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.
The ups and downs of payor coding practices: how upcoding and downcoding both undermine trust
Payor coding practices are inflating patient risk scores to boost their payments from federal programs while adjusting provider claims to pay less.
Q3 2025 earnings recap: higher revenue, elevated costs, and payors prepping to pivot
The Q3 2025 payor earnings report confirms managed care’s core economics are shifting, and not in payors’ preferred direction. Here’s what you need to know.
Exploring Power Imbalances in Managed Care
Originally published in First Report Managed Care, this article explores the power imbalances in managed care and three key areas to watch.
Rethinking revenue: why health systems need a bigger pie, not just a better slice
Sustainable growth requires more from your health system revenue strategy than collecting what’s owed. It requires intentionally designing for growth.
More than halfway through 2025, how good were our predictions?
At the beginning of the year we published our predictions for the six high-impact managed care trends to watch. Here’s how our predictions have held up.