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Healthcare market-sizing needs a reset
Practically every organization in every sector of healthcare routinely needs market-sizing models to guide high-stakes strategic decisions, such as where to invest and where to be cautious. The problem: In the rush to check all the planning boxes, it is all too easy for leaders to accidentally end up with—and even bet the strategy on—'models' that are not really models at all, but simply numbers . Numbers with unexamined, opaque, and sometimes wildly inaccurate underlying as
Chris Loumeau
Feb 68 min read


What healthcare-related news we're reading this week (late January edition)
January 2026 has slipped away like a Nor'easter through the Northeast—fast, furious, and leaving everyone wondering what just happened. And much like those of you who got snowed in, we've spent the month mostly indoors, heads down, reading everything we could get our hands on about the flurry of health industry and policy developments that have swept through Washington and across the healthcare landscape. Let's go around the horn and touch on just a sliver of what our team h
Eric Fontana
Jan 298 min read


Is end-to-end revenue cycle outsourcing on a slow march to doom?
Ahead of our 2026 Revenue Cycle Summit in Chicago, we've been chatting with many executives and board members about how their health systems are transforming their operations for 2026. Interestingly, a common ambition seems to be on everyone's radar: squeezing more out of existing vendor arrangements . The questions many are pondering are flavors of: "Should we demand more from our current vendors or make wholesale changes?" And, while all types of vendors roll into this con
Eric Fontana
Jan 1414 min read


Interoperability's next frontier: the Individual Access Layer
An Interview with Brendan Keeler, AKA 'Health API Guy' Over the next few years, we all need to be tracking a new and highly active front in Health IT innovation and change: The emergence of an “individual access layer” that lets patients control how their data moves across tools and apps—and all the related healthcare industry ecosystem opportunities and risks that come that new infrastructure. I’m talking about a new class of players, known as Individual Access Services (IA
Amanda Berra
Jan 910 min read


Agentic AI in healthcare in 2025: Separating the near-term use cases from the hype
Agentic AI in healthcare has rapidly become the centerpiece of health tech discussions. We’ve been studying it because it’s an area of rapid growth and advancement—an outlier in this moment in healthcare, when stakeholders across the industry are struggling amidst rising expenses, workforce shortages, and patient experience frustrations. Agentic AI tools are being positioned as a game-changing approach to addressing many of the industry’s biggest challenges, given their state
Marina Renton
Nov 7, 20258 min read


Different players, different games: How healthcare’s various sectors are using AI differently in 2025
All U.S. health systems, hospitals, provider groups, life sciences organizations, and national or regional payers are racing to scale AI....
Chris Loumeau
Sep 12, 20259 min read


Hospital revenue cycle trends to watch in 2025-2026: Key takeaways from our Provider RCM Summit
Last week, Union Healthcare Insight had the privilege of gathering with an impressive group of hospital revenue cycle executives in...
Eric Fontana
Aug 14, 20256 min read


AI scribes: The promise, the uptake pattern–and some pitfalls in the mix
AI scribes for clinicians are clearly a compelling idea—but to what extent are adoption and results matching up? It can be hard to tell,...
Chris Loumeau
Jul 31, 20258 min read


What's going on with Payer A.I., denials and audits?
In the last couple of months, we’ve been pulling up chairs with dozens of revenue cycle leaders to understand what’s keeping them awake...
Eric Fontana
Jul 23, 202511 min read


Synthetic clinical data reality check - not so fast, data replacers
Quick rewind: our tour of the clinical data market that ended in a cliffhanger In Part 1 of this blog post (linked below if you missed...
Amanda Berra
Jun 27, 20259 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 22, 202510 min read


Four points about the strategic significance of Epic in healthcare
Four basic points that every healthcare executive should be familiar with about Epic in healthcare
Amanda Berra
Jan 30, 202511 min read
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