The AI adoption paradox: the technology is ready. Is your organization?
Most healthcare organizations have moved past the question of whether or not they will use AI. The harder question is whether their people will use it in a way that changes the work. The tools may be live, the investment may be approved, or the rollout may be on the calendar, but still, nothing much […]
The cost of fighting back: why provider-payor disputes are no longer just about rates
Provider-payor disputes increasingly involve payor policies like site of care, downcoding, and claims reviews. Here’s why the cost of fighting back may be lower than the cost of accepting a new normal.
Why the fight over the 340B program is becoming a major hospital revenue battle
Recent 340B lawsuits, state laws, and federal appeals are raising a larger question for hospitals: who controls the value created by 340B, and who ultimately benefits from it?
HCSC 2025 annual report: $1.9B loss changes the conversation
How does HCSC’s $66.8B in revenue become a $1.9B loss? The 2025 annual report completely changes the conversation about one of the country’s largest Blues plan.
Q1 2026 payor earnings: The pressure is moving operationally
Q1 2026 payor earnings revealed rising claims payment delays, tighter utilization management, Medicare Advantage pressure, and growing questions about whether healthcare costs are being managed — or simply redistributed.
The hospital cost crisis is real. The story is incomplete.
The hospital cost crisis is real, but the narrative is incomplete. A deeper look at payor behavior, consolidation, and what’s actually driving healthcare costs.
Healthcare strategy works best when marketing, managed care, and revenue strategy connect
Revenue strategy in healthcare works best when marketing, managed care, operations, and business development align around shared growth priorities. Learn how connected planning, HRAs, and patient acquisition strategies improve financial performance and care delivery.
Built to absorb: readiness in healthcare transformation
Many healthcare organizations have clear strategies and strong alignment yet still fall short when change fails to take hold. This article explores how organizational readiness shapes adoption, why change efforts stall, and what it takes to build the capacity for transformation that actually lasts.
The danger of staying silent about healthcare costs
Hospitals can’t stay silent about rising healthcare costs. Here’s how not owning the narrative creates risk for providers and patients and shapes public perception.