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.
Exploring Power Imbalances in Managed Care
This piece by was originally published in First Report Managed Care The US health care system is undeniably built around the needs of private insurance companies. The market dominance of a few for-profit companies gives them significant control over health coverage for millions of Americans and substantial influence over the policies that govern health care. […]
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.
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 coming storm.
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 can better prepare for what’s ahead.
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.
It may be big — there’s nothing beautiful about it
As millions of people find themselves newly uninsured when the One Big Beautiful Act goes into effect, the burden for absorbing healthcare costs is squarely on the shoulders of providers. Here are five things every healthcare leader should know.
How will United’s struggles impact healthcare providers?
UnitedHealthcare has spent 15-20 years building a reputation for tough negotiating. Now that they’ve lost 40% of their value in just a few weeks, what will it be like to sit across the table from them?
DOJ: Pushing back on alleged kickbacks
The US Department of Justice alleges that three MA plans and their appointed brokers committed offenses against the False Claims Act.