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.
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.