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ACA Marketplace Pricing Strategies for ’26 with Rebecca Stob, Evensun Health

Nov 25, 2025

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2 min read

ACA Marketplace Pricing Strategies for ’26 with Rebecca Stob, Evensun Health

How payers are navigating pricing, growth, profitability, risk adjustment, and geography in the ACA marketplaces.

Martin Cech
Martin Cech
On the new Ambulatory Specialty Model from CMMI with Luis Argueso, partner at InHealth Advisors

Nov 20, 2025

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3 min read

On the new Ambulatory Specialty Model from CMMI with Luis Argueso, partner at InHealth Advisors

The new model has everything: it's mandatory, has upside and downside risk, and is focused on heart failure and low back pain. But is the juice worth the squeeze?

Martin Cech
Martin Cech
Commercial Strategy for Early Stage Startups with Health2047

Nov 18, 2025

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8 min read

Commercial Strategy for Early Stage Startups with Health2047

Warren Templeton, Managing Director at Health2047, shares frameworks that offer a grounded, founder-friendly way to map early product thinking to commercial reality.

Warren Templeton
Warren Templeton
A discussion with Jeff Davis, Director at McDermott+

Nov 13, 2025

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3 min read

A discussion with Jeff Davis, Director at McDermott+

The complicated formula that CMS uses to compensate physicians got its annual update, including a raise for the first time in six years although not everyone is celebrating.

Martin Cech
Martin Cech
A discussion with Lauren Makhoul, Sean Dillon, and Amy Hunsberger from Manatt Health

Nov 12, 2025

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3 min read

A discussion with Lauren Makhoul, Sean Dillon, and Amy Hunsberger from Manatt Health

Big changes in Medicare physician payment, drug and skin substitute pricing, and other insights from the 2,300-page Medicare Physician Fee Schedule, explained by regulatory experts from Manatt Health.

Martin Cech
Martin Cech
Jonathan Palisoc, health economist and Medicaid expert, on provider taxes and state directed payments

Nov 7, 2025

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3 min read

Jonathan Palisoc, health economist and Medicaid expert, on provider taxes and state directed payments

Provider taxes and state directed payments will pull over $40 billion a year out of Medicaid spending once they're fully implemented which will send ripples through the health care economy.

Martin Cech
Martin Cech
A discussion with Joe and Wesley from Evensun Health

Nov 3, 2025

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2 min read

A discussion with Joe and Wesley from Evensun Health

What went wrong and what 2026 is looking like for the ACA individual market.

Kevin O'Leary
Martin Cech
Kevin O'Leary, Martin Cech
Physician shortages and nurse practitioner enablement with Meghan Jewitt of Prax Health

Oct 28, 2025

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10 min read

Physician shortages and nurse practitioner enablement with Meghan Jewitt of Prax Health

Untapped supply from NPs and ideas on how to unlock it

Martin Cech
Martin Cech
Prior authorizations, past and present with Archelle Georgiou, MD

Oct 23, 2025

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7 min read

Prior authorizations, past and present with Archelle Georgiou, MD

History doesn't always repeat, but it rhymes.

Kevin O'Leary
Kevin O'Leary
Provider consolidation and its malcontents: an interview Olivia Kosloff

Oct 21, 2025

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17 min read

Provider consolidation and its malcontents: an interview Olivia Kosloff

A discussion with the Acute Condition author and American Economic Liberties Project Senior Fellow on the alternatives to the increasingly corporate practice of medicine

Martin Cech
Olivia Kosloff
Martin Cech, Olivia Kosloff
A discussion with Meera Mani, Town Hall Ventures

Oct 17, 2025

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3 min read

A discussion with Meera Mani, Town Hall Ventures

Regulatory tailwinds, AI, and top decile returns— all in service of healthcare's underserved.

Kevin O'Leary
Kevin O'Leary
Zigging when others Zag - Now may be the time to lean into Medicare Advantage

Oct 13, 2025

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12 min read

Zigging when others Zag - Now may be the time to lean into Medicare Advantage

A guest perspective from Duncan Reece exploring how, despite Medicare Advantage's challenging current market dynamics, the market is still well-positioned for long-term growth

Duncan Reece
Duncan Reece
Enhanced subsidy uncertainty from the actuarial perspective

Oct 9, 2025

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5 min read

Enhanced subsidy uncertainty from the actuarial perspective

Sicker risk pools, tough timing, and the unlikely potential of catastrophic plan spillover

Martin Cech
Martin Cech
Sina Haeri, CEO of Ouma Health, on building a new maternity model

Aug 14, 2025

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28 min read

Sina Haeri, CEO of Ouma Health, on building a new maternity model

A discussion with Sina Haeri on Ouma's maternity model and how it is growing in the Medicaid market

