Search Sort by Newest to OldestOldest to NewestRelevanceA-ZZ-A ICHRA: The Great Bifurcation of the Employer’s Role in Health Insurance U.S. employers have played a dual role in the health insurance of their employees – both paying for their health insurance coverage and choosing their health insurance options. These two roles have been tied at the hip, but now, ICHRA (individual coverage Health Reimbursement Arrangement) products offer an opportunity to bifurcate that role. 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 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 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 Covenant Challenges Signal Need to Chart a Path to Sustainability The possibility of breached covenants is a symptom of deeper problems that require an all-hands-on-deck approach to get back on a sustainable path. Blog Reviving Revenue in the Post-Pandemic World As we emerge from the COVID-19 pandemic, we face a changed reality. Expenses—particularly labor expenses—have reset at a higher level. Inflation is rising at rates not seen since the... Blog The Virtuous Cycle of Today’s Macroeconomy A googol is a 1 followed by 100 zeros. There are bigger numbers, and words for those bigger numbers, but a googol is as large a number as I am likely to need. In fact, the number of... Blog My Breast Cancer Journey SVP, Lisa Goldstein, shares what she learned about hospitals, healthcare, and the not-for-profit mission from her breast cancer journey. Blog Can Governance Be Measured? Almost everything that not-for-profit hospital ratings analysts evaluate can be measured, quantified, and databased. Except for one: governance. Blog Ratings Matter, But Long-Term Viability Matters More “Will I be downgraded if my organization’s margins decline because I am investing for its future?” This is one of the most common questions that provider organizations ask ratings... Blog Why Stories Matter Over the years, I have had many things that I have wanted to tell the executives at not-for-profit hospitals. As a ratings analyst, however, I couldn’t. Now I can. This is the first of... Blog
ICHRA: The Great Bifurcation of the Employer’s Role in Health Insurance U.S. employers have played a dual role in the health insurance of their employees – both paying for their health insurance coverage and choosing their health insurance options. These two roles have been tied at the hip, but now, ICHRA (individual coverage Health Reimbursement Arrangement) products offer an opportunity to bifurcate that role. 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
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
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
Covenant Challenges Signal Need to Chart a Path to Sustainability The possibility of breached covenants is a symptom of deeper problems that require an all-hands-on-deck approach to get back on a sustainable path. Blog
Reviving Revenue in the Post-Pandemic World As we emerge from the COVID-19 pandemic, we face a changed reality. Expenses—particularly labor expenses—have reset at a higher level. Inflation is rising at rates not seen since the... Blog
The Virtuous Cycle of Today’s Macroeconomy A googol is a 1 followed by 100 zeros. There are bigger numbers, and words for those bigger numbers, but a googol is as large a number as I am likely to need. In fact, the number of... Blog
My Breast Cancer Journey SVP, Lisa Goldstein, shares what she learned about hospitals, healthcare, and the not-for-profit mission from her breast cancer journey. Blog
Can Governance Be Measured? Almost everything that not-for-profit hospital ratings analysts evaluate can be measured, quantified, and databased. Except for one: governance. Blog
Ratings Matter, But Long-Term Viability Matters More “Will I be downgraded if my organization’s margins decline because I am investing for its future?” This is one of the most common questions that provider organizations ask ratings... Blog
Why Stories Matter Over the years, I have had many things that I have wanted to tell the executives at not-for-profit hospitals. As a ratings analyst, however, I couldn’t. Now I can. This is the first of... Blog