Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A Pagination First page First Previous page ‹ Page 1 Current page 2 Page 3 … Next page › Last page Last Gist Weekly: March 1, 2024 Change Healthcare’s systems go down after a cyberattack, and UnitedHealth Group faces a federal antitrust probe. Blog Gist Weekly: February 23, 2024 Walgreens’ VillageMD exits the Florida market, plus two notable mergers between health insurers have been called off. Blog Three Must-Haves for Every Rating Presentation How you tell the story of your organization is as important as the story itself. Paying attention to three key themes will help ensure that your best voice is being heard in rating committee. Blog 5 Key Takeaways from Healthcare Rating Activity in 2023 The past year saw a material increase in downgrades over 2022 while the number of upgrades declined from the prior year. Here are five key takeaways from rating activity in 2023. Blog Health Insurance Exchanges The Health Insurance Exchange (HIX) or Marketplace segment can be considered the largest growth market in the payer sector after Medicare Advantage (MA). From a relative low of 11.4 million members in 2020, the HIX market grew to 16.4 million members in 2023. Blog Three Things Board Members Should Know When Attending Rating Agency Meetings How can board members play a helpful role in rating agency meetings if they are invited to attend? Here are three ways in which board members can add value to the rating presentation. Blog Uncertainty Regarding Covenant Compliance Continues Responses to Kaufman Hall’s 2023 “State of Healthcare Performance Improvement” report indicate ongoing concern regarding covenant challenges in 2024. Organizations need to understand the causes of covenant misses and near misses and build a durable financial plan for the future. Blog The Employer Strikes Back: The Hollowing of the Commercial Health Insurance Market and Its Impact on Payers and Providers Today, the commercial group health insurance market is hollowing out, primarily driven by affordability pressures that have been building for decades. Blog The Balance Sheet Buffer Balance sheet strength has buffered consumers and businesses from some of the restrictive shock of higher rates. With a relatively brittle revenue model in healthcare, the focus becomes whether, when, and how to restructure operations as balance sheets are spent down. Blog Downgrades and the Rating Sword of Damocles The number of not-for-profit hospital rating downgrades has escalated in 2023, suggesting that benefit of the doubt is running out. Hospitals will need to go the extra mile when preparing material for their rating agency meetings. Blog Emerging Risks to the Medicare Advantage Market Medicare Advantage has been a tremendous growth story in recent years. Today, however, new risks are emerging from both providers and regulators that could stall and perhaps even reverse the growth strides health plans have made in the MA market. Blog External Capital Formation in a Higher Rate Environment After years of monetary tingle, a more restrictive stance from the Federal Reserve is creating a chill. A sustained higher interest rate environment may require finance teams to rethink external capital formation strategies. Blog Pagination First page First Previous page ‹ Page 1 Current page 2 Page 3 … Next page › Last page Last
Gist Weekly: March 1, 2024 Change Healthcare’s systems go down after a cyberattack, and UnitedHealth Group faces a federal antitrust probe. Blog
Gist Weekly: February 23, 2024 Walgreens’ VillageMD exits the Florida market, plus two notable mergers between health insurers have been called off. Blog
Three Must-Haves for Every Rating Presentation How you tell the story of your organization is as important as the story itself. Paying attention to three key themes will help ensure that your best voice is being heard in rating committee. Blog
5 Key Takeaways from Healthcare Rating Activity in 2023 The past year saw a material increase in downgrades over 2022 while the number of upgrades declined from the prior year. Here are five key takeaways from rating activity in 2023. Blog
Health Insurance Exchanges The Health Insurance Exchange (HIX) or Marketplace segment can be considered the largest growth market in the payer sector after Medicare Advantage (MA). From a relative low of 11.4 million members in 2020, the HIX market grew to 16.4 million members in 2023. Blog
Three Things Board Members Should Know When Attending Rating Agency Meetings How can board members play a helpful role in rating agency meetings if they are invited to attend? Here are three ways in which board members can add value to the rating presentation. Blog
Uncertainty Regarding Covenant Compliance Continues Responses to Kaufman Hall’s 2023 “State of Healthcare Performance Improvement” report indicate ongoing concern regarding covenant challenges in 2024. Organizations need to understand the causes of covenant misses and near misses and build a durable financial plan for the future. Blog
The Employer Strikes Back: The Hollowing of the Commercial Health Insurance Market and Its Impact on Payers and Providers Today, the commercial group health insurance market is hollowing out, primarily driven by affordability pressures that have been building for decades. Blog
The Balance Sheet Buffer Balance sheet strength has buffered consumers and businesses from some of the restrictive shock of higher rates. With a relatively brittle revenue model in healthcare, the focus becomes whether, when, and how to restructure operations as balance sheets are spent down. Blog
Downgrades and the Rating Sword of Damocles The number of not-for-profit hospital rating downgrades has escalated in 2023, suggesting that benefit of the doubt is running out. Hospitals will need to go the extra mile when preparing material for their rating agency meetings. Blog
Emerging Risks to the Medicare Advantage Market Medicare Advantage has been a tremendous growth story in recent years. Today, however, new risks are emerging from both providers and regulators that could stall and perhaps even reverse the growth strides health plans have made in the MA market. Blog
External Capital Formation in a Higher Rate Environment After years of monetary tingle, a more restrictive stance from the Federal Reserve is creating a chill. A sustained higher interest rate environment may require finance teams to rethink external capital formation strategies. Blog