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.
Is the nation’s largest payor becoming a closed system?
UnitedHealth Group’s transformation into a closed healthcare system, driven by its subsidiary Optum, raises concerns about reduced competition, patient choice, and fairness, emphasizing the need for providers to secure protective contracts and strategies to navigate its growing dominance.
PBMs may represent everything wrong with U.S. healthcare
Pharmacy benefit managers (PBMs), which claim a significant portion of healthcare spending, exemplify the broader exploitation by intermediaries in U.S. healthcare, prompting urgent calls for Congressional scrutiny and systemic reform.
UnitedHealth Group – The “Death Star” of U.S. healthcare
UnitedHealth Group’s aggressive acquisition strategy, particularly in areas where it dominates Medicare Advantage, highlights its influence over the U.S. healthcare system and underscores the need for providers to understand and strategically navigate its impact.
Shifts in healthcare, provider hurdles, & the flywheel effect
Health insurance vertical integration models, like the one leveraged by UnitedHealth Group, highlight the need for strategies to address evolving payor tactics.