Kevin O'Leary
Martin Cech
Kevin O'Leary, Martin Cech
Faris Ghawi and Amer Alnajar, Co-Founders of Vytalize Health, on building a VBC enabler

Aug 1, 2025

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31 min read

Faris Ghawi and Amer Alnajar, Co-Founders of Vytalize Health, on building a VBC enabler

An interview with the Co-Founders of Vytalize Health discussing the VBC enabler market and Vytalize's model

Kevin O'Leary
Kevin O'Leary
Nikita Singareddy, Co-Founder and CEO at Fortuna Health, on building in Medicaid

Jul 21, 2025

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34 min read

Nikita Singareddy, Co-Founder and CEO at Fortuna Health, on building in Medicaid

An interview with Fortuna Health's CEO discussing a variety of topics related to Fortuna's model and the Medicaid market more broadly

Kevin O'Leary
Martin Cech
Kevin O'Leary, Martin Cech
HTN Expert Series: Demystifying Provider Data
LockSimple

Apr 18, 2025

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1 min read

HTN Expert Series: Demystifying Provider Data

HTN Community Experts Andrew Rosenthal and Michael Stratton cover common use cases, data sources, and gotchas when it comes to provider data.

Michael Stratton
Andrew Rosenthal
Michael Stratton, Andrew Rosenthal
From Idea to Exit in Healthcare - Part 2: Scale Stage
LockSimple

Apr 1, 2025

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2 min read

From Idea to Exit in Healthcare - Part 2: Scale Stage

A panel discussion with experienced founders, investors, and operators sharing insights on evolving product strategy, building organizational capabilities, and optimizing operations for growth-stage healthcare startups transitioning from early traction to significant scale.

Sofia Guerra
Nour Al-Sultan
Justin Ley
Sofia Guerra, Nour Al-Sultan, Justin Ley
From Idea to Exit in Healthcare - Part 1: Idea Stage
LockSimple

Mar 11, 2025

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2 min read

From Idea to Exit in Healthcare - Part 1: Idea Stage

A panel discussion with experienced founders and operators sharing insights on validating problems, building teams, and establishing operational foundations for early-stage healthcare startups.

Nikita Singareddy
Kate Wolin
Diya Shah
Nikita Singareddy, Kate Wolin, Diya Shah
Navigating Medicaid Fee-for-Service Contracting
LockSimple

Feb 25, 2025

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1 min read

Navigating Medicaid Fee-for-Service Contracting

An in-depth walkthrough and tactical guide for health tech startups navigating Medicaid Fee-for-Service (FFS) contracting.

Andrea Ippolito
Andrea Ippolito
Lessons from Evaluating, Implementing, and Adopting Ambient AI

Dec 9, 2024

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7 min read

Lessons from Evaluating, Implementing, and Adopting Ambient AI

A discussion with an executive buyer and clinical champion from University of Health Care and ambient Al organization Nabla to share their experience and learnings from evaluating and implementing an ambient Al assistant across specialties.

Founders in Health Tech Talk: Building Zero to One and Beyond with Toyin Ajayi - Panel Recap

Apr 12, 2024

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16 min read

Founders in Health Tech Talk: Building Zero to One and Beyond with Toyin Ajayi - Panel Recap

We sat down to discuss startup building from 0 to 1, and beyond with Toyin Ajayi, Co-Founder & CEO of Cityblock Health.

HTN Lunch & Learn: Understanding the Role of a Clinician in Early-Stage Startup Building
LockSimple

Apr 3, 2024

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7 min read

HTN Lunch & Learn: Understanding the Role of a Clinician in Early-Stage Startup Building

We discuss the role of a clinician in early-stage startup building with Andrew Schutzbank, MD, MPH, CEO & Founder of Schutzworks.

HTN Lunch & Learn: The New Healthcare Startup Imperative: Professional Government Advocacy - What's Happening, Where is CMS/CMMI Going and How to Influence Policy Decisions as a Startup
LockSimple

Feb 15, 2024

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6 min read

HTN Lunch & Learn: The New Healthcare Startup Imperative: Professional Government Advocacy - What's Happening, Where is CMS/CMMI Going and How to Influence Policy Decisions as a Startup

We discuss professional government advocacy and how to influence policy decisions with Andrew Schwab, Founder of Platform Government Strategies.

HTN Lunch & Learn: Perspectives from a Medicare Advantage Market President
LockSimple

Feb 2, 2024

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1 min read

HTN Lunch & Learn: Perspectives from a Medicare Advantage Market President

We discuss the complex world of Medicare Advantage, from growth dynamics to operationl issues to margin discipline with Zach Kosky, a former Medicare Advantage Market President.

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