Category: Blogs
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.
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.
More than halfway through 2025, how good were our predictions?
At the start of 2025 we published our predictions for six key areas to watch in managed care. More than halfway through the year, we check in to see how...
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 is rolling out a "no cost" surgical benefit 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...
What the heck is going on with MLR and the health insurance business?
Unless patients suddenly stop incurring health insurance claims, there's only one place left for payors to go to get control of rising medical loss ratios: providers. By understanding this, providers...
What does Authentic Healthcare Marketing mean in the context of payor/provider issues?
Policy shifts and rising healthcare costs are heightening existing tensions between payors and providers. As disputes become public, committing to an authentic comms strategy rooted in your brand's mission and...
Q2 2025 earnings for the top payors: the managed care mirage gets murkier
Kevin Thilborger highlights key takeaways from the Q2 earnings calls of top insurance companies.