Why the fight over the 340B program is becoming a major hospital revenue battle
Recent 340B lawsuits, state laws, and federal appeals are raising a larger question for hospitals: who controls the value created by 340B, and who ultimately benefits from it?
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.
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.
Rethinking revenue: why health systems need a bigger pie, not just a better slice
Health systems can’t rely on collections alone. See how rethinking your managed care revenue strategy can expand margins, strengthen contracts, and drive sustainable health system revenue growth.
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.
Becker’s webinar: 9/24 at 1 p.m. CT
In this webinar from Becker’s, Unlock’s Ben Fuqua and Kevin Thilborger explore how to factor changing reimbursement levels into targeting and growth planning.
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.
Debunking the RAND Study: How flawed data is hurting U.S. hospitals
The RAND hospital pricing study, widely cited by employers, insurers, and policymakers, is criticized as methodologically flawed, with misleading conclusions that unfairly portray hospitals as overcharging, risking further financial destabilization for healthcare providers.
Three things you need to know about Medicare Advantage today
Medicare Advantage’s rapid growth is straining hospitals and health systems due to low reimbursement rates, rising denials, and payment disputes, requiring providers to adopt data-driven strategies and proactive contract negotiations to maintain financial stability.