top of page
Search


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


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


Unpacking Trump’s healthcare regulatory agenda: Our predictions for rulemaking in the new administration
Yesterday, Donald Trump was sworn in as President, marking only the second time in U.S. history that a president will serve two...

Kirsta Hackmeier
Jan 219 min read


Employer healthcare spending in 2025: Why it's likely to accelerate
Although the share of Americans with employer-sponsored insurance has been declining for the past couple of decades, the majority of the...

Yulan Egan
Jan 69 min read


'Repeal and Replace' or 'Refine and Reform'? What a second Trump administration could mean for the ACA
In the early days of the first Trump administration—during which the GOP also held control of both Houses of Congress—'Repeal and...

Yulan Egan
Dec 4, 20247 min read


Trump's health policy agenda: Eight issues we expect to see (and two we don't)
Earlier this week, former President Trump secured a decisive victory over Vice President Kamala Harris in the race for the White House....

Yulan Egan
Nov 7, 20248 min read


Key company profiles: UnitedHealth Group's approach to vertical consolidation
Today's post is the first of a new series we're launching on key players in healthcare vertical consolidation . And that's because nearly...

Yulan Egan
Sep 10, 20247 min read
Join our mailing list
Get access to our latest posts
bottom of page