People make healthcare transformation real

A resolute cheetah stares across an open plain

Every transformation runs through people. Every single one. Yet the people expected to carry it are often the last to be equipped. We invest in the strategy. We build the roadmap. We align the executive team. We configure the technology. Then, as launch approaches, we hand managers a slide deck, a few talking points, and […]

Q2 2026 payor earnings show a more selective approach to growth

Red sky at sunset

Q2 2026 payor earnings showed it was a pretty good quarter for the country’s largest health insurers. Financial performance generally improved, several companies increased their full-year outlooks, and some of the medical-cost pressure that dominated managed-care results over the past year showed signs of becoming more manageable. The more interesting story was happening in membership. […]

Adaptive leadership in healthcare transformation

a cheetah adapting to its environment and a different terrain than the plains

Every transformation plan looks reasonable… until it doesn’t. The strategy was sound. The sequencing was thoughtful. The leaders were aligned. And then something shifted. At that point, there are two kinds of organizations: those that push harder on the original plan, and those that adapt. This is where most transformations break. Not in strategy, but […]

Six months later: how did we do?

magnifying glass on a desk

Our mid-year review of 2026 managed care trends examines Medicare Advantage, AI, healthcare affordability, provider-payor disputes, and what’s shaping healthcare next.