for the next era of payor economics in 2026
The state of payor economics in 2026 sees the burden to justify value shifting from the insurer to the provider. Here’s how providers can prepare to face it.
The ups and downs of payor coding practices: how upcoding and downcoding both undermine trust
Payor coding practices are inflating patient risk scores to boost their payments from federal programs while adjusting provider claims to pay less.