Resources - Unlock Health

Resources

Unlock Health has deep experience in managed care consulting, revenue strategy, contract performance and negotiations, benchmarking, analytics, and strategic communications

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.

Perspective: When a town hall becomes the headline

Unlock Health's Brian Storts and Rick Toller write that when a town hall meant to build alignment becomes the headline, it reveals something deeper about organizational change.

What comes next: How providers can prepare for the next era of payor economics in 2026

The burden to justify value is being shifted from the insurer to the provider.

The ups and downs of payor coding practices: how upcoding and downcoding both undermine trust

Payors are inflating patient risk scores to boost their payments from federal programs while adjusting provider claims to pay less.

Q3 2025 earnings recap: higher revenue, elevated costs, and payors prepping to pivot

Having closely followed the Q3 2025 earnings calls from key payors, Kevin Thilborger covers key trends and takeaways.

Exploring Power Imbalances in Managed Care

Kevin Thilborger explores the power imbalance between payors and healthcare providers and discusses three key areas to watch. Originally published in First Report Managed Care.

Rethinking revenue: why health systems need a bigger pie, not just a better slice

Health systems can't rely on collections alone. See how rethinking your managed care revenue strategy can expand margins, strengthen contracts, and drive sustainable health system revenue growth.