DOJ: Pushing back on alleged kickbacks
The US Department of Justice alleges that three MA plans and their appointed brokers committed offenses against the False Claims Act.
CMS gives increases to Medicare Advantage plans and decreases to physicians
MA plans are bad for taxpayers, beneficiaries, and providers. So why has CMS authorized increased payment rates to MA payors for 2026?
New webinar: What’s trending in the business of healthcare?
Truths we knew yesterday seem up for debate today. An administration committed to reducing waste doubles down on a program that’s expensive for taxpayers and bad for providers. Rising numbers of healthcare mergers and acquisitions suddenly stall. What is happening in the business of healthcare? Join our free webinar to listen to industry experts Brandon […]
Bodyguards and cheerleaders: the role of strategic communications
The lifecycle of a healthcare organization is full of moments that can positively or negatively affect its reputation. The strategic communications team helps organizations deliver compelling messaging that resonates with target audiences.
Unlock Health expands Strategic Communications practice
The Strategic Communications practice can help healthcare providers manage a wider range of critical business issues and communicate quickly and effectively during crisis situations in the highly regulated and fast-moving healthcare industry.
BCBS settlement gives new visibility to BlueCard claims
The Blue Cross Blue Shield antitrust settlement is the gift that keeps on giving. But only to providers who stay in the settlement.
The BCBS Settlement injunctive relief is worth gold to providers
Economists find that BCBS Settlement injunctive relief means more than $17.3 billion of value for providers. But only for those that don’t opt out.
Health insurers say they’ll do better … time will tell if they do
In the wake of Brian Thompson’s murder, the public demanded significant changes from health insurers. Will they follow through? Unlock Health CEO, Brandon Edwards assesses their first public statements of 2025 in this article, first published in Medical Economics.
What to expect in 2025: Managed care trends and predictions
New president. New Congress. Decades old healthcare cost finger pointing. Payors and providers say change is needed. Yet there’s no consensus on how to achieve it. In our new report, we share our views on six areas to watch in managed care this year.