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The national insurers' financial performance in Q2 2025: A tale of two (types of) payers
Over the course of the past few weeks, all five of the large, publicly traded health plans have hosted their second set of earnings calls...

Jordan Peterson
Aug 18, 202512 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


What’s on Union's research and education agendas for H2 2025
Welcome to our sneak peek into some of the major things we’re studying across the remainder of this year. Here, we’re about to break down...

Amanda Berra & Yulan Egan
Jul 16, 202510 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


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 19, 20257 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 9, 20259 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 23, 20255 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 9, 20256 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 2, 20256 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 13, 20257 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 7, 20256 min read
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