All Featured Insights

We’re pleased to welcome you to our Strategy Spotlight blog, a space where we intend to regularly share our insights—and those of our colleagues—on the evolving challenges and opportunities healthcare organizations are confronting.

After several years of grappling with one existential challenge after another, many organizations may find the task of resetting their strategy overwhelming. In our experience, most health systems have not asked or answered the difficult questions required to chart a new path.

In recent years, the Medicare Advantage (MA) program enjoyed both rapid membership growth and positive attention from healthcare organizations and advocates. As of the beginning of 2024, 33.4 million Americans were enrolled in MA, up 7% from 2023.

Walmart’s failure as a healthcare provider points to some big problems in U.S. healthcare, including a difficult business model, an unfriendly reimbursement model, and a basic healthcare expense-to-revenue problem.

Watch Kaufman Hall managing directors Dan Clarin and Sarah Wiley for insights from our latest State of the Healthcare Consumer Report. The team explores the current state of health system growth and performance measurement.

Hospitals and health insurers were more compliant with price transparency laws and regulations in 2023, according to healthcare price data company Turquoise Health. Carol Skenes, Principal Strategist at Turquoise, joins the podcast to talk more about what this data means for consumers and the healthcare industry.

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.

The latest Kaufman Hall Report includes an inside look at strategies for successful payer-provider partnerships in a rapidly changing macroeconomic climate.

Explore the current state of health system growth and performance measurement; progress the industry has made in adopting consumer-centric, relationship-focused metrics; the barriers they face; and the types of decisions and strategies that arise from taking a more consumer-centric approach.

echnology and retail-focused companies from Amazon to Oscar Health to CVS/Aetna, just to name a few, have taken ambitious steps into healthcare with offerings for everything from primary care to ambulatory clinics to new, consumer-focused insurance plans.

Our latest report uncovers emerging telemedicine spend trends.

Explore how hospitals and health systems are faring in an increasingly productized healthcare marketplace.