Industry Expert Knowledge

We give kids Medicaid when we pull them into foster care, then take it away when they leave.

A guest perspective from Michelle Turner, Founder & CEO, Here Now Health

How Atlas Oncology Partners achieved contract precision at speed and scale

How Atlas Oncology Partners modeled, negotiated, validated, and operationalized full-risk oncology contracts in partnership with Ursa Health.

Oscar's Investor Day highlights a solid ACA plan searching for its second act

CMMI Is Moving Faster. But Congress Is Still Asking the Wrong Question.

A guest perspective from Bryan Sivak, Co-founder and Managing Partner, Evidenced

State regulators face a JetBlue/Spirit moment with proposed hospital mergers

It's tough to make predictions about hospital market competition, especially in this environment.

Guest Post: The Layer Beneath: Healthcare Data Infrastructure in an Age of Commodity Intelligence

A guest perspective from Ezra Mehlman, Managing Partner, Health Enterprise Partners

Running a regional health plan in an era of increasing returns to scale: An HTN Expert Interview with Annie Lee, President & CEO, Colorado Access

Annie Lee, CEO of Colorado Access, sat down with HTN's Martin Cech on July 15, 2026 to discuss operating as an independent Medicaid plan, the state's budget crunch, and the decision to enter Colorado's ACA marketplace.

Guest Post: Before You Build for Dual-Eligibles, Understand Who You're Building For

A guest perspective from Genevieve D. Caruncho-Simpson on the nuances of the dual-eligible program and population.

Guest Post: AI, Equity, and the Workforce That Makes Whole-Person Care Possible

A guest perspective from Janine Knudsen, MD, and Shoshanah Brown, MS, MBA

Guest Post: Applied AI in healthcare - what 15 digital health teams are actually building and how

Where teams are starting, how they're structuring AI efforts, what's working, build vs buy, and why product fundamentals still matter.

Guest Post: AI in Healthcare Could Be More of the Same — Or It Could Finally Fix What Really Matters

A guest perspective from Andy Slavitt and Toyin Ajayi, M.D. on the potential for AI in clinical care

Should Medicaid pay for Direct Primary Care memberships? A discussion with Lawson Mansell, Health Policy Analyst at the Niskanen Center

There's an acute need for new approaches to primary care in Medicaid, and a bill before Congress would extend additional flexibilities to state Medicaid agencies interested in exploring DPC as a potential solution.

How plans are thinking about MA supplemental benefits for 2026 with Rose Mollitor, Managing Director at ATI Advisory

Creative supplemental benefit design, regulations requiring plans to show their work, and major themes going into 2026 across MA and SNP plans.

How UnitedHealth Group is thinking about AI with Syed Mohiuddin, SVP and Chief AI Transformation & Strategy Officer

AI optimism, navigating internal tensions between innovations in the payer and provider businesses, and a framework for deploying AI across large organizations

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.

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?

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.

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.

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.

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.

A discussion with Joe and Wesley from Evensun Health

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

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

Untapped supply from NPs and ideas on how to unlock it

Prior authorizations, past and present with Archelle Georgiou, MD

History doesn't always repeat, but it rhymes.

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

A discussion with Meera Mani, Town Hall Ventures

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