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Tag: Managed Care

Q1 2026 payor earnings: The pressure is moving operationally

gauges measuring rising pressure invoking healthcare business landscape pressures building in the Q1 2026 payor earnings report

Rising claims payment delays, tighter utilization management, Medicare Advantage pressure – what you need to know from the Q1 2026 payor earnings report.

Will AI make the financial side of healthcare easier?

stethoscope on top of money

Payor investments in AI are changing more than technology. Increased margin pressure, more denials, and slower payments are just the beginning.

The conversation healthcare keeps avoiding: money

an array of coins in US currency including nickels, dimes, and pennies represents the financial barriers to healthcare access many Americans face

Financial barriers to healthcare access are shaping when—and whether—patients seek treatment. Here’s why healthcare leaders need to address cost directly.

Q4 2025 payor earnings: what they said — and what it means for providers

Calculator and pen symbolizing financial impact of Q4 2025 payor earnings on 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

Close-up of shattered glass symbolizing 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.

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.

Managed care under pressure: what’s shaping 2026

Learn more about the forces shaping managed care in 2026

As healthcare affordability worsens, patients, providers, and payors are responding in different ways. Explore the five forces shaping managed care in 2026.

The annual state of change: why 2026 will test our capacity to activate, not just to change

A tree's leaves in seasonal change, representing how systems adapt when conditions shift

Learn why many transformations stall quietly and how leaders can build the activation capacity needed to turn change into sustained behavior in 2026.

2025 in managed care: the year the quiet parts got loud

In managed care, 2025 wasn’t shocking. It just made the system’s problems harder to pretend not to see.

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