Shared risk. Who’s carrying it now?
ACA premium increases and higher out-of-pocket limits in 2027 leave patients facing unaffordable bills — and hospitals sharing more of the financial risk.
How providers can turn healthcare price transparency data into negotiation strategy
Turn healthcare price transparency data into stronger payor negotiations by validating rate comparisons, finding reimbursement gaps, and setting priorities.
Why healthcare change management fails after the announcement
Healthcare organizations often put enormous effort into announcing change. Leaders build the strategy, prepare presentations, schedule town halls, and explain what will happen next. Then attention shifts to the next priority. Employees are left to interpret what the change means for their roles. Managers field questions they may not be ready to answer. Teams must […]
How to build a healthcare crisis communication plan
A healthcare crisis can change how patients, employees, physicians, and community members see an organization in a matter of hours. When information is slow, inconsistent, or unclear, trust can erode before leaders have had time to fully understand what happened. That is why a healthcare crisis communication plan is essential. It gives leaders a clear […]
What is your managed care contract actually worth?
A negotiated rate isn’t what you actually collect. Learn how a payor contract review can reveal denials, underpayments and delays that erode contract value.
Healthcare providers need a plan in place before payor negotiations go wrong
Payor contract negotiations can change direction quickly. A conversation that begins with reimbursement may expand into new payment policies, stricter administrative requirements, product changes, or contract language that shifts more risk to the provider. Payors may delay responses, challenge the provider’s value to the network, or wait until deadlines create additional pressure. Providers should expect […]
Your strategic plan is approved. What next?
A healthcare strategic plan can earn executive approval and still go nowhere. The real test begins when leaders must turn broad priorities into decisions, deadlines, ownership, and coordinated work across the organization. Teams need to know what happens first, who is accountable, which resources are available, and how competing demands will be handled. When those […]
Prior authorization reform: what providers should measure
Prior authorization reform may reduce requirements without reducing administrative burden. Learn what healthcare providers should measure to determine what really changed.
The hidden cost of bad payor contract language and how to fix it
Poor payor contract language can weaken reimbursement and create avoidable disputes. Learn which terms deserve closer review and how providers can respond.