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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


What healthcare-related news we're reading this week (November 24)
We don't just write things at Union Healthcare Insight—we are voracious readers, too. Welcome to our first edition of "What we're reading," in which we go around the virtual corridors of Union HQ finding out what healthcare (or healthcare-related) news been catching the eyes of the research team and why it resonated with us. Read on for more. Healthcare (and related) news highlights from this week Brandon Aylward, Research Consultant What's an article that caught your eye in

Eric Fontana
Nov 25, 202511 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


Down on the Upside? Unpacking the current state of vertical consolidation
For years, vertical consolidation has been a mainstay of the insurer playbook—blending payer, provider, pharmacy, and PBM assets into a single, integrated ecosystem designed to drive synergies, provide consistent margin performance, and withstand turbulence to any one part of the business. It’s a strategy that worked remarkably well through the 2010s and early 2020s. We may be reaching a turning point. Recent financial results across all national players —but especially from

Jordan Peterson
Oct 30, 202511 min read


What's next for GLP-1 innovation: A primer on the race reshaping pharma and chronic disease care
Few categories in modern medicine have captured the imagination of patients, physicians, and investors as quickly as GLP-1 receptor agonists (GLP-1s). Originally developed for diabetes management, these drugs, popularized under brand names such as Ozempic, Wegovy, Mounjaro, and Zepbound, are redefining how we think about obesity, metabolic health, and even chronic disease prevention. And increasingly, GLP-1s are no longer just about controlling blood sugar. They have become c

Brandon Aylward
Oct 16, 202510 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


What's on the MAHA agenda as of mid-2025: Where it's focused, and what it means for the healthcare industry
When we last wrote about “Make America Healthy Again” (MAHA) earlier this year, the initiative was more of a slogan than a...

Brandon Aylward
Sep 5, 202514 min read


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
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