Will AI make the financial side of healthcare easier?
AI is transforming payor-provider dynamics, but not necessarily in providers’ favor. Explore how payor AI investments may increase denials, slow payments, and pressure healthcare margins.
Disciplined acceleration in healthcare transformation
Moving faster doesn’t guarantee better results. Like the cheetah, speed works best in strategic bursts. Brian Storts explains how disciplined acceleration prevents activation fatigue in healthcare transformation.
Q4 2025 payor earnings: what they said — and what it means for providers
In Q4 2025 earnings calls payors signaled a move toward more margin discipline. Lower MLR guidance, tighter utilization, and more admin friction are coming. Providers should pay attention.
The Break Up Big Medicine Act and the future of vertical integration in healthcare
When insurers own PBMs, pharmacies, drug manufacturers, and competing providers, is it coordination — or concentration? Kevin Thilborger takes a look at the Break Up Big Medicine Act and the future of vertical integration.
Health insurance CEOs told Congress they want to lower costs. Providers have heard this before—and Congress has, too
Insurers testifying to Congress last month again promised they are committed to lowering costs, reducing friction, and improving transparency. Sustained follow-through has been harder to find, writes Brandon Edwards, CEO and cofounder of provider-focused healthcare marketing agency Unlock Health.
Lead like a cheetah: why fast, fit, and flexible now define change leadership in healthcare
Healthcare change efforts often stall despite strong strategy. It doesn’t have to be this way. Brian Storts breaks down how fast, fit, and flexible leadership helps organizations activate change, build adoption, and sustain momentum.
When the fox starts teaching poultry management
When a payor helps shape medical education, the risk isn’t knowledge, it’s normalization. Why UnitedHealth’s role in training physicians should concern us all.
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.