Months later: Have health insurers delivered on their prior auth promises?
Health insurance companies pledge prior authorization reform, yet providers face ongoing delays and distrust, highlighting the gap between promises and reality.
Learn from North Carolina’s model before other states follow suit
North Carolina “no cost” surgical benefit is rolling out this fall. Here’s what providers in and out of North Carolina need to know.
The Pivot: The (im)perfect storm hospitals face in 2026 and 2027
In the next 18-24 months, headwinds facing healthcare providers will become a full-blown hurricane.
Unlock CEO, Brandon Edwards, explores factors that must be addressed as providers prepare to weather the coming storm.
What the heck is going on with the increased Medical Loss Ration and the health insurance business?
Facing increased medical loss ratios, there’s only one place for payor to go to regain control: providers. What you need to know to prepare for what’s ahead.
Q2 2025 payor earnings take-aways: the managed care mirage gets murkier
Managed care model hitting the wall it built for itself, slow-pay and no-pay tactics, and other key take-aways from the Q2 2025 payor earnings report. Here’s what you need to know.
How will United’s struggles impact healthcare providers?
After years of consolidating their strength, how will losing nearly 40% of their value in just a few weeks impact UnitedHealthcare’s negotiating position?
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 […]
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.