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.
The conversation healthcare keeps avoiding: money
Financial barriers to healthcare access are shaping when — and whether — patients seek treatment. Here’s why healthcare leaders need to address cost directly.
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.
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.
Managed care under pressure: what’s shaping 2026
As healthcare affordability worsens, patients, providers, and payors are responding in different ways. Explore the five forces shaping managed care in 2026.
The annual state of change: why 2026 will test our capacity to activate, not just to change
Learn why many transformations stall quietly and how leaders can build the activation capacity needed to turn change into sustained behavior in 2026.
2025 in managed care: the year the quiet parts got loud
In managed care, 2025 wasn’t shocking. It just made the system’s problems harder to pretend not to see.
What to expect in 2026
The pressures shaping managed care now determine how patients seek care, how providers deliver it, and how payors control it.