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
Vertical integration in healthcare was supposed to improve coordination. The Break Up Big Medicine Act asks whether it created something else instead.
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.
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.