Expert analysis of healthcare and life sciences markets, technology, investment, entrepreneurship, policy, and AI — for investors, entrepreneurs, hospital and insurance executives, and physicians navigating the business of healthcare.
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onhealthcare.techLatest Issues
Why The Q1 2026 Payer Margin Rebound At UnitedHealth, CVS, Elevance, Humana, Centene, & Molina Is Really A Benefit Design Recession Built On Repricing, Product Exits & Tighter Utilization Mgmt
Quick Links: Knowledge Base, Podcast, and Social
Knowledge Base — search and filter every article and podcast episode by topic, section, and keyword: kb.onhealthcare.tech
Thanks for reading Thoughts on Healthcare Markets & Tech...
Part II: Why The Q1 2026 Payer Margin Rebound At UnitedHealth, CVS, Elevance, Humana, Centene & Molina Is Really A Benefit Design Recession Built On Repricing, Product Exits & Tighter Utilization Mgmt
Q1 2026 managed care earnings looked like a recovery.
Q1 2026 managed care earnings looked like a recovery. They were not. Here is what actually happened across UHC, CVS, Elevance, Humana, Centene, and Molina.
Part I: Why The Q1 2026 Payer Margin Rebound At UnitedHealth, CVS, Elevance, Humana, Centene & Molina Is Really A Benefit Design Recession Built On Repricing, Product Exits, & Tighter Utilization Mgmt
Q1 2026 managed care earnings looked like a recovery. They were not. Here is what actually happened across UHC, CVS, Elevance, Humana, Centene, and Molina.
Cost trend did not reverse. Hospital costs are still up. Senior utilization is stil...
The Hidden Rule Makers Behind Prior Auth and Claim Denials: How InterQual, MCG, HealthEdge, Zelis, Lyric, and Optum’s CES Write the Criteria Payers Use to Reject Care and Why That’s Where Real Reform
Quick Links: Knowledge Base, Podcast, and Social
Quick Links: Knowledge Base, Podcast, and Social
The Hidden Rule Makers Behind Prior Auth and Claim Denials: How InterQual, MCG, HealthEdge, Zelis, Lyric, and Optum’s CES Write the Criteria Payers Use to Reject Care and Why That’s Where Real Reform
Everyone knows the payer’s name on the claim denial or prior auth denial letter.
Everyone knows the payer’s name on the claim denial or prior auth denial letter. Almost nobody knows the names of the companies that wrote the rules behind it...
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Expert analysis of healthcare markets, health tech investment, digital health policy, and medical AI — for investors, entrepreneurs, and operators navigating the U.S. healthcare system.
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