Learn from North Carolina’s model before other states follow suit
North Carolina is rolling out a “no cost” surgical benefit this fall. Here’s what providers in and out of North Carolina need to know.
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.
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?
New webinar: What’s trending in the business of healthcare?
Truths we knew yesterday seem up for debate today. An administration committed to reducing waste doubles down on a program that’s expensive for taxpayers and bad for providers. Rising numbers of healthcare mergers and acquisitions suddenly stall. What is happening in the business of healthcare? Join our free webinar to listen to industry experts Brandon […]
Health insurers say they’ll do better … time will tell if they do
In the wake of Brian Thompson’s murder, the public demanded significant changes from health insurers. Will they follow through? Unlock Health CEO, Brandon Edwards assesses their first public statements of 2025 in this article, first published in Medical Economics.
What to expect in 2025: Managed care trends and predictions
New president. New Congress. Decades old healthcare cost finger pointing. Payors and providers say change is needed. Yet there’s no consensus on how to achieve it. In our new report, we share our views on six areas to watch in managed care this year.
We need an attitude of genuine humility to address a healthcare system in desperate need of change
The murder of UnitedHealth Group CEO Brian Thompson has ignited a heated debate about systemic issues in the U.S. healthcare system, highlighting the urgent need for reform while condemning violence and dehumanization.