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F.W.A: Straight Outta’ D.C. Is CMS about to get even tougher on Fraud, Waste and Abuse?
CMS and the OIG recently announced intention to audit health plans and providers in a set of initiatives that could recoup several billion dollars

Eric Fontana
17 hours ago10 min read


The national insurers' financial performance in Q1 2025: Temporary reprieve or signs of stability?
Over the course of the past few weeks, all of the large, publicly-traded health plans have hosted their first set of earnings calls for...

Jordan Peterson
Jun 414 min read


The state of government-sponsored insurance in 2025: How Trump and a GOP-led Congress are approaching Medicare, MA, and Medicaid
Roughly half of the U.S. population gets health coverage through some form of government-sponsored insurance. And with control of both...

Yulan Egan
May 289 min read


Welcome to the clinical data market
Health system leaders have long been interested in figuring out ways to monetize clinical data. It makes sense: if they could sell or license de-identified data in their EHRs to life science or tech companies, that would be very helpful from a revenue diversification perspective. Especially whenever core inpatient economics are under siege. But, it’s always been an easier-said-than-done proposition. And now, maybe there's also a new spoiler in the mix, in the form of 'synthe

Amanda Berra
May 2210 min read


Physician practice structure in 2025: What’s changed (and what hasn't)—and what we’re watching moving forward
Later this week, we'll be convening live for this month's Board Briefing webinar to talk about the current state of the physician...

Jordan Peterson
May 197 min read


An emerging strategic imperative? 3 revenue cycle metrics we’re keeping an eye on
If you’ve seen our State of Healthcare presentation, you’ll know that despite provider margins seemingly rebounding at the top line, it’s...

Eric Fontana
May 156 min read


Top political issues in risk and VBC
Time to separate the settled from the volatile issues in risk/VBC politics today With so much policy upheaval these days, it can be easy...

Amanda Berra
May 99 min read


Specialty value-based care: The next phase of VBC
If your go-to mental model for risk/VBC revolves around primary care management of chronic conditions, it's time for a conceptual...

Jordan Peterson
Apr 235 min read


Checking in on Make America Healthy Again, pt. 2: MAHA and the future of preventive care
Last week, we published an update on the Make America Healthy Again initiative: what its agenda looks like as of April 2025 and how the...

Yulan Egan
Apr 96 min read


Checking in on Make America Healthy Again: MAHA and vaccines
Back in December, we conducted something of a thought experiment. At the time, then-nominee Robert F. Kennedy, Jr.'s "Make America...

Yulan Egan
Apr 26 min read


Where the smart money is going: 5 insights on the state of healthcare investment in 2025
At the beginning of each year, we like to do a deep dive into the healthcare investment landscape. We do a retrospective on the previous...

Yulan Egan
Mar 137 min read


5 ambulatory specialty trends to watch
This month's Union Strategy Bootcamp, “How to Speak Ambulatory" is set to cover all the essentials : Key concepts, players,...

Amanda Berra
Mar 76 min read
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